UNHMESSAGE HEADERM 1

1Mandatory A service segment starting and uniquely identifying a message. The message type code for the Medical resource usage and cost message is MEDRUC.
0062
MESSAGE REFERENCE NUMBER
Mandatoryan0..14
Unique message reference assigned by the sender.
S009
MESSAGE IDENTIFIER
Mandatory
Identification of the type, version, etc. of the message being interchanged.
0065
Message type
Mandatoryan0..6
Code identifying a type of message and assigned by its controlling agency.
Show all standard codes
0052
Message version number
Mandatoryan0..3
Version number of a message type.
Show all standard codes
0054
Message release number
Mandatoryan0..3
Release number within the current message version number.
Show all standard codes
0051
Controlling agency, coded
Mandatoryan0..3
Code identifying a controlling agency.
Show all standard codes
0057
Association assigned code
Conditionalan0..6
Code, assigned by the association responsible for the design and maintenance of the message type concerned, which further identifies the message.
0110
Code list directory version number
Conditionalan0..6
Version number of the code list directory.
0113
Message type sub-function identification
Conditionalan0..6
Code identifying a sub-function of a message type.
Show all standard codes
0068
COMMON ACCESS REFERENCE
Conditionalan0..35
Reference serving as a key to relate all subsequent transfers of data to the same business case or file.
S010
STATUS OF THE TRANSFER
Conditional
Statement that the message is one in a sequence of transfers relating to the same topic.
0070
Sequence of transfers
Mandatoryn0..2
Number assigned by the sender indicating the transfer sequence of a message related to the same topic. The message could be an addition or a change to an earlier transfer related to the same topic.
0073
First and last transfer
Conditionala1
Indication used for the first and last message in a sequence of messages related to the same topic.
Show all standard codes
S016
MESSAGE SUBSET IDENTIFICATION
Conditional
Identification of a message subset by its identifier, version, release and source.
0115
Message subset identification
Mandatoryan0..14
Coded identification of a message subset, assigned by its controlling agency.
0116
Message subset version number
Conditionalan0..3
Version number of the message subset.
0118
Message subset release number
Conditionalan0..3
Release number within the message subset version number.
0051
Controlling agency, coded
Conditionalan0..3
Code identifying a controlling agency.
Show all standard codes
S017
MESSAGE IMPLEMENTATION GUIDELINE IDENTIFICATION
Conditional
Identification of a message implementation guideline by its identifier, version, release and source.
0121
Message implementation guideline identification
Mandatoryan0..14
Coded identification of the message implementation guideline, assigned by its controlling agency.
0122
Message implementation guideline version number
Conditionalan0..3
Version number of the message implementation guideline.
0124
Message implementation guideline release number
Conditionalan0..3
Release number within the message implementation guideline version number.
0051
Controlling agency, coded
Conditionalan0..3
Code identifying a controlling agency.
Show all standard codes
S018
SCENARIO IDENTIFICATION
Conditional
Identification of a scenario.
0127
Scenario identification
Mandatoryan0..14
Code identifying scenario.
0128
Scenario version number
Conditionalan0..3
Version number of a scenario.
0130
Scenario release number
Conditionalan0..3
Release number within the scenario version number.
0051
Controlling agency, coded
Conditionalan0..3
Code identifying a controlling agency.
Show all standard codes

BGMBEGINNING OF MESSAGEM 1

1Mandatory A segment for unique identification of the message and specification of its function.
C002
DOCUMENT/MESSAGE NAME
Conditional
Identification of a type of document/message by code or name. Code preferred.
1001
Document name code
Conditionalan0..3
Code specifying the document name.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
1000
Document name
Conditionalan0..35
Name of a document.
C106
DOCUMENT/MESSAGE IDENTIFICATION
Conditional
Identification of a document/message by its number and eventually its version or revision.
1004
Document identifier
Conditionalan0..35
To identify a document.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
1225
MESSAGE FUNCTION CODE
Conditionalan0..3
Code indicating the function of the message.
Show all standard codes
4343
RESPONSE TYPE CODE
Conditionalan0..3
Code specifying the type of acknowledgment required or transmitted.
Show all standard codes

DTMDATE/TIME/PERIODC 9

9Conditional A segment identifying the date/time of message generation and/or other date/times concerning the whole message.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

RFFREFERENCEC 9

9Conditional A segment specifying references to other related message(s) or batch(es), e.g. a previous message.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

FTXFREE TEXTC 9

9Conditional A segment giving free text information, in coded or clear form, for specifying information about the whole message.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

CUXCURRENCIESC 1

1Conditional A segment specifying the currency in which all the monetary amounts are expressed in the message.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show all standard codes
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show all standard codes
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
5402
CURRENCY EXCHANGE RATE
Conditionaln0..12
To specify the rate at which one specified currency is expressed in another specified currency.
6341
EXCHANGE RATE CURRENCY MARKET IDENTIFIER
Conditionalan0..3
To identify an exchange rate currency market.
Show all standard codes

CNTCONTROL TOTALC 9

9Conditional A segment specifying aggregate information concerning the whole message, e.g. number of claims, number of parties, number of patients, etc.
C270
CONTROL
Mandatory
Control total for checking integrity of a message or part of a message.
6069
Control total type code qualifier
Mandatoryan0..3
Code qualifying the type of control of hash total.
Show all standard codes
6066
Control total quantity
Mandatoryn0..18
To specify the value of a control quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

GRP1 MOA TAXC 9

9Conditional A group of segments giving total amounts for the whole reimbursement message, and the relevant tax information if any.

MOAMONETARY AMOUNTM 1

1Mandatory A segment specifying total amounts for the whole reimbursement message.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show all standard codes
5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes

TAXDUTY/TAX/FEE DETAILSC 1

1Conditional A segment specifying the tax type if relevant.
5283
DUTY OR TAX OR FEE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the function of a duty or tax or fee.
Show all standard codes
C241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty or tax or fee type name code
Conditionalan0..3
Code specifying a type of duty, tax or fee.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5152
Duty or tax or fee type name
Conditionalan0..35
Name of a type of duty, tax or fee.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty or tax or fee account code
Mandatoryan0..6
Code specifying a duty or tax or fee account.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5286
DUTY OR TAX OR FEE ASSESSMENT BASIS QUANTITY
Conditionalan0..15
To specify the basis on which a duty or tax or fee will be assessed.
C243
DUTY/TAX/FEE DETAIL
Conditional
Rate of duty/tax/fee applicable to commodities or of tax applicable to services.
5279
Duty or tax or fee rate code
Conditionalan0..7
Code specifying a rate of a duty or tax or fee.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5278
Duty or tax or fee rate
Conditionalan0..17
Rate of a duty or tax or fee.
5273
Duty or tax or fee rate basis code
Conditionalan0..12
Code specifying the basis for a duty or tax or fee rate.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5305
DUTY OR TAX OR FEE CATEGORY CODE
Conditionalan0..3
Code specifying a duty or tax or fee category.
Show all standard codes
3446
PARTY TAX IDENTIFIER
Conditionalan0..20
To identify a number assigned to a party by a tax authority.
1227
CALCULATION SEQUENCE CODE
Conditionalan0..3
Code specifying a calculation sequence.
Show all standard codes

GRP2 PNA SEQ ADR CTA COM RFF REL NAT LAN SPR EMP QUA DTM STS RCS PDI FIIC 999

999Conditional Parties Segment Group. A group of segments giving information about involved financial, administrative and medical parties such as requester, payee, insurance organisations, insured family and service providers, or their representatives.

PNAPARTY IDENTIFICATIONM 1

1Mandatory A segment specifying the identity number and name of a party.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3403
NAME TYPE CODE
Conditionalan0..3
Code specifying the type of name.
Show all standard codes
3397
NAME STATUS CODE
Conditionalan0..3
Code specifying the status of a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

SEQSEQUENCE DETAILSC 1

1Conditional A segment allocating a sequence number to the individual party allowing each party to be referenced from within the message.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
C286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence position identifier
Mandatoryan0..10
To identify a position in a sequence.
1159
Sequence identifier source code
Conditionalan0..3
Code specifying the source of a sequence identifier.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes

ADRADDRESSC 9

9Conditional A segment specifying address(es) of the party.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
3299
Address purpose code
Conditionalan0..3
Code specifying the purpose of an address.
Show all standard codes
3131
Address type code
Conditionalan0..3
Code specifying the type of an address.
Show all standard codes
3475
Address status code
Conditionalan0..3
Code specifying the status of an address.
Show all standard codes
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format code
Mandatoryan0..3
Code specifying the format of an address.
Show all standard codes
3286
Address component description
Mandatoryan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city.
3251
POSTAL IDENTIFICATION CODE
Conditionalan0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity name code
Conditionalan0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3228
Country sub-entity name
Conditionalan0..70
Name of a country sub-entity.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3224
Location name
Conditionalan0..256
Name of the location.

CTACONTACT INFORMATIONC 9

9Conditional A segment identifying a person or department to whom contacts should be directed and their function.
3139
CONTACT FUNCTION CODE
Conditionalan0..3
Code specifying the function of a contact (e.g. department or person).
Show all standard codes
C056
DEPARTMENT OR EMPLOYEE DETAILS
Conditional
Code and/or name of a department or employee. Code preferred.
3413
Department or employee name code
Conditionalan0..17
Code specifying the name of a department or employee.
3412
Department or employee name
Conditionalan0..35
Name of a department or employee.

COMCOMMUNICATION CONTACTC 9

9Conditional A segment giving communication type and number of the party.
C076
COMMUNICATION CONTACT
Mandatory
Communication number of a department or employee in a specified channel.
3148
Communication address identifier
Mandatoryan0..512
To identify a communication address.
3155
Communication address code qualifier
Mandatoryan0..3
Code qualifying the communication address.
Show all standard codes

RFFREFERENCEC 99

99Conditional A segment specifying alternative identification numbers of the party. This segment also facilitates reference to another party if the current party is related to another party such as a department in a hospital, a physician in a department, etc.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

RELRELATIONSHIPC 9

9Conditional A segment specifying the relationship with another party.
9141
RELATIONSHIP TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of relationship.
Show all standard codes
C941
RELATIONSHIP
Conditional
Identification and/or description of a relationship.
9143
Relationship description code
Conditionalan0..3
Code specifying a relationship.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9142
Relationship description
Conditionalan0..35
Free form description of a relationship.

NATNATIONALITYC 9

9Conditional A segment specifying the nationalities of the party.
3493
NATIONALITY CODE QUALIFIER
Mandatoryan0..3
Code qualifying a nationality.
Show all standard codes
C042
NATIONALITY DETAILS
Conditional
To specify a nationality.
3293
Nationality name code
Conditionalan0..3
Code specifying the name of a nationality.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3292
Nationality name
Conditionala0..35
Name of a nationality.

LANLANGUAGEC 9

9Conditional A segment specifying the language used by the party.
3455
LANGUAGE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a language.
Show all standard codes
C508
LANGUAGE DETAILS
Conditional
To identify a language.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
3452
Language name
Conditionalan0..35
Name of language.

SPRORGANISATION CLASSIFICATION DETAILSC 1

1Conditional A segment specifying the type and (medical) speciality of an organisation.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
3079
ORGANISATION CLASSIFICATION CODE
Conditionalan0..3
Code specifying the classification of an organisation.
Show all standard codes
C844
ORGANISATION CLASSIFICATION DETAIL
Conditional
To specify details regarding the class of an organisation.
3083
Organisational class name code
Conditionalan0..17
Code specifying a class of organisation.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3082
Organisational class name
Conditionalan0..70
Name of a class of organisation.

EMPEMPLOYMENT DETAILSC 9

9Conditional A segment specifying the type and (medical) speciality of a person as well as his/her position within an organisation.
9003
EMPLOYMENT DETAILS CODE QUALIFIER
Mandatoryan0..3
Code qualifying the employment details.
Show all standard codes
C948
EMPLOYMENT CATEGORY
Conditional
Code and/or description of an employment category.
9005
Employment category description code
Conditionalan0..3
Code specifying the employment category.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9004
Employment category description
Conditionalan0..35
Free form description of the employment category.
C951
OCCUPATION
Conditional
Description of an occupation.
9009
Occupation description code
Conditionalan0..3
Code specifying an occupation.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9008
Occupation description
Conditionalan0..35
Free form description of an occupation.
9008
Occupation description
Conditionalan0..35
Free form description of an occupation.
C950
QUALIFICATION CLASSIFICATION
Conditional
Qualification classification description and/or code. This specifies the trade, skill, professional or similar qualification category.
9007
Qualification classification description code
Conditionalan0..3
Code specifying a qualification classification.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9006
Qualification classification description
Conditionalan0..35
Free form description of a qualification classification.
9006
Qualification classification description
Conditionalan0..35
Free form description of a qualification classification.
3494
JOB TITLE DESCRIPTION
Conditionalan0..35
Free form description of a job title.
9035
QUALIFICATION APPLICATION AREA CODE
Conditionalan0..3
Code specifying the application area of a qualification.
Show all standard codes

QUAQUALIFICATIONC 9

9Conditional A segment specifying the professional (medical) qualifications of the party.
9037
QUALIFICATION TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of qualification.
Show all standard codes
C950
QUALIFICATION CLASSIFICATION
Conditional
Qualification classification description and/or code. This specifies the trade, skill, professional or similar qualification category.
9007
Qualification classification description code
Conditionalan0..3
Code specifying a qualification classification.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9006
Qualification classification description
Conditionalan0..35
Free form description of a qualification classification.
9006
Qualification classification description
Conditionalan0..35
Free form description of a qualification classification.

DTMDATE/TIME/PERIODC 99

99Conditional A segment specifying validity dates or any other date related to the party.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

STSSTATUSC 1

1Conditional A segment specifying the status of involvement for the party (former, previous, current, next).
C601
STATUS CATEGORY
Conditional
To specify the category of the status.
9015
Status category code
Mandatoryan0..3
Code specifying the category of a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C555
STATUS
Conditional
To specify a status.
4405
Status description code
Mandatoryan0..3
Code specifying a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4404
Status description
Conditionalan0..35
Free form description of a status.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.

RCSREQUIREMENTS AND CONDITIONSC 99

99Conditional A segment specifying administrative conditions of a party, such as the type of location from which a healthcare professional operates, (e.g. town, countryside, mountain area), identifier for agreement on reimbursement mode and tariff, or other statutory information.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement or condition description identifier
Mandatoryan0..17
Code specifying a requirement or condition.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7294
Requirement or condition description
Conditionalan0..35
Free form description of a requirement or condition.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

PDIPERSON DEMOGRAPHIC INFORMATIONC 1

1Conditional A segment specifying demographic information such as sex, marital status, and other demographic information.
3499
GENDER CODE
Conditionalan0..3
Code giving the gender of a person, animal or plant.
C085
MARITAL STATUS DETAILS
Conditional
To specify the marital status of a person.
3479
Marital status description code
Conditionalan0..3
Code specifying the marital status of a person.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3478
Marital status description
Conditionalan0..35
Free form description of the marital status of a person.
C101
RELIGION DETAILS
Conditional
To specify the religion of a person.
3483
Religion name code
Conditionalan0..3
Code specifying the name of a religion.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3482
Religion name
Conditionalan0..35
Name of a religion.

FIIFINANCIAL INSTITUTION INFORMATIONC 9

9Conditional A segment identifying an account number and a financial institution related to the party.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C078
ACCOUNT HOLDER IDENTIFICATION
Conditional
Identification of an account holder by account number and/or account holder name in one or two lines. Number preferred.
3194
Account holder identifier
Conditionalan0..35
To identify the holder of an account.
3192
Account holder name
Conditionalan0..35
Name of the holder of an account.
3192
Account holder name
Conditionalan0..35
Name of the holder of an account.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
C088
INSTITUTION IDENTIFICATION
Conditional
Identification of a financial institution by code branch number, or name and name of place. Code or branch number preferred.
3433
Institution name code
Conditionalan0..11
Code specifying the name of an institution.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3434
Institution branch identifier
Conditionalan0..17
To identify a branch of an institution.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3432
Institution name
Conditionalan0..70
Name of an institution.
3436
Institution branch location name
Conditionalan0..70
Name of the location of a branch of an institution.
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

GRP3 AGR SEQ RFF DTM GRP4C 999

999Conditional Contracts Segment Group. A group of segments related to the whole message, specifying contracts between insured parties or between patients and insurance institutions, and detailing insurance coverage.

AGRAGREEMENT IDENTIFICATIONM 1

1Mandatory A segment identifying the type of the insurance contract.
C543
AGREEMENT TYPE IDENTIFICATION
Conditional
Identification of specific agreement type by code or name.
7431
Agreement type code qualifier
Mandatoryan0..3
Code qualifying the type of agreement.
Show all standard codes
7433
Agreement type description code
Conditionalan0..3
Code specifying the type of agreement.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7434
Agreement type description
Conditionalan0..70
Free form description of the type of agreement.
9419
SERVICE LAYER CODE
Conditionalan0..3
Code specifying a service layer.

SEQSEQUENCE DETAILSC 1

1Conditional A segment allocating a sequence number to the individual contract allowing each contract to be referenced from within the message.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
C286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence position identifier
Mandatoryan0..10
To identify a position in a sequence.
1159
Sequence identifier source code
Conditionalan0..3
Code specifying the source of a sequence identifier.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes

RFFREFERENCEC 99

99Conditional A segment specifying certificate numbers and other references related to the contract. This segment is also used to hold a reference to administrative parties in the Parties Segment Group where the related insurance organisation or institution is identified.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

DTMDATE/TIME/PERIODC 99

99Conditional A segment specifying dates, times and periods related to the contract such as period of validity and period of specific coverage.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

GRP4 ICD FTXC 99

99Conditional A group of segments specifying detailed information about rights and insurance coverage.

ICDINSURANCE COVER DESCRIPTIONM 1

1Mandatory A segment identifying the insurance scheme or product covering the patient.
C330
INSURANCE COVER TYPE
Mandatory
To provide the insurance cover type.
4497
Insurance cover type code
Mandatoryan0..3
Code specifying the meaning of the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C331
INSURANCE COVER DETAILS
Mandatory
To provide the insurance cover details.
4495
Insurance cover description code
Conditionalan0..17
Code specifying the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.

FTXFREE TEXTC 9

9Conditional A segment with free text information, in coded or clear form, illustrating or justifying a particular term of the insurance scheme or product, specified in the ICD segment.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

GRP5 DOC DTM GRP6C 99

99Conditional External documents Segment Group. A group of segments giving the identification of external documents the message is referring to (e.g. forms, regulation texts, etc.).

DOCDOCUMENT/MESSAGE DETAILSM 1

1Mandatory A segment specifying the type and the name of a document.
C002
DOCUMENT/MESSAGE NAME
Mandatory
Identification of a type of document/message by code or name. Code preferred.
1001
Document name code
Conditionalan0..3
Code specifying the document name.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
1000
Document name
Conditionalan0..35
Name of a document.
C503
DOCUMENT/MESSAGE DETAILS
Conditional
Identification of document/message by number, status, source and/or language.
1004
Document identifier
Conditionalan0..35
To identify a document.
1373
Document status code
Conditionalan0..3
Code specifying the status of a document.
Show all standard codes
1366
Document source description
Conditionalan0..70
Free form description of the source of a document.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
3153
COMMUNICATION MEDIUM TYPE CODE
Conditionalan0..3
Code specifying the type of communication medium.
Show all standard codes
1220
DOCUMENT COPIES REQUIRED QUANTITY
Conditionaln0..2
Quantity of document copies required.
1218
DOCUMENT ORIGINALS REQUIRED QUANTITY
Conditionaln0..2
Quantity of document originals required.

DTMDATE/TIME/PERIODC 9

9Conditional A segment specifying dates related to the document. (e.g. issuing date, validity date, etc.).
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

GRP6 PNA ADR STS RCSC 9

9Conditional A group of segments providing information about parties related to the document, such as signatories, sender and receivers.

PNAPARTY IDENTIFICATIONM 1

1Mandatory A segment identifying the party.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3403
NAME TYPE CODE
Conditionalan0..3
Code specifying the type of name.
Show all standard codes
3397
NAME STATUS CODE
Conditionalan0..3
Code specifying the status of a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

ADRADDRESSC 9

9Conditional A segment specifying the address of the party.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
3299
Address purpose code
Conditionalan0..3
Code specifying the purpose of an address.
Show all standard codes
3131
Address type code
Conditionalan0..3
Code specifying the type of an address.
Show all standard codes
3475
Address status code
Conditionalan0..3
Code specifying the status of an address.
Show all standard codes
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format code
Mandatoryan0..3
Code specifying the format of an address.
Show all standard codes
3286
Address component description
Mandatoryan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city.
3251
POSTAL IDENTIFICATION CODE
Conditionalan0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity name code
Conditionalan0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3228
Country sub-entity name
Conditionalan0..70
Name of a country sub-entity.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3224
Location name
Conditionalan0..256
Name of the location.

STSSTATUSC 1

1Conditional A segment specifying the involvement status of the party (former, previous, current, next).
C601
STATUS CATEGORY
Conditional
To specify the category of the status.
9015
Status category code
Mandatoryan0..3
Code specifying the category of a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C555
STATUS
Conditional
To specify a status.
4405
Status description code
Mandatoryan0..3
Code specifying a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4404
Status description
Conditionalan0..35
Free form description of a status.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.

RCSREQUIREMENTS AND CONDITIONSC 9

9Conditional A segment specifying administrative conditions of a party such as the social sector it belongs to.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement or condition description identifier
Mandatoryan0..17
Code specifying a requirement or condition.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7294
Requirement or condition description
Conditionalan0..35
Free form description of a requirement or condition.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

GRP7 FCA GEI RFF DTM FTX AGR DOC GRP8 GRP9 GRP10 GRP11C 999

999Conditional This segment group provides information about a reimbursement claim: identification of patient(s), and the healthcare services provided to the patient(s). The reimbursement claim specified in this segment group may be related to any party specified in the Parties Segment Group, any insurance coverage as specified in the Contracts Segment Group or any transport activity as specified in the Transports Segment Group.

FCAFINANCIAL CHARGES ALLOCATIONM 1

1Mandatory A segment specifying whether reimbursement is due to the patient, to the healthcare service provider, or to a combination of both.
4471
SETTLEMENT MEANS CODE
Mandatoryan0..3
Code specifying the means of settlement.
Show all standard codes
C878
CHARGE/ALLOWANCE ACCOUNT
Conditional
Identification of the account for charge or allowance.
3434
Institution branch identifier
Mandatoryan0..17
To identify a branch of an institution.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3194
Account holder identifier
Conditionalan0..35
To identify the holder of an account.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.

GEIPROCESSING INFORMATIONC 9

9Conditional A segment specifying the service type of the actual reimbursement claim, i.e. whether this is a new reimbursement claim, modification of a previous reimbursement claim, cancellation of a previous reimbursement claim or a complete replacement of a previous reimbursement claim.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

RFFREFERENCEC 99

99Conditional A segment specifying certificate numbers and other references related to the reimbursement claim. This segment may also be used to hold the reference to administrative, financial, and medical parties of the Parties Segment Group, insurance contracts of the Contract Segment Group and transport activities of the Transports Segment Group.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

DTMDATE/TIME/PERIODC 99

99Conditional A segment specifying dates, times and periods related to the reimbursement claim.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

FTXFREE TEXTC 99

99Conditional A segment with free text information, in coded or clear form, for specifying information about the reimbursement claim.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

AGRAGREEMENT IDENTIFICATIONC 99

99Conditional A segment identifying the type of the insurance contract related to the reimbursement claim.
C543
AGREEMENT TYPE IDENTIFICATION
Conditional
Identification of specific agreement type by code or name.
7431
Agreement type code qualifier
Mandatoryan0..3
Code qualifying the type of agreement.
Show all standard codes
7433
Agreement type description code
Conditionalan0..3
Code specifying the type of agreement.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7434
Agreement type description
Conditionalan0..70
Free form description of the type of agreement.
9419
SERVICE LAYER CODE
Conditionalan0..3
Code specifying a service layer.

DOCDOCUMENT/MESSAGE DETAILSC 9

9Conditional A segment specifying documents the reimbursement claim is referring to. This segment may also be used to hold a document reference of the external documents Segment Group.
C002
DOCUMENT/MESSAGE NAME
Mandatory
Identification of a type of document/message by code or name. Code preferred.
1001
Document name code
Conditionalan0..3
Code specifying the document name.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
1000
Document name
Conditionalan0..35
Name of a document.
C503
DOCUMENT/MESSAGE DETAILS
Conditional
Identification of document/message by number, status, source and/or language.
1004
Document identifier
Conditionalan0..35
To identify a document.
1373
Document status code
Conditionalan0..3
Code specifying the status of a document.
Show all standard codes
1366
Document source description
Conditionalan0..70
Free form description of the source of a document.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
3153
COMMUNICATION MEDIUM TYPE CODE
Conditionalan0..3
Code specifying the type of communication medium.
Show all standard codes
1220
DOCUMENT COPIES REQUIRED QUANTITY
Conditionaln0..2
Quantity of document copies required.
1218
DOCUMENT ORIGINALS REQUIRED QUANTITY
Conditionaln0..2
Quantity of document originals required.

GRP8 MOA TAXC 99

99Conditional To specify total amounts, and the relevant duty/tax/fee information about the current reimbursement claim.

MOAMONETARY AMOUNTM 1

1Mandatory A segment specifying total amounts such as total amount to pay.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show all standard codes
5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes

TAXDUTY/TAX/FEE DETAILSC 1

1Conditional A segment specifying relevant tax information.
5283
DUTY OR TAX OR FEE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the function of a duty or tax or fee.
Show all standard codes
C241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty or tax or fee type name code
Conditionalan0..3
Code specifying a type of duty, tax or fee.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5152
Duty or tax or fee type name
Conditionalan0..35
Name of a type of duty, tax or fee.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty or tax or fee account code
Mandatoryan0..6
Code specifying a duty or tax or fee account.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5286
DUTY OR TAX OR FEE ASSESSMENT BASIS QUANTITY
Conditionalan0..15
To specify the basis on which a duty or tax or fee will be assessed.
C243
DUTY/TAX/FEE DETAIL
Conditional
Rate of duty/tax/fee applicable to commodities or of tax applicable to services.
5279
Duty or tax or fee rate code
Conditionalan0..7
Code specifying a rate of a duty or tax or fee.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5278
Duty or tax or fee rate
Conditionalan0..17
Rate of a duty or tax or fee.
5273
Duty or tax or fee rate basis code
Conditionalan0..12
Code specifying the basis for a duty or tax or fee rate.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5305
DUTY OR TAX OR FEE CATEGORY CODE
Conditionalan0..3
Code specifying a duty or tax or fee category.
Show all standard codes
3446
PARTY TAX IDENTIFIER
Conditionalan0..20
To identify a number assigned to a party by a tax authority.
1227
CALCULATION SEQUENCE CODE
Conditionalan0..3
Code specifying a calculation sequence.
Show all standard codes

GRP9 RCS FTXC 99

99Conditional This segment group provides information about required administrative conditions concerning the reimbursement claim, such as risk identification (e.g. illness, maternity, accident, industrial accident).

RCSREQUIREMENTS AND CONDITIONSM 1

1Mandatory A segment specifying requirements and conditions concerning the reimbursement claim.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement or condition description identifier
Mandatoryan0..17
Code specifying a requirement or condition.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7294
Requirement or condition description
Conditionalan0..35
Free form description of a requirement or condition.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

FTXFREE TEXTC 9

9Conditional A segment with free text information, in coded or clear form, illustrating or justifying a particular condition specified in the RCS segment.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

GRP10 PNA RFF ADR COM DTM PDI RSL NAT LAN HAN RELC 999

999Conditional This segment group identifies the patient(s) to whom the medical services of this actual reimbursement claim have been provided and information about any related person, or other name or identity of the patient. This segment group may also be used to specify name and identity of any other party related to the actual reimbursement claim, and involved in the medical or administrative process provided to the patient(s). In this case, only the PNA segment is used.

PNAPARTY IDENTIFICATIONM 1

1Mandatory A segment identifying the patient, related person, or party identity number and name.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3403
NAME TYPE CODE
Conditionalan0..3
Code specifying the type of name.
Show all standard codes
3397
NAME STATUS CODE
Conditionalan0..3
Code specifying the status of a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

RFFREFERENCEC 99

99Conditional A segment specifying the identification numbers of the person or other identification references such as card number. This segment may also be used to keep the reference to administrative, financial, and medical parties of the Parties Segment Group, and insurance contracts of the Contracts Segment Group.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

ADRADDRESSC 9

9Conditional A segment specifying the details of the patient and related person(s) place of residence, or any other address or location related to the person, such as place of birth.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
3299
Address purpose code
Conditionalan0..3
Code specifying the purpose of an address.
Show all standard codes
3131
Address type code
Conditionalan0..3
Code specifying the type of an address.
Show all standard codes
3475
Address status code
Conditionalan0..3
Code specifying the status of an address.
Show all standard codes
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format code
Mandatoryan0..3
Code specifying the format of an address.
Show all standard codes
3286
Address component description
Mandatoryan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city.
3251
POSTAL IDENTIFICATION CODE
Conditionalan0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity name code
Conditionalan0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3228
Country sub-entity name
Conditionalan0..70
Name of a country sub-entity.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3224
Location name
Conditionalan0..256
Name of the location.

COMCOMMUNICATION CONTACTC 9

9Conditional A segment providing a telecommunication number for the person.
C076
COMMUNICATION CONTACT
Mandatory
Communication number of a department or employee in a specified channel.
3148
Communication address identifier
Mandatoryan0..512
To identify a communication address.
3155
Communication address code qualifier
Mandatoryan0..3
Code qualifying the communication address.
Show all standard codes

DTMDATE/TIME/PERIODC 99

99Conditional A segment specifying relevant dates/times for the person such as date of birth, date of death or date identification card was issued.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

PDIPERSON DEMOGRAPHIC INFORMATIONC 1

1Conditional A segment specifying demographic information such as sex, marital status, and other demographic information.
3499
GENDER CODE
Conditionalan0..3
Code giving the gender of a person, animal or plant.
C085
MARITAL STATUS DETAILS
Conditional
To specify the marital status of a person.
3479
Marital status description code
Conditionalan0..3
Code specifying the marital status of a person.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3478
Marital status description
Conditionalan0..35
Free form description of the marital status of a person.
C101
RELIGION DETAILS
Conditional
To specify the religion of a person.
3483
Religion name code
Conditionalan0..3
Code specifying the name of a religion.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3482
Religion name
Conditionalan0..35
Name of a religion.

RSLRESULTC 9

9Conditional A segment specifying the result of a clinical examination, such as the height or weight of the patient.
6087
RESULT VALUE TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying the type of a result value.
Show all standard codes
6077
RESULT REPRESENTATION CODE
Conditionalan0..3
Code specifying the representation of a result.
Show all standard codes
C831
RESULT DETAILS
Conditional
To specify a value.
6314
Measure
Conditionalan0..18
To specify the value of a measurement.
6321
Measurement significance code
Conditionalan0..3
Code specifying the significance of a measurement.
Show all standard codes
6155
Non-discrete measurement name code
Conditionalan0..17
Code specifying the name of a non-discrete measurement.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
6154
Non-discrete measurement name
Conditionalan0..70
Name of a non-discrete measurement.
C831
RESULT DETAILS
Conditional
To specify a value.
6314
Measure
Conditionalan0..18
To specify the value of a measurement.
6321
Measurement significance code
Conditionalan0..3
Code specifying the significance of a measurement.
Show all standard codes
6155
Non-discrete measurement name code
Conditionalan0..17
Code specifying the name of a non-discrete measurement.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
6154
Non-discrete measurement name
Conditionalan0..70
Name of a non-discrete measurement.
C848
MEASUREMENT UNIT DETAILS
Conditional
To specify a measurement unit.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
6410
Measurement unit name
Conditionalan0..35
Name of a measurement unit.
6079
RESULT NORMALCY CODE
Conditionalan0..3
Code specifying the degree of conformance to a standard.
Show all standard codes

NATNATIONALITYC 9

9Conditional A segment specifying the nationality of a person.
3493
NATIONALITY CODE QUALIFIER
Mandatoryan0..3
Code qualifying a nationality.
Show all standard codes
C042
NATIONALITY DETAILS
Conditional
To specify a nationality.
3293
Nationality name code
Conditionalan0..3
Code specifying the name of a nationality.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3292
Nationality name
Conditionala0..35
Name of a nationality.

LANLANGUAGEC 9

9Conditional A segment specifying the language used by the person.
3455
LANGUAGE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a language.
Show all standard codes
C508
LANGUAGE DETAILS
Conditional
To identify a language.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
3452
Language name
Conditionalan0..35
Name of language.

HANHANDLING INSTRUCTIONSC 9

9Conditional A segment specifying confidentiality constraints on person data.
C524
HANDLING INSTRUCTIONS
Conditional
Instruction for the handling of goods, products or articles in shipment, storage etc.
4079
Handling instruction description code
Conditionalan0..3
Code specifying a handling instruction.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4078
Handling instruction description
Conditionalan0..70
Free form description of a handling instruction.
C218
HAZARDOUS MATERIAL
Conditional
To specify a hazardous material.
7419
Hazardous material category name code
Conditionalan0..7
Code specifying a kind of hazard for a material.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7418
Hazardous material category name
Conditionalan0..35
Name of a kind of hazard for a material.

RELRELATIONSHIPC 1

1Conditional A segment specifying the relationship between a related person and the patient. This relation can be an organ donor-receiver relationship, a mother-child relationship or any other family relationship.
9141
RELATIONSHIP TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of relationship.
Show all standard codes
C941
RELATIONSHIP
Conditional
Identification and/or description of a relationship.
9143
Relationship description code
Conditionalan0..3
Code specifying a relationship.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9142
Relationship description
Conditionalan0..35
Free form description of a relationship.

GRP11 PRC GEI STS IMD CIN PNA DTM RFF FTX QTY PCD GRP12 GRP13 GRP14 GRP15C 999

999Conditional A group of segments describing a medical activity. A medical activity can be a collection of several detailed medical activities which are all related to the same medical treatment. The medical activity specified in this segment group may also be related to any party specified in the Parties Segment Group, any insurance coverage description as specified in the Contracts Segment Group or to any transport activity as specified in the Transports Segment Group.

PRCPROCESS IDENTIFICATIONM 1

1Mandatory A segment specifying the type of medical activity provided such as hospitalisation or outpatient treatment.
C242
PROCESS TYPE AND DESCRIPTION
Conditional
Identification of process type and description.
7187
Process type description code
Mandatoryan0..17
Code specifying a type of process.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7186
Process type description
Conditionalan0..35
Free form description of a type of process.
7186
Process type description
Conditionalan0..35
Free form description of a type of process.
C830
PROCESS IDENTIFICATION DETAILS
Conditional
To identify the details of a specific process.
7191
Process description code
Conditionalan0..17
Code specifying a process.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7190
Process description
Conditionalan0..70
Free form description of a process.

GEIPROCESSING INFORMATIONC 1

1Conditional A segment specifying the service type for the medical activity: new activity, modification of a previous activity, cancellation of a previous activity or replacement of a previous activity.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

STSSTATUSC 9

9Conditional A segment specifying the activity status regarding its achievement (e.g. started, in progress, terminated) and/or payment (e.g. received, granted, paid).
C601
STATUS CATEGORY
Conditional
To specify the category of the status.
9015
Status category code
Mandatoryan0..3
Code specifying the category of a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C555
STATUS
Conditional
To specify a status.
4405
Status description code
Mandatoryan0..3
Code specifying a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4404
Status description
Conditionalan0..35
Free form description of a status.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.
C556
STATUS REASON
Conditional
To specify the reason for a status.
9013
Status reason description code
Mandatoryan0..3
Code specifying the reason for a status.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9012
Status reason description
Conditionalan0..256
Free form description of the status reason.

IMDITEM DESCRIPTIONC 9

9Conditional A segment identifying the actual medical activity, and allowing several alternative coding schemes depending on separately agreed criteria.
7077
DESCRIPTION FORMAT CODE
Conditionalan0..3
Code specifying the format of a description.
Show all standard codes
C272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic code
Conditionalan0..3
Code specifying the characteristic of an item.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description code
Conditionalan0..17
Code specifying an item.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7008
Item description
Conditionalan0..256
Free form description of an item.
7008
Item description
Conditionalan0..256
Free form description of an item.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

CINCLINICAL INFORMATIONC 99

99Conditional A segment justifying the medical activity provided in terms of diagnosis or clinical observation.
6415
CLINICAL INFORMATION TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying the type of clinical information.
Show all standard codes
C836
CLINICAL INFORMATION DETAILS
Conditional
To specify an item of clinical information.
6413
Clinical information description identifier
Conditionalan0..17
Code identifying an item of clinical information.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
6412
Clinical information description
Conditionalan0..70
Free form description of an item of clinical information.
C837
CERTAINTY DETAILS
Conditional
To specify the certainty.
4049
Certainty description code
Conditionalan0..3
Code specifying a certainty.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4048
Certainty description
Conditionalan0..35
Free form description of a certainty.

PNAPARTY IDENTIFICATIONC 99

99Conditional A segment specifying the identity number and name of any medical or administrative party related to the current activity, such as treatment provider or prescriber, diagnosis originator, etc.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3403
NAME TYPE CODE
Conditionalan0..3
Code specifying the type of name.
Show all standard codes
3397
NAME STATUS CODE
Conditionalan0..3
Code specifying the status of a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

DTMDATE/TIME/PERIODC 99

99Conditional A segment specifying dates, times and periods related to the current medical activity such as date performed, date of prescription, date of sickness and date of medical authorisation.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

RFFREFERENCEC 99

99Conditional To specify a reference related to a treatment such as identification number of prescription or medical authorisation number. This segment may also be used to hold the reference to administrative, financial, and medical parties of the Parties Segment Group, insurance contracts of the Contracts Segment Group and transports of the Transports Segment Group.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

FTXFREE TEXTC 99

99Conditional A segment with free text information, in coded or clear form, specifying information about the current medical activity.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

QTYQUANTITYC 99

99Conditional A segment providing quantities related to the medical activity such as number of units of service as identified in the IMD segment. If the service type of this medical activity is a modification then variations from the original quantities are given here.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

PCDPERCENTAGE DETAILSC 99

99Conditional A segment specifying percentage used to calculate a share of a reimbursement. This information is useful when a party has already paid a certain amount, or more generally when several recipients are identified in the business scenario (e.g. 75% of a visit will be paid to the general practitioner and 25% to the patient).
C501
PERCENTAGE DETAILS
Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
Mandatoryan0..3
Code qualifying the type of percentage.
Show all standard codes
5482
Percentage
Conditionaln0..10
To specify a percentage.
5249
Percentage basis identification code
Conditionalan0..3
Code specifying the basis on which a percentage is calculated.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes

GRP12 PAS LOC DTM RFFC 99

99Conditional A group of segments specifying healthcare administrative information about the patient.

PASATTENDANCEM 1

1Mandatory A segment specifying patient administrative information such as administrative status concerning current hospital stay or outpatient visit or ward stay related to the patient.
9443
ATTENDANCE TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of attendance.
Show all standard codes
C839
ATTENDEE CATEGORY
Conditional
To specify the category of the attendee.
7459
Attendee category description code
Conditionalan0..3
Code specifying a category of attendee.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7458
Attendee category description
Conditionalan0..35
Free form description of a category attendee.
C840
ATTENDANCE ADMISSION DETAILS
Conditional
To specify type of admission.
9445
Admission type description code
Conditionalan0..3
Code specifying the type of admission.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9444
Admission type description
Conditionalan0..35
Free form of the type of admission.
C841
ATTENDANCE DISCHARGE DETAILS
Conditional
To specify type of discharge.
9447
Discharge type description code
Conditionalan0..3
Code specifying the type of discharge.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9446
Discharge type description
Conditionalan0..35
Free form description of the type of discharge.

LOCPLACE/LOCATION IDENTIFICATIONC 9

9Conditional A segment specifying the physical location of patient care in terms of ward, room, bed, etc.
3227
LOCATION FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code identifying the function of a location.
Show all standard codes
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3224
Location name
Conditionalan0..256
Name of the location.
C519
RELATED LOCATION ONE IDENTIFICATION
Conditional
Identification the first related location by code or name.
3223
First related location name code
Conditionalan0..25
Code specifying first related location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3222
First related location name
Conditionalan0..70
Name of first related location.
C553
RELATED LOCATION TWO IDENTIFICATION
Conditional
Identification of second related location by code or name.
3233
Second related location name code
Conditionalan0..25
Code specifying the second related location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3232
Second related location name
Conditionalan0..70
Name of the second related location.
5479
RELATION CODE
Conditionalan0..3
Code specifying a relation.

DTMDATE/TIME/PERIODC 9

9Conditional A segment specifying admission and/or discharge date and time or start and/or end date and time of a ward stay.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

RFFREFERENCEC 9

9Conditional This segment holds the reference of a healthcare party for specifying healthcare administrative information such as hospital, department, etc. where patient is admitted, located, etc.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

GRP13 MOA TAXC 99

99Conditional To specify total amounts, and the relevant duty/tax/fee information about the current medical activity.

MOAMONETARY AMOUNTM 1

1Mandatory A segment specifying total amounts such as amount of fees.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show all standard codes
5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes

TAXDUTY/TAX/FEE DETAILSC 1

1Conditional A segment specifying relevant tax information.
5283
DUTY OR TAX OR FEE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the function of a duty or tax or fee.
Show all standard codes
C241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty or tax or fee type name code
Conditionalan0..3
Code specifying a type of duty, tax or fee.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5152
Duty or tax or fee type name
Conditionalan0..35
Name of a type of duty, tax or fee.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty or tax or fee account code
Mandatoryan0..6
Code specifying a duty or tax or fee account.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5286
DUTY OR TAX OR FEE ASSESSMENT BASIS QUANTITY
Conditionalan0..15
To specify the basis on which a duty or tax or fee will be assessed.
C243
DUTY/TAX/FEE DETAIL
Conditional
Rate of duty/tax/fee applicable to commodities or of tax applicable to services.
5279
Duty or tax or fee rate code
Conditionalan0..7
Code specifying a rate of a duty or tax or fee.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5278
Duty or tax or fee rate
Conditionalan0..17
Rate of a duty or tax or fee.
5273
Duty or tax or fee rate basis code
Conditionalan0..12
Code specifying the basis for a duty or tax or fee rate.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5305
DUTY OR TAX OR FEE CATEGORY CODE
Conditionalan0..3
Code specifying a duty or tax or fee category.
Show all standard codes
3446
PARTY TAX IDENTIFIER
Conditionalan0..20
To identify a number assigned to a party by a tax authority.
1227
CALCULATION SEQUENCE CODE
Conditionalan0..3
Code specifying a calculation sequence.
Show all standard codes

GRP14 RCS FTXC 99

99Conditional This segment group provides information about required medical and administrative conditions concerning the current medical activity.

RCSREQUIREMENTS AND CONDITIONSM 1

1Mandatory A segment specifying requirements and conditions about the current medical activity.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement or condition description identifier
Mandatoryan0..17
Code specifying a requirement or condition.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7294
Requirement or condition description
Conditionalan0..35
Free form description of a requirement or condition.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

FTXFREE TEXTC 9

9Conditional A segment with free text information, in coded or clear form, illustrating or justifying a particular condition specified in the RCS segment.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

GRP15 CLI GEI IMD CIN PNA DTM RFF FTX QTY PCD PAC GRP16 GRP17 GRP18C 999

999Conditional A group of segments describing a detailed medical activity. The detailed medical activity specified in this segment group may also be related to any party specified in the Parties Segment Group, any insurance coverage description as specified in the Contracts Segment Group or to any transport activity as specified in the Transports Segment Group.

CLICLINICAL INTERVENTIONM 1

1Mandatory A segment specifying a clinical intervention.
9441
CLINICAL INTERVENTION TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of clinical intervention.
Show all standard codes
C828
CLINICAL INTERVENTION DETAILS
Conditional
To specify a clinical intervention.
9437
Clinical intervention description code
Conditionalan0..17
Code specifying a clinical intervention.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9436
Clinical intervention description
Conditionalan0..70
Free form description of a clinical intervention.

GEIPROCESSING INFORMATIONC 1

1Conditional A segment specifying the service type of the current detailed medical activity, i.e. whether this is a new detailed medical activity, modification of a previous detailed medical activity, cancellation of a previous detailed medical activity or a complete replacement of a previous detailed medical activity.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

IMDITEM DESCRIPTIONC 9

9Conditional A segment identifying the current detailed medical activity and allowing several alternative coding schemes depending on separately agreed criteria.
7077
DESCRIPTION FORMAT CODE
Conditionalan0..3
Code specifying the format of a description.
Show all standard codes
C272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic code
Conditionalan0..3
Code specifying the characteristic of an item.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description code
Conditionalan0..17
Code specifying an item.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7008
Item description
Conditionalan0..256
Free form description of an item.
7008
Item description
Conditionalan0..256
Free form description of an item.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

CINCLINICAL INFORMATIONC 99

99Conditional A segment specifying the reason for applying the current detailed medical activity in terms of diagnosis or clinical observation.
6415
CLINICAL INFORMATION TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying the type of clinical information.
Show all standard codes
C836
CLINICAL INFORMATION DETAILS
Conditional
To specify an item of clinical information.
6413
Clinical information description identifier
Conditionalan0..17
Code identifying an item of clinical information.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
6412
Clinical information description
Conditionalan0..70
Free form description of an item of clinical information.
C837
CERTAINTY DETAILS
Conditional
To specify the certainty.
4049
Certainty description code
Conditionalan0..3
Code specifying a certainty.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4048
Certainty description
Conditionalan0..35
Free form description of a certainty.

PNAPARTY IDENTIFICATIONC 99

99Conditional A segment specifying the identity number and name of any medical or administrative party related to the current activity, such as activity provider or prescriber, diagnosis originator, etc.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3403
NAME TYPE CODE
Conditionalan0..3
Code specifying the type of name.
Show all standard codes
3397
NAME STATUS CODE
Conditionalan0..3
Code specifying the status of a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

DTMDATE/TIME/PERIODC 99

99Conditional A segment specifying dates, times and periods related to the current medical activity such as date performed, date of prescription, date of sickness and date of medical authorisation.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

RFFREFERENCEC 99

99Conditional To specify the reference related to a detailed medical activity such as identification number of prescription and medical authorisation number. This segment may also be used to hold the reference to administrative, financial, and medical parties of the Parties Segment Group, insurance contracts of the Contracts Segment Group, and transports of the Transports Segment Group.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

FTXFREE TEXTC 99

99Conditional A segment with free text information, in coded or clear form, specifying information about the current detailed medical activity.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

QTYQUANTITYC 99

99Conditional A segment specifying quantities related to the detailed medical activity such as number of units of service as identified in the IMD segment. If the service type of this detailed medical activity is a modification then variations from the original quantities are given here.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

PCDPERCENTAGE DETAILSC 99

99Conditional A segment specifying percentage used to calculate a share of a reimbursement. This information is useful when a party has already paid a certain amount, or more generally when several recipients are identified in the business scenario (e.g. 75% of a visit will be paid to the general practitioner and 25% to the patient).
C501
PERCENTAGE DETAILS
Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
Mandatoryan0..3
Code qualifying the type of percentage.
Show all standard codes
5482
Percentage
Conditionaln0..10
To specify a percentage.
5249
Percentage basis identification code
Conditionalan0..3
Code specifying the basis on which a percentage is calculated.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes

PACPACKAGEC 9

9Conditional A segment specifying package and number of physical units for drugs or any other materials.
7224
PACKAGE QUANTITY
Conditionaln0..8
To specify the number of packages.
C531
PACKAGING DETAILS
Conditional
Packaging level and details, terms and conditions.
7075
Packaging level code
Conditionalan0..3
Code specifying a level of packaging.
Show all standard codes
7233
Packaging related description code
Conditionalan0..3
Code specifying information related to packaging.
Show all standard codes
7073
Packaging terms and conditions code
Conditionalan0..3
Code specifying the packaging terms and conditions.
Show all standard codes
C202
PACKAGE TYPE
Conditional
Type of package by name or by code from a specified source.
7065
Package type description code
Conditionalan0..17
Code specifying the type of package.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7064
Type of packages
Conditionalan0..35
Description of the form in which goods are presented.
C402
PACKAGE TYPE IDENTIFICATION
Conditional
Identification of the form in which goods are described.
7077
Description format code
Mandatoryan0..3
Code specifying the format of a description.
Show all standard codes
7064
Type of packages
Mandatoryan0..35
Description of the form in which goods are presented.
7143
Item type identification code
Conditionalan0..3
Coded identification of an item type.
Show all standard codes
7064
Type of packages
Conditionalan0..35
Description of the form in which goods are presented.
7143
Item type identification code
Conditionalan0..3
Coded identification of an item type.
Show all standard codes
C532
RETURNABLE PACKAGE DETAILS
Conditional
Indication of responsibility for payment and load contents of returnable packages.
8395
Returnable package freight payment responsibility code
Conditionalan0..3
Code specifying the responsibility for the freight payment for a returnable package.
Show all standard codes
8393
Returnable package load contents code
Conditionalan0..3
Code specifying the load contents for a returnable package.
Show all standard codes

GRP16 MOA TAXC 99

99Conditional To specify total amounts, and the relevant duty/tax/fee information about the detailed medical activity.

MOAMONETARY AMOUNTM 1

1Mandatory A segment specifying total amounts such as amount of fees.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show all standard codes
5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes

TAXDUTY/TAX/FEE DETAILSC 1

1Conditional A segment specifying relevant tax information.
5283
DUTY OR TAX OR FEE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the function of a duty or tax or fee.
Show all standard codes
C241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty or tax or fee type name code
Conditionalan0..3
Code specifying a type of duty, tax or fee.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5152
Duty or tax or fee type name
Conditionalan0..35
Name of a type of duty, tax or fee.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty or tax or fee account code
Mandatoryan0..6
Code specifying a duty or tax or fee account.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5286
DUTY OR TAX OR FEE ASSESSMENT BASIS QUANTITY
Conditionalan0..15
To specify the basis on which a duty or tax or fee will be assessed.
C243
DUTY/TAX/FEE DETAIL
Conditional
Rate of duty/tax/fee applicable to commodities or of tax applicable to services.
5279
Duty or tax or fee rate code
Conditionalan0..7
Code specifying a rate of a duty or tax or fee.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5278
Duty or tax or fee rate
Conditionalan0..17
Rate of a duty or tax or fee.
5273
Duty or tax or fee rate basis code
Conditionalan0..12
Code specifying the basis for a duty or tax or fee rate.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5305
DUTY OR TAX OR FEE CATEGORY CODE
Conditionalan0..3
Code specifying a duty or tax or fee category.
Show all standard codes
3446
PARTY TAX IDENTIFIER
Conditionalan0..20
To identify a number assigned to a party by a tax authority.
1227
CALCULATION SEQUENCE CODE
Conditionalan0..3
Code specifying a calculation sequence.
Show all standard codes

GRP17 RCS FTXC 99

99Conditional This segment group provides information about required administrative conditions about the reimbursement claim, such as risk identification (e.g. illness, maternity, accident, industrial accident).

RCSREQUIREMENTS AND CONDITIONSM 1

1Mandatory A segment specifying requirements and conditions concerning the current detailed medical activity.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement or condition description identifier
Mandatoryan0..17
Code specifying a requirement or condition.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7294
Requirement or condition description
Conditionalan0..35
Free form description of a requirement or condition.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

FTXFREE TEXTC 9

9Conditional A segment with free text information, in coded or clear form, illustrating or justifying a particular condition specified in the RCS segment.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

GRP18 EQD SEQC 99

99Conditional A group of segments providing information about the equipment used to provide the current detailed medical activity.

EQDEQUIPMENT DETAILSM 1

1Mandatory A segment identifying the equipment used.
8053
EQUIPMENT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of equipment.
Show all standard codes
C237
EQUIPMENT IDENTIFICATION
Conditional
Marks (letters/numbers) identifying equipment.
8260
Equipment identifier
Conditionalan0..17
To identify equipment.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3207
Country name code
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.
C224
EQUIPMENT SIZE AND TYPE
Conditional
Code and or name identifying size and type of equipment. Code preferred.
8155
Equipment size and type description code
Conditionalan0..10
Code specifying the size and type of equipment.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
8154
Equipment size and type description
Conditionalan0..35
Free form description of the size and type of equipment.
8077
EQUIPMENT SUPPLIER CODE
Conditionalan0..3
Code specifying the party that is the supplier of the equipment.
Show all standard codes
8249
EQUIPMENT STATUS CODE
Conditionalan0..3
Code specifying the status of equipment.
Show all standard codes
8169
FULL OR EMPTY INDICATOR CODE
Conditionalan0..3
Code indicating whether an object is full or empty.
Show all standard codes

SEQSEQUENCE DETAILSC 1

1Conditional A segment specifying the sequential number of the activity performed on the equipment.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
C286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence position identifier
Mandatoryan0..10
To identify a position in a sequence.
1159
Sequence identifier source code
Conditionalan0..3
Code specifying the source of a sequence identifier.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes

GRP19 TMD SEQ GEI FTX GRP20C 999

999Conditional Transports Segment Group. A group of segments specifying a transport activity related to the provision of a medical service. A transport activity comprises of several transport phases, each transport phase can be made up of several detailed transport activities.

TMDTRANSPORT MOVEMENT DETAILSM 1

1Mandatory A segment specifying journey trip such as a journey from a hospital to a patient home.
C219
MOVEMENT TYPE
Conditional
Description of type of service for movement of cargo.
8335
Movement type description code
Conditionalan0..3
Code specifying a type of movement.
Show all standard codes
8334
Movement type description
Conditionalan0..35
Free form description of a type of movement.
8332
EQUIPMENT PLAN DESCRIPTION
Conditionalan0..26
Free form description of the equipment plan.
8341
HAULAGE ARRANGEMENTS CODE
Conditionalan0..3
Code specifying the arrangement for the haulage of goods.
Show all standard codes

SEQSEQUENCE DETAILSC 1

1Conditional A segment allocating a sequence number to the transport activity, allowing each transport activity to be referenced from within the message.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
C286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence position identifier
Mandatoryan0..10
To identify a position in a sequence.
1159
Sequence identifier source code
Conditionalan0..3
Code specifying the source of a sequence identifier.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes

GEIPROCESSING INFORMATIONC 1

1Conditional A segment specifying the service type of the transport activity: new transport activity, modification of a previous transport activity, cancellation of a previous transport activity or replacement for a previous transport activity.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

FTXFREE TEXTC 99

99Conditional A segment with free text information, in coded or clear form, specifying information about the whole transport activity.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

GRP20 TDT GEI IMD PNA RFF FTX CIN QTY GRP21 GRP22 GRP23C 999

999Conditional A group of segments specifying one transport phase. A new phase can result from vehicle changes, crew changes, different stages, different numbers of people transported, different rates, etc. The transport activity specified in this segment group may also be related to any party specified in the Parties Segment Group such as transport service provider.

TDTTRANSPORT INFORMATIONM 1

1Mandatory A segment identifying the transport service provider, the kind of transportation used, and the vehicle.
8051
TRANSPORT STAGE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a specific stage of transport.
Show all standard codes
8028
MEANS OF TRANSPORT JOURNEY IDENTIFIER
Conditionalan0..17
To identify a journey of a means of transport.
C220
MODE OF TRANSPORT
Conditional
Method of transport code or name. Code preferred.
8067
Transport mode name code
Conditionalan0..3
Code specifying the name of a mode of transport.
8066
Transport mode name
Conditionalan0..17
Name of a mode of transport.
C001
TRANSPORT MEANS
Conditional
Code and/or name identifying the type of means of transport.
8179
Transport means description code
Conditionalan0..8
Code specifying the means of transport.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
8178
Transport means description
Conditionalan0..17
Free form description of the means of transport.
C040
CARRIER
Conditional
Identification of a carrier by code and/or by name. Code preferred.
3127
Carrier identifier
Conditionalan0..17
To identify a carrier.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3128
Carrier name
Conditionalan0..35
Name of a carrier.
8101
TRANSIT DIRECTION INDICATOR CODE
Conditionalan0..3
Code specifying the direction of transport.
Show all standard codes
C401
EXCESS TRANSPORTATION INFORMATION
Conditional
To provide details of reason for, and responsibility for, use of transportation other than normally utilized.
8457
Excess transportation reason code
Mandatoryan0..3
Code specifying the reason for excess transportation.
Show all standard codes
8459
Excess transportation responsibility code
Mandatoryan0..3
Code specifying the responsibility for excess transportation.
Show all standard codes
7130
Customer shipment authorisation identifier
Conditionalan0..17
To identify the authorisation to ship issued by the customer.
C222
TRANSPORT IDENTIFICATION
Conditional
Code and/or name identifying the means of transport.
8213
Transport means identification name identifier
Conditionalan0..9
Identifies the name of the transport means.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
8212
Transport means identification name
Conditionalan0..35
Name identifying a means of transport.
8453
Transport means nationality code
Conditionalan0..3
Code specifying the nationality of a means of transport.
8281
TRANSPORT MEANS OWNERSHIP INDICATOR CODE
Conditionalan0..3
Code indicating the ownership of a means of transport.
Show all standard codes

GEIPROCESSING INFORMATIONC 1

1Conditional A segment specifying the service type of the actual transport phase: new transport phase, modification of a previous reported transport phase, cancellation of a previous reported transport phase and replacement for a previous reported transport phase.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

IMDITEM DESCRIPTIONC 9

9Conditional A segment identifying the current transport activity and allowing several alternative coding schemes depending on separately agreed criteria.
7077
DESCRIPTION FORMAT CODE
Conditionalan0..3
Code specifying the format of a description.
Show all standard codes
C272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic code
Conditionalan0..3
Code specifying the characteristic of an item.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description code
Conditionalan0..17
Code specifying an item.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7008
Item description
Conditionalan0..256
Free form description of an item.
7008
Item description
Conditionalan0..256
Free form description of an item.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

PNAPARTY IDENTIFICATIONC 99

99Conditional A segment identifying the party transported and the transport service provider, such as a driver.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3403
NAME TYPE CODE
Conditionalan0..3
Code specifying the type of name.
Show all standard codes
3397
NAME STATUS CODE
Conditionalan0..3
Code specifying the status of a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

RFFREFERENCEC 99

99Conditional A segment specifying references concerning the actual transport phase such as authorisation number. This segment may also be used to hold the reference to administrative, financial, and medical parties of the Parties Segment Group, and insurance contracts of Contracts Segment Group.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

FTXFREE TEXTC 99

99Conditional A segment with free text information, in coded or clear form, specifying information about the current transport phase.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

CINCLINICAL INFORMATIONC 99

99Conditional A segment specifying the reason for the current transport phase in terms of diagnosis or clinical observation.
6415
CLINICAL INFORMATION TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying the type of clinical information.
Show all standard codes
C836
CLINICAL INFORMATION DETAILS
Conditional
To specify an item of clinical information.
6413
Clinical information description identifier
Conditionalan0..17
Code identifying an item of clinical information.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
6412
Clinical information description
Conditionalan0..70
Free form description of an item of clinical information.
C837
CERTAINTY DETAILS
Conditional
To specify the certainty.
4049
Certainty description code
Conditionalan0..3
Code specifying a certainty.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4048
Certainty description
Conditionalan0..35
Free form description of a certainty.

QTYQUANTITYC 99

99Conditional A segment specifying quantities related to the transport phase, such as number of people transported.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

GRP21 ADR DTMC 99

99Conditional A group of segments specifying the transport legs and relevant dates and times.

ADRADDRESSM 1

1Mandatory A segment specifying the address details of the transport phase such as location of departure and arrival.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
3299
Address purpose code
Conditionalan0..3
Code specifying the purpose of an address.
Show all standard codes
3131
Address type code
Conditionalan0..3
Code specifying the type of an address.
Show all standard codes
3475
Address status code
Conditionalan0..3
Code specifying the status of an address.
Show all standard codes
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format code
Mandatoryan0..3
Code specifying the format of an address.
Show all standard codes
3286
Address component description
Mandatoryan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city.
3251
POSTAL IDENTIFICATION CODE
Conditionalan0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity name code
Conditionalan0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3228
Country sub-entity name
Conditionalan0..70
Name of a country sub-entity.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3224
Location name
Conditionalan0..256
Name of the location.

DTMDATE/TIME/PERIODC 9

9Conditional A segment specifying relevant dates and times for the transport phase such as date/time of departure, arrival and elapsed time.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

GRP22 TSR FTXC 99

99Conditional This segment group provides information about special circumstances affecting the transport phase.

TSRTRANSPORT SERVICE REQUIREMENTSM 1

1Mandatory A segment specifying special circumstances affecting the current transport phase.
C536
CONTRACT AND CARRIAGE CONDITION
Conditional
To identify a contract and carriage condition.
4065
Contract and carriage condition code
Mandatoryan0..3
Code to identify the conditions of contract and carriage.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C233
SERVICE
Conditional
To identify a service (which may constitute an additional component to a basic contract).
7273
Service requirement code
Mandatoryan0..3
Code specifying a service requirement.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7273
Service requirement code
Conditionalan0..3
Code specifying a service requirement.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C537
TRANSPORT PRIORITY
Conditional
To indicate the priority of requested transport service.
4219
Transport service priority code
Mandatoryan0..3
Code specifying the priority of a transport service.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C703
NATURE OF CARGO
Conditional
Rough classification of a type of cargo.
7085
Cargo type classification code
Mandatoryan0..3
Code specifying the classification of a type of cargo.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes

FTXFREE TEXTC 9

9Conditional A segment with free text information, in coded or clear form, illustrating or justifying a particular circumstance specified in the TSR segment.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

GRP23 TCC GEI IMD DTM RFF FTX QTY PCD GRP24 GRP25C 999

999Conditional A group of segments providing information about each transport phase specifying the transport components to be used for financial calculation.

TCCCHARGE/RATE CALCULATIONSM 1

1Mandatory A segment specifying charges for a transport component.
C200
CHARGE
Conditional
Identification of a charge by code and/or by name.
8023
Freight and other charges description identifier
Conditionalan0..17
Code identifying freight and other charges.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
8022
Freight and other charges description
Conditionalan0..26
Free form description of freight and other charges.
4237
Payment arrangement code
Conditionalan0..3
Code specifying the arrangements for a payment.
Show all standard codes
7140
Item identifier
Conditionalan0..35
To identify an item.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C528
COMMODITY/RATE DETAIL
Conditional
Identification of commodity/rates.
7357
Commodity identification code
Conditionalan0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C554
RATE/TARIFF CLASS DETAIL
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Conditionalan0..9
Code specifying an applicable rate or tariff class.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes

GEIPROCESSING INFORMATIONC 1

1Conditional A segment specifying the service type of the actual transport component, i.e. whether this is a new transport component, modification of a previous transport component, cancellation of a previous transport component or a complete replacement of a previous transport component.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

IMDITEM DESCRIPTIONC 9

9Conditional A segment identifying the current transport component such as night trip, day trip, toll gate and highway.
7077
DESCRIPTION FORMAT CODE
Conditionalan0..3
Code specifying the format of a description.
Show all standard codes
C272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic code
Conditionalan0..3
Code specifying the characteristic of an item.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description code
Conditionalan0..17
Code specifying an item.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7008
Item description
Conditionalan0..256
Free form description of an item.
7008
Item description
Conditionalan0..256
Free form description of an item.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

DTMDATE/TIME/PERIODC 99

99Conditional A segment specifying dates and times concerning the current transport component.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

RFFREFERENCEC 99

99Conditional To specify references of a transport component.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

FTXFREE TEXTC 99

99Conditional A segment with free text information, in coded or clear form, illustrating or justifying the current transport component.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

QTYQUANTITYC 99

99Conditional A segment specifying quantities related to the transport component such as number of km.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

PCDPERCENTAGE DETAILSC 99

99Conditional A segment specifying percentage used to calculate a share of a reimbursement. This information is useful when a party has already paid a certain amount, or more generally when several recipients are identified in the business scenario (e.g. 75% of a transport will be paid to the transport service provider and 25% to the patient).
C501
PERCENTAGE DETAILS
Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
Mandatoryan0..3
Code qualifying the type of percentage.
Show all standard codes
5482
Percentage
Conditionaln0..10
To specify a percentage.
5249
Percentage basis identification code
Conditionalan0..3
Code specifying the basis on which a percentage is calculated.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes

GRP24 MOA TAXC 99

99Conditional To specify total amounts and the relevant duty/tax/fee information.

MOAMONETARY AMOUNTM 1

1Mandatory A segment specifying total amounts such as amount of fees.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show all standard codes
5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes

TAXDUTY/TAX/FEE DETAILSC 1

1Conditional A segment specifying relevant tax information.
5283
DUTY OR TAX OR FEE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the function of a duty or tax or fee.
Show all standard codes
C241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty or tax or fee type name code
Conditionalan0..3
Code specifying a type of duty, tax or fee.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5152
Duty or tax or fee type name
Conditionalan0..35
Name of a type of duty, tax or fee.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty or tax or fee account code
Mandatoryan0..6
Code specifying a duty or tax or fee account.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5286
DUTY OR TAX OR FEE ASSESSMENT BASIS QUANTITY
Conditionalan0..15
To specify the basis on which a duty or tax or fee will be assessed.
C243
DUTY/TAX/FEE DETAIL
Conditional
Rate of duty/tax/fee applicable to commodities or of tax applicable to services.
5279
Duty or tax or fee rate code
Conditionalan0..7
Code specifying a rate of a duty or tax or fee.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5278
Duty or tax or fee rate
Conditionalan0..17
Rate of a duty or tax or fee.
5273
Duty or tax or fee rate basis code
Conditionalan0..12
Code specifying the basis for a duty or tax or fee rate.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
5305
DUTY OR TAX OR FEE CATEGORY CODE
Conditionalan0..3
Code specifying a duty or tax or fee category.
Show all standard codes
3446
PARTY TAX IDENTIFIER
Conditionalan0..20
To identify a number assigned to a party by a tax authority.
1227
CALCULATION SEQUENCE CODE
Conditionalan0..3
Code specifying a calculation sequence.
Show all standard codes

GRP25 TSR FTXC 99

99Conditional This segment group provides information about special circumstances affecting the current transport component.

TSRTRANSPORT SERVICE REQUIREMENTSM 1

1Mandatory A segment specifying special circumstances affecting the current transport component.
C536
CONTRACT AND CARRIAGE CONDITION
Conditional
To identify a contract and carriage condition.
4065
Contract and carriage condition code
Mandatoryan0..3
Code to identify the conditions of contract and carriage.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C233
SERVICE
Conditional
To identify a service (which may constitute an additional component to a basic contract).
7273
Service requirement code
Mandatoryan0..3
Code specifying a service requirement.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7273
Service requirement code
Conditionalan0..3
Code specifying a service requirement.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C537
TRANSPORT PRIORITY
Conditional
To indicate the priority of requested transport service.
4219
Transport service priority code
Mandatoryan0..3
Code specifying the priority of a transport service.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C703
NATURE OF CARGO
Conditional
Rough classification of a type of cargo.
7085
Cargo type classification code
Mandatoryan0..3
Code specifying the classification of a type of cargo.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes

FTXFREE TEXTC 9

9Conditional A segment with free text information, in coded or clear form, illustrating or justifying a particular circumstance specified in the TSR segment.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
Show all standard codes
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

GRP26 AUT DTMC 9

9Conditional A group of segments providing an authentication result for the message. This segment group can also be used for authentication results of message sender or receiver.

AUTAUTHENTICATION RESULTM 1

1Mandatory A segment specifying the result of an authentication procedure.
9280
VALIDATION RESULT TEXT
Mandatoryan0..35
To specify the value of a validation result.
9282
VALIDATION KEY IDENTIFIER
Conditionalan0..35
To identify the cryptographic key used for the calculation of the validation.

DTMDATE/TIME/PERIODC 9

9Conditional A segment specifying dates and times of an authentication result.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

UNTMESSAGE TRAILERM 1

1Mandatory A service segment ending a message, giving the total number of segments in the message (including the UNH & UNT) and the control reference number of the message.
0074
NUMBER OF SEGMENTS IN A MESSAGE
Mandatoryn0..10
The number of segments in a message body, plus the message header segment and message trailer segment.
0062
MESSAGE REFERENCE NUMBER
Mandatoryan0..14
Unique message reference assigned by the sender.