D.99A MEDRUC
Medical resource usage and cost message
Version historyMessage definition
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 codelist0054
Message release number
Mandatoryan0..3
Release number within the current message version number.
Show codelist0057
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 codelist0068
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 codelistS016
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.
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.
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.
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/message name, coded
Conditionalan0..3
Document/message identifier expressed in code.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist1000
Document/message name
Conditionalan0..35
Plain language identifier specifying the function of a document/message.
C106
DOCUMENT/MESSAGE IDENTIFICATION
Conditional
Identification of a document/message by its number and eventually its version or revision.
1004
Document/message number
Conditionalan0..35
Reference number assigned to the document/message by the issuer.
1056
Version
Conditionalan0..9
To specify the version number or name of an object.
1060
Revision number
Conditionalan0..6
To specify a revision number.
1225
MESSAGE FUNCTION, CODED
Conditionalan0..3
Code indicating the function of the message.
Show codelist4343
RESPONSE TYPE, CODED
Conditionalan0..3
Code specifying the type of acknowledgment required or transmitted.
Show codelist
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
FTXFREE TEXTC 9
9Conditional A segment giving free text information, in coded or clear form, for specifying information about the whole message.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
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 qualifier
Mandatoryan0..3
Determines the source data elements in the message which forms the basis for 6066 Control value.
Show codelist6066
Control value
Mandatoryn0..18
Value obtained from summing the values specified by the Control Qualifier throughout the message (Hash total).
6411
Measure unit qualifier
Conditionalan0..3
Indication of the unit of measurement in which weight (mass), capacity, length, area, volume or other quantity is expressed.
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.
5004
Monetary amount
Conditionaln0..35
Number of monetary units.
6345
Currency, coded
Conditionalan0..3
Identification of the name or symbol of the monetary unit involved in the transaction.
6343
Currency qualifier
Conditionalan0..3
Code giving specific meaning to data element 6345 Currency.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelist
TAXDUTY/TAX/FEE DETAILSC 1
1Conditional A segment specifying the tax type if relevant.
5283
DUTY/TAX/FEE FUNCTION QUALIFIER
Mandatoryan0..3
Code identifying the function of an duty, tax or fee information.
Show codelistC241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty/tax/fee type, coded
Conditionalan0..3
Identification of the type of duty or tax or fee applicable to commodities or of tax applicable to services.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5152
Duty/tax/fee type
Conditionalan0..35
Type of duty or tax or fee applicable to commodities or of tax applicable to services.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty/tax/fee account identification
Mandatoryan0..6
Identification of a particular duty, tax or fee.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5286
DUTY/TAX/FEE ASSESSMENT BASIS
Conditionalan0..15
Value or quantity on which a duty or tax 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/tax/fee rate identification
Conditionalan0..7
Identification of the rate of duty or tax or fee applicable to commodities or of tax applicable to services.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5278
Duty/tax/fee rate
Conditionalan0..17
Rate of duty or tax or fee applicable to commodities or of tax applicable to services.
5273
Duty/tax/fee rate basis identification
Conditionalan0..12
Identification of the various elements of tax combination to be attributed to a commodity.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5305
DUTY/TAX/FEE CATEGORY, CODED
Conditionalan0..3
Code identifying a tax/duty/fee category within a tax/duty/fee type system.
Show codelist3446
PARTY TAX IDENTIFICATION NUMBER
Conditionalan0..20
Number assigned to a party by a taxation authority.
1227
CALCULATION SEQUENCE INDICATOR, CODED
Conditionalan0..3
Code indicating the sequence of cumulated calculations to be agreed between interchange partners.
Show codelist
GRP2 PNA SEQ ADR CTA COM RFF LAN SPR EMP QUA DTM RCS 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.
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Identity number
Mandatoryan0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
Conditionalan0..3
Code specifying the type/source of identity number.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identification
Mandatoryan0..35
Code identifying a party involved in a transaction.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3403
NAME TYPE, CODED
Conditionalan0..3
Code for type of name such as official name, alias.
Show codelist3397
NAME STATUS, CODED
Conditionalan0..3
To specify the status of a name (such as current name).
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelist1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
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, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelistC286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence number
Mandatoryan0..10
Number indicating the position in a sequence.
1159
Sequence number source, coded
Conditionalan0..3
Specification of the source for a specified sequence number in a coded form.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
ADRADDRESSC 9
9Conditional A segment specifying address(es) of the party.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format, coded
Mandatoryan0..3
To specify the content of the various address components.
Show codelist3286
Address component
Mandatoryan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city (a town, a village) for addressing purposes.
3251
POSTCODE IDENTIFICATION
Conditionalan0..9
Code defining postal zones or addresses.
3207
COUNTRY, CODED
Conditionalan0..3
Identification of the name of a country or other geographical entity as specified in ISO 3166.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity identification
Conditionalan0..9
Identification of the name of sub-entities (state, province) defined by appropriate governmental agencies.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3228
Country sub-entity
Conditionalan0..35
Name of sub-entities (state, province) defined by appropriate governmental agencies.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Place/location identification
Conditionalan0..25
Identification of the name of place/location, other than 3164 City name.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3224
Place/location
Conditionalan0..70
Name of place/location, other than 3164 City name.
CTACONTACT INFORMATIONC 9
9Conditional A segment identifying a person or department to whom contacts should be directed and their function.
3139
CONTACT FUNCTION, CODED
Conditionalan0..3
Code specifying the function of a contact (e.g. department or person).
Show codelistC056
DEPARTMENT OR EMPLOYEE DETAILS
Conditional
Code and/or name of a department or employee. Code preferred.
3413
Department or employee identification
Conditionalan0..17
Internal identification code.
3412
Department or employee
Conditionalan0..35
The department or person within an organizational entity.
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 number
Mandatoryan0..512
The communication number.
3155
Communication channel qualifier
Mandatoryan0..3
Code identifying the type of communication channel being used.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
LANLANGUAGEC 9
9Conditional A segment specifying the language used by the party.
C508
LANGUAGE DETAILS
Conditional
To identify a language.
3453
Language, coded
Conditionalan0..3
Code of language (ISO 639-1988).
3452
Language
Conditionalan0..35
Language as text (ISO 639-1988).
SPRORGANISATION CLASSIFICATION DETAILSC 1
1Conditional A segment specifying the type and (medical) speciality of an organisation.
7293
SECTOR/SUBJECT IDENTIFICATION QUALIFIER
Mandatoryan0..3
Identification of the subject areas to which the specified conditions apply.
Show codelist3079
ORGANISATION CLASSIFICATION, CODED
Conditionalan0..3
A code to specify the classification of an organisation.
Show codelistC844
ORGANISATION CLASSIFICATION DETAIL
Conditional
To specify details regarding the class of an organisation.
3083
Organisational class identification
Conditionalan0..17
A code to specify the class of an organisation.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3082
Organisational class
Conditionalan0..70
To specify the class of an 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 QUALIFIER
Mandatoryan0..3
Specification of the meaning of employment details.
Show codelistC948
EMPLOYMENT CATEGORY
Conditional
Code and/or description of an employment category.
9005
Employment category, coded
Conditionalan0..3
Identification of the employment category.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist9004
Employment category
Conditionalan0..35
Description of employment category.
C951
OCCUPATION
Conditional
Description of an occupation.
9009
Occupation, coded
Conditionalan0..3
Code identifying an occupation.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist9008
Occupation
Conditionalan0..35
Description of an occupation.
9008
Occupation
Conditionalan0..35
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, coded
Conditionalan0..3
Identification of a qualification classification.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist9006
Qualification classification
Conditionalan0..35
Description of a qualification classification.
9006
Qualification classification
Conditionalan0..35
Description of a qualification classification.
3494
JOB TITLE
Conditionalan0..35
Description of job classification.
9035
QUALIFICATION AREA, CODED
Conditionalan0..3
Code identifying the application area of a qualification.
Show codelist
QUAQUALIFICATIONC 9
9Conditional A segment specifying the professional (medical) qualifications of the party.
C950
QUALIFICATION CLASSIFICATION
Conditional
Qualification classification description and/or code. This specifies the trade, skill, professional or similar qualification category.
9007
Qualification classification, coded
Conditionalan0..3
Identification of a qualification classification.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist9006
Qualification classification
Conditionalan0..35
Description of a qualification classification.
9006
Qualification classification
Conditionalan0..35
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
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/SUBJECT IDENTIFICATION QUALIFIER
Mandatoryan0..3
Identification of the subject areas to which the specified conditions apply.
Show codelistC550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement/condition identification
Mandatoryan0..17
Code identifying a specific rule, regulation or condition.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7294
Requirement or condition
Conditionalan0..35
Plain text identifying a specific requirement or condition.
1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
FIIFINANCIAL INSTITUTION INFORMATIONC 9
9Conditional A segment identifying an account number and a financial institution related to the party.
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 number
Conditionalan0..35
Account number of the holder of the account.
3192
Account holder name
Conditionalan0..35
Name of the holder of the account.
3192
Account holder name
Conditionalan0..35
Name of the holder of the account.
6345
Currency, coded
Conditionalan0..3
Identification of the name or symbol of the monetary unit involved in the transaction.
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 identification
Conditionalan0..11
Code identifying an institution.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3434
Institution branch number
Conditionalan0..17
Number identifying a branch of an institution.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3432
Institution name
Conditionalan0..70
Name of an institution.
3436
Institution branch place
Conditionalan0..70
Official name of the place where the institution branch is situated.
3207
COUNTRY, CODED
Conditionalan0..3
Identification of the name of a country or other geographical entity as specified in ISO 3166.
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.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7434
Agreement type description
Conditionalan0..70
Description of the type of agreement.
9419
SERVICE LAYER, CODED
Conditionalan0..3
Subdivision of a service by code.
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, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelistC286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence number
Mandatoryan0..10
Number indicating the position in a sequence.
1159
Sequence number source, coded
Conditionalan0..3
Specification of the source for a specified sequence number in a coded form.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
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, coded
Mandatoryan0..3
Specification of the meaning of the insurance cover.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC331
INSURANCE COVER DETAILS
Mandatory
To provide the insurance cover details.
4495
Insurance cover identification
Conditionalan0..17
Coded identification of the insurance cover.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist4494
Insurance cover
Conditionalan0..35
Identification of the insurance cover.
4494
Insurance cover
Conditionalan0..35
Identification 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.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
GRP5 FCA GIS RFF DTM FTX AGR GRP6 GRP7 GRP8C 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, CODED
Mandatoryan0..3
Indication of how allowances or charges are to be settled.
Show codelistC878
CHARGE/ALLOWANCE ACCOUNT
Conditional
Identification of the account for charge or allowance.
3434
Institution branch number
Mandatoryan0..17
Number identifying a branch of an institution.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3194
Account holder number
Conditionalan0..35
Account number of the holder of the account.
6345
Currency, coded
Conditionalan0..3
Identification of the name or symbol of the monetary unit involved in the transaction.
GISGENERAL INDICATORC 1
1Conditional 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.
C529
PROCESSING INDICATOR
Mandatory
Type of process indication.
7365
Processing indicator, coded
Mandatoryan0..3
Identifies the value to be attributed to indicators required by the processing system.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7187
Process type identification
Conditionalan0..17
Specification of a process or subprocess.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
FTXFREE TEXTC 99
99Conditional A segment with free text information, in coded or clear form, for specifying information about the reimbursement claim.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
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.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7434
Agreement type description
Conditionalan0..70
Description of the type of agreement.
9419
SERVICE LAYER, CODED
Conditionalan0..3
Subdivision of a service by code.
GRP6 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/SUBJECT IDENTIFICATION QUALIFIER
Mandatoryan0..3
Identification of the subject areas to which the specified conditions apply.
Show codelistC550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement/condition identification
Mandatoryan0..17
Code identifying a specific rule, regulation or condition.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7294
Requirement or condition
Conditionalan0..35
Plain text identifying a specific requirement or condition.
1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
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.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
GRP7 PNA RFF ADR COM DTM PDI 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.
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Identity number
Mandatoryan0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
Conditionalan0..3
Code specifying the type/source of identity number.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identification
Mandatoryan0..35
Code identifying a party involved in a transaction.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3403
NAME TYPE, CODED
Conditionalan0..3
Code for type of name such as official name, alias.
Show codelist3397
NAME STATUS, CODED
Conditionalan0..3
To specify the status of a name (such as current name).
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelist1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
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.
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format, coded
Mandatoryan0..3
To specify the content of the various address components.
Show codelist3286
Address component
Mandatoryan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city (a town, a village) for addressing purposes.
3251
POSTCODE IDENTIFICATION
Conditionalan0..9
Code defining postal zones or addresses.
3207
COUNTRY, CODED
Conditionalan0..3
Identification of the name of a country or other geographical entity as specified in ISO 3166.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity identification
Conditionalan0..9
Identification of the name of sub-entities (state, province) defined by appropriate governmental agencies.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3228
Country sub-entity
Conditionalan0..35
Name of sub-entities (state, province) defined by appropriate governmental agencies.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Place/location identification
Conditionalan0..25
Identification of the name of place/location, other than 3164 City name.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3224
Place/location
Conditionalan0..70
Name of place/location, other than 3164 City name.
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 number
Mandatoryan0..512
The communication number.
3155
Communication channel qualifier
Mandatoryan0..3
Code identifying the type of communication channel being used.
Show codelist
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
PDIPERSON DEMOGRAPHIC INFORMATIONC 1
1Conditional A segment specifying demographic information such as sex, marital status, and other demographic information.
3499
SEX, CODED
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.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3478
Marital status
Conditionalan0..35
Marital status of a person.
C101
RELIGION DETAILS
Conditional
To specify the religion of a person.
3483
Religion, coded
Conditionalan0..3
To specify the religion of a person in a coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3482
Religion
Conditionalan0..35
To specify the religion of a person.
NATNATIONALITYC 9
9Conditional A segment specifying the nationality of a person.
C042
NATIONALITY DETAILS
Conditional
To specify a nationality.
3293
Nationality, coded
Conditionalan0..3
Code for country of which an entity is the subject.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3292
Nationality
Conditionala0..35
Name of country of which an entity is the subject.
LANLANGUAGEC 9
9Conditional A segment specifying the language used by the person.
C508
LANGUAGE DETAILS
Conditional
To identify a language.
3453
Language, coded
Conditionalan0..3
Code of language (ISO 639-1988).
3452
Language
Conditionalan0..35
Language as text (ISO 639-1988).
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 instructions, coded
Conditionalan0..3
Identification of the instructions on how specified goods, packages or containers should be handled.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist4078
Handling instructions
Conditionalan0..70
Instructions on how specified goods, packages or containers should be handled.
C218
HAZARDOUS MATERIAL
Conditional
To specify a hazardous material.
7419
Hazardous material class code, identification
Conditionalan0..4
Code specifying the kind of hazard for a material.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7418
Hazardous material class
Conditionalan0..35
To specify the 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 QUALIFIER
Mandatoryan0..3
Specification of the meaning of a relationship.
Show codelistC941
RELATIONSHIP
Conditional
Identification and/or description of a relationship.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist9142
Relationship
Conditionalan0..35
Description of a relationship.
GRP8 PRC GIS IMD CIN PNA DTM RFF FTX QTY PCD GRP9 GRP10 GRP11 GRP12C 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 identification
Mandatoryan0..17
Specification of a process or subprocess.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7186
Process type
Conditionalan0..35
Free form description of a process.
7186
Process type
Conditionalan0..35
Free form description of a process.
C830
PROCESS IDENTIFICATION DETAILS
Conditional
To identify the details of a specific process.
7191
Process identification
Conditionalan0..17
Code to identify a specific process.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7190
Process
Conditionalan0..70
To specify a specific process as free text.
GISGENERAL INDICATORC 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.
C529
PROCESSING INDICATOR
Mandatory
Type of process indication.
7365
Processing indicator, coded
Mandatoryan0..3
Identifies the value to be attributed to indicators required by the processing system.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7187
Process type identification
Conditionalan0..17
Specification of a process or subprocess.
Show codelist
IMDITEM DESCRIPTIONC 9
9Conditional A segment identifying the actual medical activity, and allowing several alternative coding schemes depending on separately agreed criteria.
7077
ITEM DESCRIPTION TYPE, CODED
Conditionalan0..3
Code indicating the format of a description.
Show codelistC272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic, coded
Conditionalan0..3
Code specifying the item characteristic being described.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description identification
Conditionalan0..17
Code from an industry code list which provides specific data about a product characteristic.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7008
Item description
Conditionalan0..256
Plain language description of articles or products.
7008
Item description
Conditionalan0..256
Plain language description of articles or products.
3453
Language, coded
Conditionalan0..3
Code of language (ISO 639-1988).
7383
SURFACE/LAYER INDICATOR, CODED
Conditionalan0..3
Code indicating the surface or layer of a product that is being described.
Show codelist
CINCLINICAL INFORMATIONC 99
99Conditional A segment justifying the medical activity provided in terms of diagnosis or clinical observation.
6415
CLINICAL INFORMATION QUALIFIER
Mandatoryan0..3
To specify type of clinical information.
Show codelistC836
CLINICAL INFORMATION DETAILS
Conditional
To specify an item of clinical information.
6413
Clinical information identification
Conditionalan0..17
To specify an item of clinical information using code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist6412
Clinical information
Conditionalan0..70
To specify an item of clinical information as free text.
C837
CERTAINTY DETAILS
Conditional
To specify the certainty.
4049
Certainty, coded
Conditionalan0..3
To specify the certainty using code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist4048
Certainty
Conditionalan0..35
To specify certainty as free text.
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.
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Identity number
Mandatoryan0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
Conditionalan0..3
Code specifying the type/source of identity number.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identification
Mandatoryan0..35
Code identifying a party involved in a transaction.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3403
NAME TYPE, CODED
Conditionalan0..3
Code for type of name such as official name, alias.
Show codelist3397
NAME STATUS, CODED
Conditionalan0..3
To specify the status of a name (such as current name).
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelist1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
FTXFREE TEXTC 99
99Conditional A segment with free text information, in coded or clear form, specifying information about the current medical activity.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
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.
6060
Quantity
Mandatoryn0..15
Numeric value of a quantity.
6411
Measure unit qualifier
Conditionalan0..3
Indication of the unit of measurement in which weight (mass), capacity, length, area, volume or other quantity is expressed.
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.
5482
Percentage
Conditionaln0..10
Value expressed as a percentage of a specified amount.
5249
Percentage basis, coded
Conditionalan0..3
Indication of the application of a percentage.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
GRP9 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.
C839
ATTENDEE CATEGORY
Conditional
To specify the category of the attendee.
7459
Attendee category, coded
Conditionalan0..3
Code to specify the category of the attendee.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7458
Attendee category
Conditionalan0..35
To specify the category of the attendee.
C840
ATTENDANCE ADMISSION DETAILS
Conditional
To specify type of admission.
9445
Admission type, coded
Conditionalan0..3
To specify type of admission using code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist9444
Admission type
Conditionalan0..35
To specify type of admission as free text.
C841
ATTENDANCE DISCHARGE DETAILS
Conditional
To specify type of discharge.
9447
Discharge type, coded
Conditionalan0..3
To specify type of discharge using code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist9446
Discharge type
Conditionalan0..35
To specify type of discharge as free text.
LOCPLACE/LOCATION IDENTIFICATIONC 9
9Conditional A segment specifying the physical location of patient care in terms of ward, room, bed, etc.
3227
PLACE/LOCATION QUALIFIER
Mandatoryan0..3
Code identifying the function of a location.
Show codelistC517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Place/location identification
Conditionalan0..25
Identification of the name of place/location, other than 3164 City name.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3224
Place/location
Conditionalan0..70
Name of place/location, other than 3164 City name.
C519
RELATED LOCATION ONE IDENTIFICATION
Conditional
Identification the first related location by code or name.
3223
Related place/location one identification
Conditionalan0..25
Specification of the first related place/location by code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3222
Related place/location one
Conditionalan0..70
Specification of the first related place/location by name.
C553
RELATED LOCATION TWO IDENTIFICATION
Conditional
Identification of second related location by code or name.
3233
Related place/location two identification
Conditionalan0..25
Specification of a second related place/location by code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3232
Related place/location two
Conditionalan0..70
Specification of a second related place/location by name.
5479
RELATION, CODED
Conditionalan0..3
To specify the relationship between two or more items.
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
GRP10 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.
5004
Monetary amount
Conditionaln0..35
Number of monetary units.
6345
Currency, coded
Conditionalan0..3
Identification of the name or symbol of the monetary unit involved in the transaction.
6343
Currency qualifier
Conditionalan0..3
Code giving specific meaning to data element 6345 Currency.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelist
TAXDUTY/TAX/FEE DETAILSC 1
1Conditional A segment specifying relevant tax information.
5283
DUTY/TAX/FEE FUNCTION QUALIFIER
Mandatoryan0..3
Code identifying the function of an duty, tax or fee information.
Show codelistC241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty/tax/fee type, coded
Conditionalan0..3
Identification of the type of duty or tax or fee applicable to commodities or of tax applicable to services.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5152
Duty/tax/fee type
Conditionalan0..35
Type of duty or tax or fee applicable to commodities or of tax applicable to services.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty/tax/fee account identification
Mandatoryan0..6
Identification of a particular duty, tax or fee.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5286
DUTY/TAX/FEE ASSESSMENT BASIS
Conditionalan0..15
Value or quantity on which a duty or tax 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/tax/fee rate identification
Conditionalan0..7
Identification of the rate of duty or tax or fee applicable to commodities or of tax applicable to services.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5278
Duty/tax/fee rate
Conditionalan0..17
Rate of duty or tax or fee applicable to commodities or of tax applicable to services.
5273
Duty/tax/fee rate basis identification
Conditionalan0..12
Identification of the various elements of tax combination to be attributed to a commodity.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5305
DUTY/TAX/FEE CATEGORY, CODED
Conditionalan0..3
Code identifying a tax/duty/fee category within a tax/duty/fee type system.
Show codelist3446
PARTY TAX IDENTIFICATION NUMBER
Conditionalan0..20
Number assigned to a party by a taxation authority.
1227
CALCULATION SEQUENCE INDICATOR, CODED
Conditionalan0..3
Code indicating the sequence of cumulated calculations to be agreed between interchange partners.
Show codelist
GRP11 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/SUBJECT IDENTIFICATION QUALIFIER
Mandatoryan0..3
Identification of the subject areas to which the specified conditions apply.
Show codelistC550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement/condition identification
Mandatoryan0..17
Code identifying a specific rule, regulation or condition.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7294
Requirement or condition
Conditionalan0..35
Plain text identifying a specific requirement or condition.
1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
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.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
GRP12 CLI GIS IMD CIN PNA DTM RFF FTX QTY PCD PAC GRP13 GRP14 GRP15C 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 QUALIFIER
Mandatoryan0..3
To specify the type of clinical intervention.
Show codelistC828
CLINICAL INTERVENTION DETAILS
Conditional
To specify a clinical intervention.
9437
Clinical intervention identification
Conditionalan0..17
To specify a clinical intervention.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist9436
Clinical intervention
Conditionalan0..70
To specify clinical intervention as free text.
GISGENERAL INDICATORC 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.
C529
PROCESSING INDICATOR
Mandatory
Type of process indication.
7365
Processing indicator, coded
Mandatoryan0..3
Identifies the value to be attributed to indicators required by the processing system.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7187
Process type identification
Conditionalan0..17
Specification of a process or subprocess.
Show codelist
IMDITEM DESCRIPTIONC 9
9Conditional A segment identifying the current detailed medical activity and allowing several alternative coding schemes depending on separately agreed criteria.
7077
ITEM DESCRIPTION TYPE, CODED
Conditionalan0..3
Code indicating the format of a description.
Show codelistC272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic, coded
Conditionalan0..3
Code specifying the item characteristic being described.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description identification
Conditionalan0..17
Code from an industry code list which provides specific data about a product characteristic.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7008
Item description
Conditionalan0..256
Plain language description of articles or products.
7008
Item description
Conditionalan0..256
Plain language description of articles or products.
3453
Language, coded
Conditionalan0..3
Code of language (ISO 639-1988).
7383
SURFACE/LAYER INDICATOR, CODED
Conditionalan0..3
Code indicating the surface or layer of a product that is being described.
Show codelist
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 QUALIFIER
Mandatoryan0..3
To specify type of clinical information.
Show codelistC836
CLINICAL INFORMATION DETAILS
Conditional
To specify an item of clinical information.
6413
Clinical information identification
Conditionalan0..17
To specify an item of clinical information using code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist6412
Clinical information
Conditionalan0..70
To specify an item of clinical information as free text.
C837
CERTAINTY DETAILS
Conditional
To specify the certainty.
4049
Certainty, coded
Conditionalan0..3
To specify the certainty using code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist4048
Certainty
Conditionalan0..35
To specify certainty as free text.
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.
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Identity number
Mandatoryan0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
Conditionalan0..3
Code specifying the type/source of identity number.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identification
Mandatoryan0..35
Code identifying a party involved in a transaction.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3403
NAME TYPE, CODED
Conditionalan0..3
Code for type of name such as official name, alias.
Show codelist3397
NAME STATUS, CODED
Conditionalan0..3
To specify the status of a name (such as current name).
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelist1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
FTXFREE TEXTC 99
99Conditional A segment with free text information, in coded or clear form, specifying information about the current detailed medical activity.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
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.
6060
Quantity
Mandatoryn0..15
Numeric value of a quantity.
6411
Measure unit qualifier
Conditionalan0..3
Indication of the unit of measurement in which weight (mass), capacity, length, area, volume or other quantity is expressed.
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.
5482
Percentage
Conditionaln0..10
Value expressed as a percentage of a specified amount.
5249
Percentage basis, coded
Conditionalan0..3
Indication of the application of a percentage.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
PACPACKAGEC 9
9Conditional A segment specifying package and number of physical units for drugs or any other materials.
7224
NUMBER OF PACKAGES
Conditionaln0..8
Number of individual parts of a shipment either unpacked, or packed in such a way that they cannot be divided without first undoing the packing.
C531
PACKAGING DETAILS
Conditional
Packaging level and details, terms and conditions.
7233
Packaging related information, coded
Conditionalan0..3
Code giving packaging, handling and marking related information.
Show codelist7073
Packaging terms and conditions, coded
Conditionalan0..3
Code identifying packaging terms and conditions.
Show codelistC202
PACKAGE TYPE
Conditional
Type of package by name or by code from a specified source.
7065
Type of packages identification
Conditionalan0..17
Coded description of the form in which goods are presented.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7064
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
Item description type, coded
Mandatoryan0..3
Code indicating the format of a description.
Show codelist7064
Type of packages
Mandatoryan0..35
Description of the form in which goods are presented.
7064
Type of packages
Conditionalan0..35
Description of the form in which goods are presented.
C532
RETURNABLE PACKAGE DETAILS
Conditional
Indication of responsibility for payment and load contents of returnable packages.
8395
Returnable package freight payment responsibility, coded
Conditionalan0..3
To indicate responsibility for payment of return freight charges for packaging that is returnable.
Show codelist8393
Returnable package load contents, coded
Conditionalan0..3
To indicate the composition of goods loaded into a returnable package.
Show codelist
GRP13 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.
5004
Monetary amount
Conditionaln0..35
Number of monetary units.
6345
Currency, coded
Conditionalan0..3
Identification of the name or symbol of the monetary unit involved in the transaction.
6343
Currency qualifier
Conditionalan0..3
Code giving specific meaning to data element 6345 Currency.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelist
TAXDUTY/TAX/FEE DETAILSC 1
1Conditional A segment specifying relevant tax information.
5283
DUTY/TAX/FEE FUNCTION QUALIFIER
Mandatoryan0..3
Code identifying the function of an duty, tax or fee information.
Show codelistC241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty/tax/fee type, coded
Conditionalan0..3
Identification of the type of duty or tax or fee applicable to commodities or of tax applicable to services.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5152
Duty/tax/fee type
Conditionalan0..35
Type of duty or tax or fee applicable to commodities or of tax applicable to services.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty/tax/fee account identification
Mandatoryan0..6
Identification of a particular duty, tax or fee.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5286
DUTY/TAX/FEE ASSESSMENT BASIS
Conditionalan0..15
Value or quantity on which a duty or tax 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/tax/fee rate identification
Conditionalan0..7
Identification of the rate of duty or tax or fee applicable to commodities or of tax applicable to services.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5278
Duty/tax/fee rate
Conditionalan0..17
Rate of duty or tax or fee applicable to commodities or of tax applicable to services.
5273
Duty/tax/fee rate basis identification
Conditionalan0..12
Identification of the various elements of tax combination to be attributed to a commodity.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5305
DUTY/TAX/FEE CATEGORY, CODED
Conditionalan0..3
Code identifying a tax/duty/fee category within a tax/duty/fee type system.
Show codelist3446
PARTY TAX IDENTIFICATION NUMBER
Conditionalan0..20
Number assigned to a party by a taxation authority.
1227
CALCULATION SEQUENCE INDICATOR, CODED
Conditionalan0..3
Code indicating the sequence of cumulated calculations to be agreed between interchange partners.
Show codelist
GRP14 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/SUBJECT IDENTIFICATION QUALIFIER
Mandatoryan0..3
Identification of the subject areas to which the specified conditions apply.
Show codelistC550
REQUIREMENT/CONDITION IDENTIFICATION
Conditional
To identify the specific rule/condition requirement.
7295
Requirement/condition identification
Mandatoryan0..17
Code identifying a specific rule, regulation or condition.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7294
Requirement or condition
Conditionalan0..35
Plain text identifying a specific requirement or condition.
1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
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.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
GRP15 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.
C237
EQUIPMENT IDENTIFICATION
Conditional
Marks (letters and/or numbers) identifying equipment used for transport such as a container.
8260
Equipment identification number
Conditionalan0..17
Marks (letters and/or numbers) which identify equipment e.g. unit load device.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3207
Country, coded
Conditionalan0..3
Identification of the name of a country or other geographical entity as specified in ISO 3166.
C224
EQUIPMENT SIZE AND TYPE
Conditional
Code and/or name identifying size and type of equipment used in transport. Code preferred.
8155
Equipment size and type identification
Conditionalan0..10
Coded description of the size and type of equipment e.g. unit load device.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist8154
Equipment size and type
Conditionalan0..35
Plain language description of the size and type of equipment e.g. unit load device.
8077
EQUIPMENT SUPPLIER, CODED
Conditionalan0..3
To indicate the party that is the supplier of the equipment.
Show codelist8249
EQUIPMENT STATUS, CODED
Conditionalan0..3
Indication of the action related to the equipment.
Show codelist8169
FULL/EMPTY INDICATOR, CODED
Conditionalan0..3
To indicate the extent to which the equipment is full or empty.
Show codelist
SEQSEQUENCE DETAILSC 1
1Conditional A segment specifying the sequential number of the activity performed on the equipment.
1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelistC286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence number
Mandatoryan0..10
Number indicating the position in a sequence.
1159
Sequence number source, coded
Conditionalan0..3
Specification of the source for a specified sequence number in a coded form.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
GRP16 TMD SEQ GIS FTX GRP17C 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.
8334
Movement type
Conditionalan0..35
Description of the type of movement.
8332
EQUIPMENT PLAN
Conditionalan0..26
Description indicating equipment plan, e.g. FCL or LCL.
8341
HAULAGE ARRANGEMENTS, CODED
Conditionalan0..3
Specification of the type of equipment haulage arrangements.
Show codelist
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, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelistC286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence number
Mandatoryan0..10
Number indicating the position in a sequence.
1159
Sequence number source, coded
Conditionalan0..3
Specification of the source for a specified sequence number in a coded form.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
GISGENERAL INDICATORC 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.
C529
PROCESSING INDICATOR
Mandatory
Type of process indication.
7365
Processing indicator, coded
Mandatoryan0..3
Identifies the value to be attributed to indicators required by the processing system.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7187
Process type identification
Conditionalan0..17
Specification of a process or subprocess.
Show codelist
FTXFREE TEXTC 99
99Conditional A segment with free text information, in coded or clear form, specifying information about the whole transport activity.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
GRP17 TDT GIS IMD PNA RFF FTX CIN QTY GRP18 GRP19 GRP20C 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.
TDTDETAILS OF TRANSPORTM 1
1Mandatory A segment identifying the transport service provider, the kind of transportation used, and the vehicle.
8051
TRANSPORT STAGE QUALIFIER
Mandatoryan0..3
Qualifier giving a specific meaning to the transport details.
Show codelist8028
CONVEYANCE REFERENCE NUMBER
Conditionalan0..17
Unique reference given by the carrier to a certain journey or departure of a means of transport (generic term).
C220
MODE OF TRANSPORT
Conditional
Method of transport code or name. Code preferred.
8067
Mode of transport, coded
Conditionalan0..3
Coded method of transport used for the carriage of the goods.
8066
Mode of transport
Conditionalan0..17
Method of transport used for the carriage of the goods.
C228
TRANSPORT MEANS
Conditional
Code and/or name identifying the type of means of transport.
8179
Type of means of transport identification
Conditionalan0..8
Code defining the type of the means of transport being utilized.
Show codelist8178
Type of means of transport
Conditionalan0..17
Description of the type of the means of transport being utilized.
C040
CARRIER
Conditional
Identification of a carrier by code and/or by name. Code preferred.
3127
Carrier identification
Conditionalan0..17
Identification of party undertaking or arranging transport of goods between named points.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3128
Carrier name
Conditionalan0..35
Name of party undertaking or arranging transport of goods between named points.
8101
TRANSIT DIRECTION, CODED
Conditionalan0..3
Identification of the point of origin and point of direction.
Show codelistC401
EXCESS TRANSPORTATION INFORMATION
Conditional
To provide details of reason for, and responsibility for, use of transportation other than normally utilized.
8457
Excess transportation reason, coded
Mandatoryan0..3
Indication of reason for excess transportation.
Show codelist8459
Excess transportation responsibility, coded
Mandatoryan0..3
Indication of responsibility for excess transportation.
Show codelist7130
Customer authorization number
Conditionalan0..17
Customer provided authorization number to allow supplier to ship goods under specific freight conditions. This number will be transmitted back to customer in the dispatch advice message.
C222
TRANSPORT IDENTIFICATION
Conditional
Code and/or name identifying the means of transport.
8213
Id. of means of transport identification
Conditionalan0..9
Identification of the means of transport by name or number.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist8212
Id. of the means of transport
Conditionalan0..35
Identification of the means of transport by name or number.
8453
Nationality of means of transport, coded
Conditionalan0..3
Coded name of the country in which a means of transport is registered.
8281
TRANSPORT OWNERSHIP, CODED
Conditionalan0..3
Code indicating the ownership of the means of transport.
Show codelist
GISGENERAL INDICATORC 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.
C529
PROCESSING INDICATOR
Mandatory
Type of process indication.
7365
Processing indicator, coded
Mandatoryan0..3
Identifies the value to be attributed to indicators required by the processing system.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7187
Process type identification
Conditionalan0..17
Specification of a process or subprocess.
Show codelist
IMDITEM DESCRIPTIONC 9
9Conditional A segment identifying the current transport activity and allowing several alternative coding schemes depending on separately agreed criteria.
7077
ITEM DESCRIPTION TYPE, CODED
Conditionalan0..3
Code indicating the format of a description.
Show codelistC272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic, coded
Conditionalan0..3
Code specifying the item characteristic being described.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description identification
Conditionalan0..17
Code from an industry code list which provides specific data about a product characteristic.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7008
Item description
Conditionalan0..256
Plain language description of articles or products.
7008
Item description
Conditionalan0..256
Plain language description of articles or products.
3453
Language, coded
Conditionalan0..3
Code of language (ISO 639-1988).
7383
SURFACE/LAYER INDICATOR, CODED
Conditionalan0..3
Code indicating the surface or layer of a product that is being described.
Show codelist
PNAPARTY IDENTIFICATIONC 99
99Conditional A segment identifying the party transported and the transport service provider, such as a driver.
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Identity number
Mandatoryan0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
Conditionalan0..3
Code specifying the type/source of identity number.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identification
Mandatoryan0..35
Code identifying a party involved in a transaction.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3403
NAME TYPE, CODED
Conditionalan0..3
Code for type of name such as official name, alias.
Show codelist3397
NAME STATUS, CODED
Conditionalan0..3
To specify the status of a name (such as current name).
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3398
Name component
Conditionalan0..70
Part of party name such as family name or given name.
3401
Name component usage, coded
Conditionalan0..3
To specify the usage of a name component.
Show codelist3295
Name component original representation, coded
Conditionalan0..3
To specify the alphabet originally used to represent the name.
Show codelist1229
ACTION REQUEST/NOTIFICATION, CODED
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
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 qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
FTXFREE TEXTC 99
99Conditional A segment with free text information, in coded or clear form, specifying information about the current transport phase.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
CINCLINICAL INFORMATIONC 99
99Conditional A segment specifying the reason for the current transport phase in terms of diagnosis or clinical observation.
6415
CLINICAL INFORMATION QUALIFIER
Mandatoryan0..3
To specify type of clinical information.
Show codelistC836
CLINICAL INFORMATION DETAILS
Conditional
To specify an item of clinical information.
6413
Clinical information identification
Conditionalan0..17
To specify an item of clinical information using code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist6412
Clinical information
Conditionalan0..70
To specify an item of clinical information as free text.
C837
CERTAINTY DETAILS
Conditional
To specify the certainty.
4049
Certainty, coded
Conditionalan0..3
To specify the certainty using code.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist4048
Certainty
Conditionalan0..35
To specify certainty as free text.
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.
6060
Quantity
Mandatoryn0..15
Numeric value of a quantity.
6411
Measure unit qualifier
Conditionalan0..3
Indication of the unit of measurement in which weight (mass), capacity, length, area, volume or other quantity is expressed.
GRP18 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.
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format, coded
Mandatoryan0..3
To specify the content of the various address components.
Show codelist3286
Address component
Mandatoryan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3286
Address component
Conditionalan0..70
To specify a component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city (a town, a village) for addressing purposes.
3251
POSTCODE IDENTIFICATION
Conditionalan0..9
Code defining postal zones or addresses.
3207
COUNTRY, CODED
Conditionalan0..3
Identification of the name of a country or other geographical entity as specified in ISO 3166.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity identification
Conditionalan0..9
Identification of the name of sub-entities (state, province) defined by appropriate governmental agencies.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3228
Country sub-entity
Conditionalan0..35
Name of sub-entities (state, province) defined by appropriate governmental agencies.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Place/location identification
Conditionalan0..25
Identification of the name of place/location, other than 3164 City name.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist3224
Place/location
Conditionalan0..70
Name of place/location, other than 3164 City name.
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
GRP19 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, coded
Mandatoryan0..3
Code to identify the conditions of contract and carriage.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC233
SERVICE
Conditional
To identify a service (which may constitute an additional component to a basic contract).
7273
Service requirement, coded
Mandatoryan0..3
Identification of a service requirement (which may constitute an additional component to a basic contract).
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7273
Service requirement, coded
Conditionalan0..3
Identification of a service requirement (which may constitute an additional component to a basic contract).
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC537
TRANSPORT PRIORITY
Conditional
To indicate the priority of requested transport service.
4219
Transport priority, coded
Mandatoryan0..3
Coded priority of requested transport service.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC703
NATURE OF CARGO
Conditional
Rough classification of a type of cargo.
7085
Nature of cargo, coded
Mandatoryan0..3
Code indicating the type of cargo as a rough classification.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
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.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
GRP20 TCC GIS IMD DTM RFF FTX QTY PCD GRP21 GRP22C 999
999Conditional A group of segments providing information about each transport phase specifying the transport components to be used for financial calculation.
TCCTRANSPORT CHARGE/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 charges identification
Conditionalan0..17
Coded description of freight charges and other charges (used in combination with 1131/3055).
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist8022
Freight and charges
Conditionalan0..26
Plain language statement describing freight and other charges.
4237
Prepaid/collect indicator, coded
Conditionalan0..3
Code indicating whether freight item amount is prepaid or to be collected.
Show codelist7140
Item number
Conditionalan0..35
A number allocated to a group or item.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate/tariff class identification
Mandatoryan0..9
Identification of the rate/tariff class.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5242
Rate/tariff class
Conditionalan0..35
Description of applicable rate/tariff class.
5275
Supplementary rate/tariff basis identification
Conditionalan0..6
Code identifying supplementary rate/tariff.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5275
Supplementary rate/tariff basis identification
Conditionalan0..6
Code identifying supplementary rate/tariff.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC528
COMMODITY/RATE DETAIL
Conditional
Identification of commodity/rates.
7357
Commodity/rate identification
Conditionalan0..18
Code identifying goods for Customs, transport or statistical purposes (generic term).
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC554
RATE/TARIFF CLASS DETAIL
Conditional
Identification of the applicable rate/tariff class.
5243
Rate/tariff class identification
Conditionalan0..9
Identification of the rate/tariff class.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
GISGENERAL INDICATORC 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.
C529
PROCESSING INDICATOR
Mandatory
Type of process indication.
7365
Processing indicator, coded
Mandatoryan0..3
Identifies the value to be attributed to indicators required by the processing system.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7187
Process type identification
Conditionalan0..17
Specification of a process or subprocess.
Show codelist
IMDITEM DESCRIPTIONC 9
9Conditional A segment identifying the current transport component such as night trip, day trip, toll gate and highway.
7077
ITEM DESCRIPTION TYPE, CODED
Conditionalan0..3
Code indicating the format of a description.
Show codelistC272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic, coded
Conditionalan0..3
Code specifying the item characteristic being described.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description identification
Conditionalan0..17
Code from an industry code list which provides specific data about a product characteristic.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7008
Item description
Conditionalan0..256
Plain language description of articles or products.
7008
Item description
Conditionalan0..256
Plain language description of articles or products.
3453
Language, coded
Conditionalan0..3
Code of language (ISO 639-1988).
7383
SURFACE/LAYER INDICATOR, CODED
Conditionalan0..3
Code indicating the surface or layer of a product that is being described.
Show codelist
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
RFFREFERENCEC 99
99Conditional To specify references of a transport component.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference qualifier
Mandatoryan0..3
Code giving specific meaning to a reference segment or a reference number.
Show codelist1154
Reference number
Conditionalan0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
Conditionalan0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
Conditionalan0..35
To uniquely identify a reference by its version number.
1060
Revision number
Conditionalan0..6
To specify a revision number.
FTXFREE TEXTC 99
99Conditional A segment with free text information, in coded or clear form, illustrating or justifying the current transport component.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
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.
6060
Quantity
Mandatoryn0..15
Numeric value of a quantity.
6411
Measure unit qualifier
Conditionalan0..3
Indication of the unit of measurement in which weight (mass), capacity, length, area, volume or other quantity is expressed.
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.
5482
Percentage
Conditionaln0..10
Value expressed as a percentage of a specified amount.
5249
Percentage basis, coded
Conditionalan0..3
Indication of the application of a percentage.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
GRP21 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.
5004
Monetary amount
Conditionaln0..35
Number of monetary units.
6345
Currency, coded
Conditionalan0..3
Identification of the name or symbol of the monetary unit involved in the transaction.
6343
Currency qualifier
Conditionalan0..3
Code giving specific meaning to data element 6345 Currency.
Show codelist4405
Status, coded
Conditionalan0..3
Code indicating the relative standing, condition or position.
Show codelist
TAXDUTY/TAX/FEE DETAILSC 1
1Conditional A segment specifying relevant tax information.
5283
DUTY/TAX/FEE FUNCTION QUALIFIER
Mandatoryan0..3
Code identifying the function of an duty, tax or fee information.
Show codelistC241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty/tax/fee type, coded
Conditionalan0..3
Identification of the type of duty or tax or fee applicable to commodities or of tax applicable to services.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5152
Duty/tax/fee type
Conditionalan0..35
Type of duty or tax or fee applicable to commodities or of tax applicable to services.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty/tax/fee account identification
Mandatoryan0..6
Identification of a particular duty, tax or fee.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5286
DUTY/TAX/FEE ASSESSMENT BASIS
Conditionalan0..15
Value or quantity on which a duty or tax 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/tax/fee rate identification
Conditionalan0..7
Identification of the rate of duty or tax or fee applicable to commodities or of tax applicable to services.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5278
Duty/tax/fee rate
Conditionalan0..17
Rate of duty or tax or fee applicable to commodities or of tax applicable to services.
5273
Duty/tax/fee rate basis identification
Conditionalan0..12
Identification of the various elements of tax combination to be attributed to a commodity.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist5305
DUTY/TAX/FEE CATEGORY, CODED
Conditionalan0..3
Code identifying a tax/duty/fee category within a tax/duty/fee type system.
Show codelist3446
PARTY TAX IDENTIFICATION NUMBER
Conditionalan0..20
Number assigned to a party by a taxation authority.
1227
CALCULATION SEQUENCE INDICATOR, CODED
Conditionalan0..3
Code indicating the sequence of cumulated calculations to be agreed between interchange partners.
Show codelist
GRP22 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, coded
Mandatoryan0..3
Code to identify the conditions of contract and carriage.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC233
SERVICE
Conditional
To identify a service (which may constitute an additional component to a basic contract).
7273
Service requirement, coded
Mandatoryan0..3
Identification of a service requirement (which may constitute an additional component to a basic contract).
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist7273
Service requirement, coded
Conditionalan0..3
Identification of a service requirement (which may constitute an additional component to a basic contract).
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC537
TRANSPORT PRIORITY
Conditional
To indicate the priority of requested transport service.
4219
Transport priority, coded
Mandatoryan0..3
Coded priority of requested transport service.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC703
NATURE OF CARGO
Conditional
Rough classification of a type of cargo.
7085
Nature of cargo, coded
Mandatoryan0..3
Code indicating the type of cargo as a rough classification.
Show codelist3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelist
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.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text identification
Mandatoryan0..17
Free text in coded form.
3055
Code list responsible agency, coded
Conditionalan0..3
Code identifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
4440
Free text
Conditionalan0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
Conditionalan0..3
Code of language (ISO 639-1988).
4447
TEXT FORMATTING, CODED
Conditionalan0..3
Code specifying the formatting parameters for the text.
Show codelist
GRP23 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
Mandatoryan0..35
The result of the application of an algorithm to the content of data element in a message.
9282
VALIDATION KEY IDENTIFICATION
Conditionalan0..35
Identifies the cryptographic key used to calculate the validation result.
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/time/period qualifier
Mandatoryan0..3
Code giving specific meaning to a date, time or period.
Show codelist2380
Date/time/period
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
Conditionalan0..3
Specification of the representation of a date, a date and time or of a period.
Show codelist
UNTMESSAGE TRAILERM 1
1Mandatory A service segment ending a message, giving the total number of segments in the message 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.