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X12 855 Purchase Order Acknowledgment

X12 Release 4010

—

Delimiters

~ Segment
* Element
> Component

EDI sample

—

Sample

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Overview

ISA

Interchange Control Header

Max use 1

Required

Functional Group Header

Max use 1

Required

Functional Group Trailer

Max use 1

Required

IEA

Interchange Control Trailer

Max use 1

Required

ISA

Interchange Control Header

RequiredMax use 1

—

Example

ISA-01

I01

Authorization Information Qualifier

Required

Identifier (ID)

—

00: No Authorization Information Present (No Meaningful Information in I02)

ISA-02

I02

Authorization Information

Required

String (AN)

Min 10Max 10

—

ISA-03

I03

Security Information Qualifier

Required

Identifier (ID)

—

00: No Security Information Present (No Meaningful Information in I04)

ISA-04

I04

Security Information

Required

String (AN)

Min 10Max 10

—

ISA-05

I05

Interchange ID Qualifier

Required

Identifier (ID)

Min 2Max 2

—

Codes

01: Duns (Dun & Bradstreet)
02: SCAC (Standard Carrier Alpha Code)
03: FMC (Federal Maritime Commission)
04: IATA (International Air Transport Association)
08: UCC EDI Communications ID (Comm ID)
09: X.121 (CCITT)
10: Department of Defense (DoD) Activity Address Code
11: DEA (Drug Enforcement Administration)
12: Phone (Telephone Companies)
13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
14: Duns Plus Suffix
15: Petroleum Accountants Society of Canada Company Code
16: Duns Number With 4-Character Suffix
17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
18: Association of American Railroads (AAR) Standard Distribution Code
19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
20: Health Industry Number (HIN)
21: Integrated Postsecondary Education Data System, or (IPEDS)
22: Federal Interagency Commission on Education, or FICE
23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
26: Statistics of Canada List of Postsecondary Institutions
27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
30: U.S. Federal Tax Identification Number
31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
32: U.S. Federal Employer Identification Number (FEIN)
33: National Association of Insurance Commissioners Company Code (NAIC)
34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
35: Statistics Canada Canadian College Student Information System Institution Codes
36: Statistics Canada University Student Information System Institution Codes
37: Society of Property Information Compilers and Analysts
AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
NR: National Retail Merchants Association (NRMA) - Assigned
SN: Standard Address Number
ZZ: Mutually Defined

ISA-06

I06

Interchange Sender ID

Required

String (AN)

Min 15Max 15

—

ISA-07

I05

Interchange ID Qualifier

Required

Identifier (ID)

Min 2Max 2

—

Codes

01: Duns (Dun & Bradstreet)
02: SCAC (Standard Carrier Alpha Code)
03: FMC (Federal Maritime Commission)
04: IATA (International Air Transport Association)
08: UCC EDI Communications ID (Comm ID)
09: X.121 (CCITT)
10: Department of Defense (DoD) Activity Address Code
11: DEA (Drug Enforcement Administration)
12: Phone (Telephone Companies)
13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
14: Duns Plus Suffix
15: Petroleum Accountants Society of Canada Company Code
16: Duns Number With 4-Character Suffix
17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
18: Association of American Railroads (AAR) Standard Distribution Code
19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
20: Health Industry Number (HIN)
21: Integrated Postsecondary Education Data System, or (IPEDS)
22: Federal Interagency Commission on Education, or FICE
23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
26: Statistics of Canada List of Postsecondary Institutions
27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
30: U.S. Federal Tax Identification Number
31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
32: U.S. Federal Employer Identification Number (FEIN)
33: National Association of Insurance Commissioners Company Code (NAIC)
34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
35: Statistics Canada Canadian College Student Information System Institution Codes
36: Statistics Canada University Student Information System Institution Codes
37: Society of Property Information Compilers and Analysts
AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
NR: National Retail Merchants Association (NRMA) - Assigned
SN: Standard Address Number
ZZ: Mutually Defined

ISA-08

I07

Interchange Receiver ID

Required

String (AN)

Min 15Max 15

—

ISA-09

I08

Interchange Date

Required

Date (DT)

YYMMDD format

—

ISA-10

I09

Interchange Time

Required

Time (TM)

HHMM format

—

ISA-11

I10

Interchange Control Standards Identifier

Required

Identifier (ID)

—

U: U.S. EDI Community of ASC X12, TDCC, and UCS

ISA-12

I11

Interchange Control Version Number

Required

Identifier (ID)

—

00401: Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1997

ISA-13

I12

Interchange Control Number

Required

Numeric (N0)

Min 9Max 9

—

ISA-14

I13

Acknowledgment Requested

Required

Identifier (ID)

Min 1Max 1

—

0: No Acknowledgment Requested
1: Interchange Acknowledgment Requested

ISA-15

I14

Usage Indicator

Required

Identifier (ID)

Min 1Max 1

—

I: Information
P: Production Data
T: Test Data

ISA-16

I15

Component Element Separator

Required

String (AN)

Min 1Max 1

—

>: Component Element Separator

Functional Group Header

RequiredMax use 1

—

Example

GS-01

479

Functional Identifier Code

Required

Identifier (ID)

—

PR: Purchase Order Acknowledgement (855)

GS-02

142

Application Sender's Code

Required

String (AN)

Min 2Max 15

—

GS-03

124

Application Receiver's Code

Required

String (AN)

Min 2Max 15

—

GS-04

373

Date

Required

Date (DT)

CCYYMMDD format

—

GS-05

337

Time

Required

Time (TM)

HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

—

GS-06

Group Control Number

Required

Numeric (N0)

Min 1Max 9

—

GS-07

455

Responsible Agency Code

Required

Identifier (ID)

Min 1Max 2

—

T: Transportation Data Coordinating Committee (TDCC)
X: Accredited Standards Committee X12

GS-08

480

Version / Release / Industry Identifier Code

Required

String (AN)

—

004010: Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1997

Heading

010

Heading > ST

Transaction Set Header

RequiredMax use 1

—

Example

ST-01

143

Transaction Set Identifier Code

Required

Identifier (ID)

—

855: Purchase Order Acknowledgment

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BAK

020

Heading > BAK

Beginning Segment for Purchase Order Acknowledgment

RequiredMax use 1

—

Usage notes

—

Example

BAK-01

353

Transaction Set Purpose Code

Required

Identifier (ID)

—

00: Original

BAK-02

587

Acknowledgment Type

Required

Identifier (ID)

—

AD: Acknowledge - With Detail, No Change

BAK-03

324

Purchase Order Number

Required

String (AN)

Min 1Max 22

—

BAK-04

373

Date

Required

Date (DT)

CCYYMMDD format

—

BAK-05

328

Release Number

Optional

String (AN)

Min 1Max 30

—

BAK-07

367

Contract Number

Optional

String (AN)

Min 1Max 30

—

CUR

040

Heading > CUR

Currency

OptionalMax use 1

—

Usage notes

—

Example

CUR-01

Entity Identifier Code

Required

Identifier (ID)

—

SE: Selling Party

CUR-02

100

Currency Code

Required

Identifier (ID)

Min 3Max 3

—

REF

050

Heading > REF

Reference Identification

OptionalMax use >1

—

Usage notes

—

Example

REF-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

CO: Customer Order Number

REF-02

127

Reference Identification

Optional

String (AN)

Min 1Max 30

—

TD5

240

Heading > TD5

Carrier Details (Routing Sequence/Transit Time)

OptionalMax use 12

—

Usage notes

—

Example

If Identification Code Qualifier (TD5-02) is present, then Identification Code (TD5-03) is required

TD5-02

Identification Code Qualifier

Optional

Identifier (ID)

—

91: Assigned by Seller or Seller's Agent
ZZ: Mutually Defined

TD5-03

Identification Code

Optional

String (AN)

Min 2Max 80

—

N1 Loop

OptionalMax >1

300

Heading > N1 Loop > N1

Name

RequiredMax use 1

—

Usage notes

—

Example

At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required

If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

BT: Bill-to-Party
BY: Buying Party (Purchaser)
CA: Carrier
II: Issuer of Invoice
PR: Payer
SE: Selling Party
ST: Ship To

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Optional

Identifier (ID)

—

91: Assigned by Seller or Seller's Agent
93: Code assigned by the organization originating the transaction set
94: Code assigned by the organization that is the ultimate destination of the transaction set
ZZ: Mutually Defined

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

310

Heading > N1 Loop > N2

Additional Name Information

OptionalMax use 2

—

Usage notes

—

Example

N2-01

Name

Required

String (AN)

Min 1Max 60

—

N2-02

Name

Optional

String (AN)

Min 1Max 60

—

Usage notes

—

320

Heading > N1 Loop > N3

Address Information

OptionalMax use 2

—

Usage notes

—

Example

N3-01

166

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02

166

Address Information

Optional

String (AN)

Min 1Max 55

—

330

Heading > N1 Loop > N4

Geographic Location

OptionalMax use 1

—

Usage notes

—

Example

N4-01

City Name

Optional

String (AN)

Min 2Max 30

—

N4-02

156

State or Province Code

Optional

Identifier (ID)

Min 2Max 2

—

N4-03

116

Postal Code

Optional

Identifier (ID)

Min 3Max 15

—

N4-04

Country Code

Optional

Identifier (ID)

Min 2Max 3

—

PER

350

Heading > N1 Loop > PER

Administrative Communications Contact

OptionalMax use >1

—

Usage notes

—

Example

PER-01

366

Contact Function Code

Required

Identifier (ID)

—

CN: General Contact

PER-02

Name

Optional

String (AN)

Min 1Max 60

—

N1 Loop end

Heading end

Detail

PO1 Loop

OptionalMax >1

PO1

010

Detail > PO1 Loop > PO1

Baseline Item Data

RequiredMax use 1

—

Usage notes

—

Example

If Unit or Basis for Measurement Code (PO1-03) is present, then Quantity Ordered (PO1-02) is required

If Basis of Unit Price Code (PO1-05) is present, then Unit Price (PO1-04) is required

If either Product/Service ID Qualifier (PO1-06) or Product/Service ID (PO1-07) is present, then the other is required

If either Product/Service ID Qualifier (PO1-08) or Product/Service ID (PO1-09) is present, then the other is required

PO1-01

350

Assigned Identification

Optional

String (AN)

Min 1Max 20

—

PO1-02

330

Quantity Ordered

Optional

Decimal number (R)

Min 1Max 15

—

PO1-03

355

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

EA: Each

PO1-04

212

Unit Price

Optional

Decimal number (R)

Min 1Max 15

—

PO1-05

639

Basis of Unit Price Code

Optional

Identifier (ID)

—

CA: Catalog

PO1-06

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

MG: Manufacturer's Part Number

PO1-07

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

PO1-08

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

BP: Buyer's Part Number

PO1-09

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

PID Loop

OptionalMax >1

PID

050

Detail > PO1 Loop > PID Loop > PID

Product/Item Description

RequiredMax use 1

—

Usage notes

—

Example

PID-01

349

Item Description Type

Required

Identifier (ID)

—

F: Free-form

PID-05

352

Description

Optional

String (AN)

Min 1Max 80

—

PID Loop end

PO1 Loop end

Detail end

Summary

CTT Loop

OptionalMax >1

CTT

010

Summary > CTT Loop > CTT

Transaction Totals

RequiredMax use 1

—

Usage notes

—

Example

CTT-01

354

Number of Line Items

Required

Numeric (N0)

Min 1Max 6

—

AMT

020

Summary > CTT Loop > AMT

Monetary Amount

OptionalMax use 1

—

Usage notes

—

Example

AMT-01

522

Amount Qualifier Code

Required

Identifier (ID)

—

TT: Total Transaction Amount

AMT-02

782

Monetary Amount

Required

Decimal number (R)

Min 1Max 15

—

CTT Loop end

030

Summary > SE

Transaction Set Trailer

RequiredMax use 1

—

Example

SE-01

Number of Included Segments

Required

Numeric (N0)

Min 1Max 10

—

SE-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

Summary end

Functional Group Trailer

RequiredMax use 1

—

Example

GE-01

Number of Transaction Sets Included

Required

Numeric (N0)

Min 1Max 6

—

GE-02

Group Control Number

Required

Numeric (N0)

Min 1Max 9

—

IEA

Interchange Control Trailer

RequiredMax use 1

—

Example

IEA-01

I16

Number of Included Functional Groups

Required

Numeric (N0)

Min 1Max 5

—

IEA-02

I12

Interchange Control Number

Required

Numeric (N0)

Min 9Max 9

—

EDI Samples

Sample

ISA*00* *00* *ZZ*SENDER *ZZ*RECEIVER *231030*0231*U*00401*000000001*0*T*>
GS*PR*SENDERGS*RECEIVERGS*20231030*023139*000000001*X*004010
ST*855*852281220
BAK*00*AD*0132710645*20090612
CUR*SE*USD
REF*CO*11KH111D
TD5**ZZ*0000011111
TD5**ZZ*0000011111
TD5**ZZ*0000011111
TD5**91*0000011111
TD5**ZZ*0011111111
N1*BY*PURCHASING PARTY*ZZ*0000011111
N2*TRADING PARTNER
N3*1111 Main Street*VENDOR A11111
N4*SAN JOSE*CA*951102704*US
N1*BT*BILL TO PARTY*ZZ*0000022222
N2*TRADING PARTNER
N3*2222 Main Street*VENDOR A22222
N4*SAN JOSE*CA*951102704*US
N1*PR*PAYER PARTY*ZZ*0000033333
N2*TRADING PARTNER
N3*3333 Main Street*VENDOR A33333
N4*SAN JOSE*CA*951102704*US
N1*CA*OTHER CARRIER-NOTE IN SHIP INSTRUC.*ZZ*0000444444
N2*OTHER CARRIER-NOTE IN SHIP INSTRUC.
N3*4444 MAIN ST.
N4*SANTA CLARA*CA*95050*US
N1*II*ADOBE SYSTEMS INCORPORATED*91*0000012137
N2*ADOBE SYSTEMS INCORPORATED
N3*345 PARK AVENUE
N4*SAN JOSE*CA*95110*US
N1*SE*ADOBE SYSTEMS INCORPORATED*91*ADUS
N2*ADOBE SYSTEMS INCORPORATED
N3*345 Park Avenue
N4*SAN JOSE*CA*95110*US
N1*ST*SHIP TO PARTY*ZZ*0055555555
N2*TRADING PARTNER
N3*5555 161TH AVE
N4*SEATTLE*WA*98134*US
PER*CN*JOHN DOE
PO1*000010*1*EA*369*CA*MG*00065008880AD01A00*BP*T05249
PID*F****APRO,9.0,WIN,AOO,UE,1PK,N/A
CTT*1
AMT*TT*369
SE*43*852281220
GE*1*000000001
IEA*1*000000001

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