X12 856 Ship Notice/Manifest

Beginning Segment for Ship Notice

Functional Group Header

Transaction Set Header

Carrier Details (Quantity and Weight)

Carrier Details (Routing Sequence/Transit Time)

Carrier Details (Equipment)

Estimated and Current Schedule Delivery

Buying Party (Purchaser)

Administrative Communications Contact

Purchase Order Reference

Transaction Set Trailer

Functional Group Trailer

Interchange Control Trailer

IEA

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)

—

SH: Ship Notice/Manifest (856)

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

Date

Required

Date (DT)

CCYYMMDD format

—

GS-05

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)

—

856: Ship Notice/Manifest

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BSN

020

Heading > BSN

Beginning Segment for Ship Notice

RequiredMax use 1

—

Example

BSN-01

353

Transaction Set Purpose Code

Required

Identifier (ID)

—

00: Original
05: Replace

BSN-02

396

Shipment Identification

Required

String (AN)

Min 2Max 30

—

Usage notes

—

BSN-03

Date

Required

Date (DT)

CCYYMMDD format

—

Usage notes

—

BSN-04

Time

Required

Time (TM)

HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

—

Usage notes

—

BSN-05

1005

Hierarchical Structure Code

Optional

Identifier (ID)

—

0001: Shipment, Order, Packaging, Item
0004: Shipment, Order, Item

BSN-06

640

Transaction Type Code

Optional

Identifier (ID)

—

AS: Shipment Advice
—
DO: Drop Shipment Invoice
—

Heading end

Detail

HL Loop

RequiredMax 200000

010

Detail > HL Loop > HL

Hierarchical Level

RequiredMax use 1

—

Example

Hierarchical ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Level Code

Required

Identifier (ID)

—

S: Shipment

Hierarchical Child Code

Optional

Identifier (ID)

—

1: Additional Subordinate HL Data Segment in This Hierarchical Structure.

TD1

110

Detail > HL Loop > TD1

Carrier Details (Quantity and Weight)

OptionalMax use 20

—

Example

If Packaging Code (TD1-01) is present, then Lading Quantity (TD1-02) is required

If Weight Qualifier (TD1-06) is present, then Weight (TD1-07) is required

If either Weight (TD1-07) or Unit or Basis for Measurement Code (TD1-08) is present, then the other is required

TD1-01

103

Packaging Code

Optional

String (AN)

—

Part 1/1

CAS: Case
CTN: Carton
PLT: Pallet

TD1-02

Lading Quantity

Optional

Numeric (N0)

Min 1Max 7

—

TD1-06

187

Weight Qualifier

Optional

Identifier (ID)

—

G: Gross Weight

TD1-07

Weight

Optional

Decimal number (R)

Min 1Max 10

—

TD1-08

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

LB: Pound

TD5

120

Detail > HL Loop > TD5

Carrier Details (Routing Sequence/Transit Time)

OptionalMax use 12

—

Example

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

TD5-01

133

Routing Sequence Code

Optional

Identifier (ID)

—

O: Origin Carrier (Air, Motor, or Ocean)

TD5-02

Identification Code Qualifier

Optional

Identifier (ID)

—

2: Standard Carrier Alpha Code (SCAC)

TD5-03

Identification Code

Optional

String (AN)

Min 2Max 80

—

TD5-04

Transportation Method/Type Code

Optional

Identifier (ID)

—

A: Air
AE: Air Express
H: Customer Pickup
M: Motor (Common Carrier)
R: Rail
S: Ocean
SR: Supplier Truck
X: Intermodal (Piggyback)

TD5-05

387

Routing

Optional

String (AN)

Min 1Max 35

—

Usage notes

—

TD5-06

368

Shipment/Order Status Code

Optional

Identifier (ID)

—

CC: Shipment Complete on (Date)
PR: Partial Shipment

TD3

130

Detail > HL Loop > TD3

Carrier Details (Equipment)

OptionalMax use 12

—

Example

If Equipment Initial (TD3-02) is present, then Equipment Number (TD3-03) is required

TD3-01

Equipment Description Code

Optional

Identifier (ID)

—

CN: Container
RR: Rail Car
TL: Trailer (not otherwise specified)
VE: Vessel, Ocean

TD3-02

206

Equipment Initial

Optional

String (AN)

Min 1Max 4

—

TD3-03

207

Equipment Number

Optional

String (AN)

Min 1Max 10

—

150

Detail > HL Loop > REF

Reference Identification

RequiredMax use >1

—

Example

Reference Identification Qualifier

Required

Identifier (ID)

—

2I: Tracking Number
BM: Bill of Lading Number
CN: Carrier's Reference Number (PRO/Invoice)
MB: Master Bill of Lading
SN: Seal Number

Reference Identification

Required

String (AN)

Min 1Max 30

—

200

Detail > HL Loop > DTM

Estimated and Current Schedule Delivery

RequiredMax use >1

—

Usage notes

—

Example

Variants (all may be used)

DTMShipped

Date/Time Qualifier

Required

Identifier (ID)

—

017: Estimated Delivery
067: Current Schedule Delivery

Date

Required

Date (DT)

CCYYMMDD format

—

DTM-03

Time

Required

Time (TM)

HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

—

DTM-04

623

Time Code

Required

Identifier (ID)

—

CD: Central Daylight Time
CS: Central Standard Time
CT: Central Time
ED: Eastern Daylight Time
ES: Eastern Standard Time
ET: Eastern Time
GM: Greenwich Mean Time
LT: Local Time
MD: Mountain Daylight Time
MS: Mountain Standard Time
MT: Mountain Time
PD: Pacific Daylight Time
PS: Pacific Standard Time
PT: Pacific Time

DTMEstimated and Current Schedule Delivery

200

Detail > HL Loop > DTM

Shipped

RequiredMax use 1

—

Usage notes

—

Example

Variants (all may be used)

Date/Time Qualifier

Required

Identifier (ID)

—

011: Shipped

Date

Required

Date (DT)

CCYYMMDD format

—

DTM-03

Selling Party Ship From Ship To

Time

Required

Time (TM)

HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

—

DTM-04

623

Time Code

Required

Identifier (ID)

—

CD: Central Daylight Time
CS: Central Standard Time
CT: Central Time
ED: Eastern Daylight Time
ES: Eastern Standard Time
ET: Eastern Time
GM: Greenwich Mean Time
LT: Local Time
MD: Mountain Daylight Time
MS: Mountain Standard Time
MT: Mountain Time
PD: Pacific Daylight Time
PS: Pacific Standard Time
PT: Pacific Time

N1 Buying Party (Purchaser)

RequiredMax 1

Variants (all may be used)

220

Detail > HL Loop > Buying Party (Purchaser) > N1

Name

RequiredMax use 1

—

Example

Entity Identifier Code

Required

Identifier (ID)

—

BY: Buying Party (Purchaser)

Name

Required

String (AN)

Min 1Max 60

—

Identification Code Qualifier

Required

Identifier (ID)

—

1: D-U-N-S Number, Dun & Bradstreet
9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11: Drug Enforcement Administration (DEA)
21: Health Industry Number (HIN)
91: Assigned by Seller or Seller's Agent
92: Assigned by Buyer or Buyer's Agent
UL: UCC/EAN Location Code

Identification Code

Required

String (AN)

Min 2Max 80

—

240

Detail > HL Loop > Buying Party (Purchaser) > N3

Address Information

OptionalMax use 2

—

Usage notes

—

Example

Address Information

Required

String (AN)

Min 1Max 55

—

Address Information

Optional

String (AN)

Min 1Max 55

—

250

Detail > HL Loop > Buying Party (Purchaser) > N4

Geographic Location

OptionalMax use 1

—

Usage notes

—

Example

City Name

Required

String (AN)

Min 2Max 30

—

State or Province Code

Required

Identifier (ID)

Min 2Max 2

—

Postal Code

Required

Identifier (ID)

Min 3Max 15

—

260

Detail > HL Loop > Buying Party (Purchaser) > REF

Reference Identification

OptionalMax use 12

—

Usage notes

—

Example

Reference Identification Qualifier

Required

Identifier (ID)

—

D3: National Association of Boards of Pharmacy Number
FW: State License Identification Number

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

Buying Party (Purchaser)Ship From Ship To

Description

Optional

String (AN)

Min 1Max 80

—

N1 Buying Party (Purchaser) end

N1 Selling Party

RequiredMax 1

Variants (all may be used)

220

Detail > HL Loop > Selling Party > N1

Name

RequiredMax use 1

—

Usage notes

—

Example

Entity Identifier Code

Required

Identifier (ID)

—

SE: Selling Party

Name

Required

String (AN)

Min 1Max 60

—

Identification Code Qualifier

Required

Identifier (ID)

—

1: D-U-N-S Number, Dun & Bradstreet
9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11: Drug Enforcement Administration (DEA)
21: Health Industry Number (HIN)
UL: UCC/EAN Location Code

Identification Code

Required

String (AN)

Min 2Max 80

—

240

Detail > HL Loop > Selling Party > N3

Address Information

OptionalMax use 1

—

Usage notes

—

Example

Address Information

Required

String (AN)

Min 1Max 55

—

Address Information

Optional

String (AN)

Min 1Max 55

—

250

Detail > HL Loop > Selling Party > N4

Geographic Location

OptionalMax use 1

—

Usage notes

—

Example

City Name

Required

String (AN)

Min 2Max 30

—

State or Province Code

Required

Identifier (ID)

Min 2Max 2

—

Postal Code

Required

Identifier (ID)

Min 3Max 15

—

260

Detail > HL Loop > Selling Party > REF

Reference Identification

OptionalMax use 12

—

Usage notes

—

Example

Reference Identification Qualifier

Required

Identifier (ID)

—

D3: National Association of Boards of Pharmacy Number
—
FW: State License Identification Number
—

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

Buying Party (Purchaser)Selling Party Ship To

Description

Optional

String (AN)

Min 1Max 80

—

N1 Selling Party end

N1 Ship From

RequiredMax 1

Variants (all may be used)

220

Detail > HL Loop > Ship From > N1

Name

RequiredMax use 1

—

Example

Entity Identifier Code

Required

Identifier (ID)

—

SF: Ship From

Name

Required

String (AN)

Min 1Max 60

—

Identification Code Qualifier

Required

Identifier (ID)

—

1: D-U-N-S Number, Dun & Bradstreet
9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11: Drug Enforcement Administration (DEA)
21: Health Industry Number (HIN)
91: Assigned by Seller or Seller's Agent
92: Assigned by Buyer or Buyer's Agent
UL: UCC/EAN Location Code

Identification Code

Required

String (AN)

Min 2Max 80

—

240

Detail > HL Loop > Ship From > N3

Address Information

OptionalMax use 2

—

Usage notes

—

Example

Address Information

Required

String (AN)

Min 1Max 55

—

Address Information

Optional

String (AN)

Min 1Max 55

—

250

Detail > HL Loop > Ship From > N4

Geographic Location

OptionalMax use 1

—

Usage notes

—

Example

City Name

Required

String (AN)

Min 2Max 30

—

State or Province Code

Required

Identifier (ID)

Min 2Max 2

—

Postal Code

Required

Identifier (ID)

Min 3Max 15

—

260

Detail > HL Loop > Ship From > REF

Reference Identification

OptionalMax use 12

—

Usage notes

—

Example

Reference Identification Qualifier

Required

Identifier (ID)

—

D3: National Association of Boards of Pharmacy Number
—
FW: State License Identification Number
—

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

Buying Party (Purchaser)Selling Party Ship From

Description

Optional

String (AN)

Min 1Max 80

—

PER

270

Detail > HL Loop > Ship From > PER

Administrative Communications Contact

RequiredMax use 3

—

Example

If either Communication Number Qualifier (PER-03) or Communication Number (PER-04) is present, then the other is required

If either Communication Number Qualifier (PER-05) or Communication Number (PER-06) is present, then the other is required

PER-01

366

Contact Function Code

Required

Identifier (ID)

—

CE: Certifier

PER-02

Name

Required

String (AN)

Min 1Max 60

—

PER-03

365

Communication Number Qualifier

Optional

Identifier (ID)

—

TE: Telephone

PER-04

364

Communication Number

Optional

String (AN)

Min 1Max 80

—

Usage notes

—

PER-05

365

Communication Number Qualifier

Optional

Identifier (ID)

—

EM: Electronic Mail

PER-06

364

Communication Number

Optional

String (AN)

Min 1Max 80

—

Usage notes

—

N1 Ship From end

N1 Ship To

RequiredMax 1

Variants (all may be used)

220

Detail > HL Loop > Ship To > N1

Name

RequiredMax use 1

—

Example

Entity Identifier Code

Required

Identifier (ID)

—

ST: Ship To

Name

Required

String (AN)

Min 1Max 60

—

Usage notes

—

Identification Code Qualifier

Required

Identifier (ID)

—

1: D-U-N-S Number, Dun & Bradstreet
9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11: Drug Enforcement Administration (DEA)
21: Health Industry Number (HIN)
UL: UCC/EAN Location Code

Identification Code

Required

String (AN)

Min 2Max 80

—

Usage notes

—

240

Detail > HL Loop > Ship To > N3

Address Information

OptionalMax use 2

—

Usage notes

—

Example

Address Information

Required

String (AN)

Min 1Max 55

—

Address Information

Optional

String (AN)

Min 1Max 55

—

250

Detail > HL Loop > Ship To > N4

Geographic Location

OptionalMax use 1

—

Usage notes

—

Example

City Name

Required

String (AN)

Min 2Max 30

—

State or Province Code

Required

Identifier (ID)

Min 2Max 2

—

Postal Code

Required

Identifier (ID)

Min 3Max 15

—

260

Detail > HL Loop > Ship To > REF

Reference Identification

OptionalMax use 12

—

Usage notes

—

Example

Reference Identification Qualifier

Required

Identifier (ID)

—

D3: National Association of Boards of Pharmacy Number
FW: State License Identification Number

Reference Identification

Required

String (AN)

Min 1Max 30

—

Description

Optional

String (AN)

Min 1Max 80

—

N1 Ship To end

YNQ

335

Detail > HL Loop > YNQ

Yes/No Question DPS

OptionalMax use 1

—

Usage notes

—

Example

Variants (all may be used)

YNQYes/No Question TS

YNQ-02

1073

Yes/No Condition or Response Code

Required

Identifier (ID)

—

Y: Yes

YNQ-05

Free-Form Message Text

Required

String (AN)

Min 1Max 264

—

Usage notes

—

YNQ-08

1270

Code List Qualifier Code

Required

Identifier (ID)

—

99: Purpose Code

YNQ-09

1271

Industry Code

Required

String (AN)

—

DPS: —

YNQ

335

Detail > HL Loop > YNQ

Yes/No Question TS

RequiredMax use 1

—

Usage notes

—

Example

Variants (all may be used)

YNQYes/No Question DPS

YNQ-02

1073

Yes/No Condition or Response Code

Required

Identifier (ID)

—

Y: Yes
—

YNQ-05

Free-Form Message Text

Required

String (AN)

Min 1Max 264

—

Usage notes

—

YNQ-06

Free-Form Message Text

Optional

String (AN)

Min 1Max 264

—

YNQ-07

Free-Form Message Text

Optional

String (AN)

Min 1Max 264

—

YNQ-08

1270

Code List Qualifier Code

Required

Identifier (ID)

—

99: Purpose Code

YNQ-09

1271

Industry Code

Required

String (AN)

—

TS: —

YNQ-10

Free-Form Message Text

Optional

String (AN)

Min 1Max 264

—

HL Loop

RequiredMax 1

010

Detail > HL Loop > HL Loop > HL

Hierarchical Level

RequiredMax use 1

—

Example

Hierarchical ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Parent ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Level Code

Required

Identifier (ID)

—

O: Order

Hierarchical Child Code

Optional

Identifier (ID)

—

0: No Subordinate HL Segment in This Hierarchical Structure.
1: Additional Subordinate HL Data Segment in This Hierarchical Structure.

PRF

050

Detail > HL Loop > HL Loop > PRF

Purchase Order Reference

RequiredMax use 1

—

Example

PRF-01

324

Purchase Order Number

Required

String (AN)

Min 1Max 22

—

Usage notes

—

PRF-02

328

Release Number

Optional

String (AN)

Min 1Max 30

—

PRF-03

327

Change Order Sequence Number

Optional

String (AN)

Min 1Max 8

—

PRF-04

Date

Required

Date (DT)

CCYYMMDD format

—

Usage notes

—

150

Detail > HL Loop > HL Loop > REF

Reference Identification

OptionalMax use >1

—

Example

Reference Identification Qualifier

Required

Identifier (ID)

—

IV: Seller's Invoice Number
VN: Vendor Order Number

Reference Identification

Required

String (AN)

Min 1Max 30

—

200

Detail > HL Loop > HL Loop > DTM

Date/Time Reference

OptionalMax use 10

—

Example

Date/Time Qualifier

Required

Identifier (ID)

—

003: Invoice

Date

Required

Date (DT)

CCYYMMDD format

—

HL Loop

OptionalMax 200000

Usage notes

—

010

Detail > HL Loop > HL Loop > HL Loop > HL

Hierarchical Level

RequiredMax use 1

—

Example

Hierarchical ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Parent ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Level Code

Required

Identifier (ID)

—

T: Shipping Tare

Hierarchical Child Code

Optional

Identifier (ID)

—

0: No Subordinate HL Segment in This Hierarchical Structure.
1: Additional Subordinate HL Data Segment in This Hierarchical Structure.

MAN

190

Detail > HL Loop > HL Loop > HL Loop > MAN

Marks and Numbers

RequiredMax use >1

—

Example

MAN-01

Marks and Numbers Qualifier

Required

Identifier (ID)

—

GM: SSCC-18 and Application Identifier
W: Pallet Number

MAN-02

Marks and Numbers

Required

String (AN)

Min 1Max 48

—

Usage notes

—

HL Loop

OptionalMax 200000

010

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL

Hierarchical Level

RequiredMax use 1

—

Example

Hierarchical ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Parent ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Level Code

Required

Identifier (ID)

—

P: Pack

Hierarchical Child Code

Optional

Identifier (ID)

—

1: Additional Subordinate HL Data Segment in This Hierarchical Structure.

LIN

020

Detail > HL Loop > HL Loop > HL Loop > HL Loop > LIN

Item Identification

OptionalMax use 1

—

Usage notes

—

Example

LIN-01

350

Assigned Identification

Required

String (AN)

Min 1Max 20

—

Usage notes

—

LIN-02

Product/Service ID Qualifier

Required

Identifier (ID)

—

Usage notes

—

LT: Lot Number
MF: Manufacturer
N1: National Drug Code in 4-4-2 Format
N2: National Drug Code in 5-3-2 Format
N3: National Drug Code in 5-4-1 Format
N4: National Drug Code in 5-4-2 Format
N5: National Health Related Item Code in 5-5 Format
N6: National Health Related Item Code in 4-6 Format
ND: National Drug Code (NDC)
NH: National Health Related Item Code
UA: U.P.C./EAN Case Code (2-5-5)
UK: U.P.C./EAN Shipping Container Code (1-2-5-5-1)
UP: U.P.C. Consumer Package Code (1-5-5-1)
UX: Universal Product Number
VC: Vendor's (Seller's) Catalog Number

LIN-03

Product/Service ID

Required

String (AN)

Min 1Max 48

—

Usage notes

—

PO4

060

Detail > HL Loop > HL Loop > HL Loop > HL Loop > PO4

Item Physical Details

OptionalMax use 1

—

Usage notes

—

Example

If either Size (PO4-02) or Unit or Basis for Measurement Code (PO4-03) is present, then the other is required

If Weight Qualifier (PO4-05) is present, then Gross Weight per Pack (PO4-06) is required

If either Gross Volume per Pack (PO4-08) or Unit or Basis for Measurement Code (PO4-09) is present, then the other is required

If Length (PO4-10) is present, then Unit or Basis for Measurement Code (PO4-13) is required

If Width (PO4-11) is present, then Unit or Basis for Measurement Code (PO4-13) is required

If Height (PO4-12) is present, then Unit or Basis for Measurement Code (PO4-13) is required

If Unit or Basis for Measurement Code (PO4-13) is present, then at least one of Length (PO4-10), Width (PO4-11) or Height (PO4-12) is required

PO4-01

356

Pack

Required

Numeric (N0)

Min 1Max 6

—

PO4-02

357

Size

Required

Decimal number (R)

Min 1Max 8

—

PO4-03

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

AM: Ampoule
BO: Bottle
BX: Box
CA: Case
CH: Container
CT: Carton
DZ: Dozen
EA: Each
GS: Gross
KT: Kit
OZ: Ounce - Av
P1: Percent
PC: Piece
PF: Pallet (Lift)
PK: Package
SP: Shelf Package
SZ: Syringe
UN: Unit
—
VI: Vial

PO4-04

103

Packaging Code

Optional

String (AN)

Min 3Max 5

—

PO4-05

187

Weight Qualifier

Optional

Identifier (ID)

Min 1Max 2

—

PO4-06

384

Gross Weight per Pack

Optional

Decimal number (R)

Min 1Max 9

—

PO4-07

Unit or Basis for Measurement Code

Required

Identifier (ID)

Min 2Max 2

—

PO4-08

385

Gross Volume per Pack

Required

Decimal number (R)

Min 1Max 9

—

PO4-09

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

CC: Cubic Centimeter
CF: Cubic Feet
CI: Cubic Inches
CR: Cubic Meter
CY: Cubic Yard

PO4-10

Length

Optional

Decimal number (R)

Min 1Max 8

—

PO4-11

189

Width

Optional

Decimal number (R)

Min 1Max 8

—

PO4-12

Height

Optional

Decimal number (R)

Min 1Max 8

—

PO4-13

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

CM: Centimeter
IN: Inch
MM: Millimeter

PO4-14

810

Inner Pack

Optional

Numeric (N0)

Min 1Max 6

—

MAN

190

Detail > HL Loop > HL Loop > HL Loop > HL Loop > MAN

Marks and Numbers

OptionalMax use >1

—

Example

MAN-01

Marks and Numbers Qualifier

Required

Identifier (ID)

—

AI: UCC/EAN-128 Application Identifier (AI) and Data
GM: SSCC-18 and Application Identifier

MAN-02

Marks and Numbers

Required

String (AN)

Min 1Max 48

—

Usage notes

—

200

Detail > HL Loop > HL Loop > HL Loop > HL Loop > DTM

Date/Time Reference

RequiredMax use 10

—

Usage notes

—

Example

Date/Time Qualifier

Required

Identifier (ID)

—

208: Lot Number Expiration

Date

Required

Date (DT)

CCYYMMDD format

—

HL Loop

RequiredMax 200000

010

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > HL

Hierarchical Level

RequiredMax use 1

—

Example

Hierarchical ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Parent ID Number

Required

String (AN)

Min 1Max 12

—

Hierarchical Level Code

Required

Identifier (ID)

—

I: Item

Hierarchical Child Code

Optional

Identifier (ID)

—

0: No Subordinate HL Segment in This Hierarchical Structure.

LIN

020

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > LIN

Item Identification

RequiredMax use 1

—

Usage notes

—

Example

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

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

If either Product/Service ID Qualifier (LIN-10) or Product/Service ID (LIN-11) is present, then the other is required

If either Product/Service ID Qualifier (LIN-14) or Product/Service ID (LIN-15) is present, then the other is required

If either Product/Service ID Qualifier (LIN-16) or Product/Service ID (LIN-17) is present, then the other is required

If either Product/Service ID Qualifier (LIN-18) or Product/Service ID (LIN-19) is present, then the other is required

If either Product/Service ID Qualifier (LIN-20) or Product/Service ID (LIN-21) is present, then the other is required

LIN-01

350

Assigned Identification

Required

String (AN)

Min 1Max 20

—

Usage notes

—

LIN-02

Product/Service ID Qualifier

Required

Identifier (ID)

—

Usage notes

—

LT: Lot Number
MF: Manufacturer
N1: National Drug Code in 4-4-2 Format
N2: National Drug Code in 5-3-2 Format
N3: National Drug Code in 5-4-1 Format
N4: National Drug Code in 5-4-2 Format
N5: National Health Related Item Code in 5-5 Format
N6: National Health Related Item Code in 4-6 Format
ND: National Drug Code (NDC)
NH: National Health Related Item Code
UA: U.P.C./EAN Case Code (2-5-5)
UI: U.P.C. Consumer Package Code (1-5-5)
UK: U.P.C./EAN Shipping Container Code (1-2-5-5-1)
UP: U.P.C. Consumer Package Code (1-5-5-1)
UX: Universal Product Number
VC: Vendor's (Seller's) Catalog Number

LIN-03

Product/Service ID

Required

String (AN)

Min 1Max 48

—

Usage notes

—

LIN-04

Product/Service ID Qualifier

Required

Identifier (ID)

—

LT: Lot Number

LIN-05

Product/Service ID

Required

String (AN)

Min 1Max 48

—

LIN-06

Product/Service ID Qualifier

Optional

Identifier (ID)

—

LT: Lot Number

LIN-07

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

LIN-08

Product/Service ID Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

LIN-09

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

LIN-10

Product/Service ID Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

LIN-11

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

LIN-12

Product/Service ID Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

LIN-13

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

LIN-14

Product/Service ID Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

LIN-15

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

LIN-16

Product/Service ID Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

LIN-17

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

LIN-18

Product/Service ID Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

LIN-19

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

LIN-20

Product/Service ID Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

LIN-21

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

SN1

030

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > SN1

Item Detail (Shipment)

OptionalMax use 1

—

Usage notes

—

Example

If either Quantity Ordered (SN1-05) or Unit or Basis for Measurement Code (SN1-06) is present, then the other is required

SN1-01

350

Assigned Identification

Required

String (AN)

Min 1Max 20

—

Usage notes

—

SN1-02

382

Number of Units Shipped

Required

Decimal number (R)

Min 1Max 10

—

SN1-03

Unit or Basis for Measurement Code

Required

Identifier (ID)

—

AM: Ampoule
BO: Bottle
BX: Box
CA: Case
CH: Container
CT: Carton
DZ: Dozen
EA: Each
GS: Gross
KT: Kit
OZ: Ounce - Av
P1: Percent
PC: Piece
PF: Pallet (Lift)
PK: Package
SP: Shelf Package
SZ: Syringe
UN: Unit
VI: Vial

SN1-04

646

Quantity Shipped to Date

Optional

Decimal number (R)

Min 1Max 15

—

SN1-05

330

Quantity Ordered

Required

Decimal number (R)

Min 1Max 15

—

SN1-06

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

AM: Ampoule
BO: Bottle
BX: Box
CA: Case
CH: Container
CT: Carton
DZ: Dozen
EA: Each
GS: Gross
KT: Kit
OZ: Ounce - Av
P1: Percent
PC: Piece
PF: Pallet (Lift)
PK: Package
SP: Shelf Package
SZ: Syringe
UN: Unit
VI: Vial

PID

070

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > PID

Product/Item Description

OptionalMax use 200

—

Usage notes

—

Example

PID-01

349

Item Description Type

Required

Identifier (ID)

—

F: Free-form

PID-05

Description

Required

String (AN)

Min 1Max 80

—

Usage notes

—

150

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > REF

Reference Identification

OptionalMax use >1

—

Example

Reference Identification Qualifier

Required

Identifier (ID)

—

IV: Seller's Invoice Number

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

200

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > DTM

Date/Time Reference

RequiredMax use 10

—

Usage notes

—

Example

Date/Time Qualifier

Required

Identifier (ID)

—

208: Lot Number Expiration

Date

Required

Date (DT)

CCYYMMDD format

—

N1 Loop

OptionalMax >1

220

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > N1 Loop > N1

Name

RequiredMax use 1

—

Example

Entity Identifier Code

Required

Identifier (ID)

—

DS: Distributor
MF: Manufacturer of Goods
SU: Supplier/Manufacturer

Name

Optional

String (AN)

Min 1Max 60

—

Identification Code Qualifier

Required

Identifier (ID)

—

1: D-U-N-S Number, Dun & Bradstreet
9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11: Drug Enforcement Administration (DEA)
21: Health Industry Number (HIN)
UL: UCC/EAN Location Code

Identification Code

Required

String (AN)

Min 2Max 80

—

240

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > N1 Loop > N3

Address Information

OptionalMax use 1

—

Example

Address Information

Required

String (AN)

Min 1Max 55

—

Address Information

Optional

String (AN)

Min 1Max 55

—

250

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > N1 Loop > N4

Geographic Location

OptionalMax use 1

—

Example

City Name

Required

String (AN)

Min 2Max 30

—

State or Province Code

Required

Identifier (ID)

Min 2Max 2

—

Postal Code

Required

Identifier (ID)

Min 3Max 15

—

260

Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > N1 Loop > REF

Reference Identification

OptionalMax use >1

—

Example

Reference Identification Qualifier

Required

Identifier (ID)

—

KK: Delivery Reference

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—