X12 855 Purchase Order Acknowledgment

X12 Release 4010

Delimiters

• ~ Segment
• * Element
• > Component

ISA Interchange Control Header

Required · Max use 1

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 10 Max 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 10 Max 10

ISA-05 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 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 15 Max 15

ISA-07 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 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 15 Max 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 9 Max 9

ISA-14 · I13 · Acknowledgment Requested · Required · Identifier (ID) · Min 1 Max 1

• 0: No Acknowledgment Requested
• 1: Interchange Acknowledgment Requested

ISA-15 · I14 · Usage Indicator · Required · Identifier (ID) · Min 1 Max 1

• I: Information
• P: Production Data
• T: Test Data

ISA-16 · I15 · Component Element Separator · Required · String (AN) · Min 1 Max 1

• >: Component Element Separator

GS Functional Group Header

Required · Max use 1

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 2 Max 15

GS-03 · 124 · Application Receiver's Code · Required · String (AN) · Min 2 Max 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 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

GS-07 · 455 · Responsible Agency Code · Required · Identifier (ID) · Min 1 Max 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

ST Transaction Set Header

Required · Max use 1

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 4 Max 9

020 Heading > BAK

BAK Beginning Segment for Purchase Order Acknowledgment

Required · Max use 1

BAK-01 · 353 · Transaction Set Purpose Code · Required · Identifier (ID)

• 00: Original

BAK-02 · 587 · Acknowledgment Type · Required · Identifier (ID)

• AC: Acknowledge - With Detail and Change
• AD: Acknowledge - With Detail, No Change

BAK-03 · 324 · Purchase Order Number · Required · String (AN) · Min 1 Max 22

BAK-04 · 373 · Date · Required · Date (DT) · CCYYMMDD format

BAK-05 · 328 · Release Number · Optional · String (AN) · Min 1 Max 30

150 Heading > DTM

DTM Date/Time Reference Current Schedule Ship

Required · Max use 1

Variants (all may be used)

DTMDate/Time Reference Process

DTM-01 · 374 · Date/Time Qualifier · Required · Identifier (ID)

• 068: Current Schedule Ship

DTM-02 · 373 · Date · Required · Date (DT) · CCYYMMDD format

150 Heading > DTM

DTM Date/Time Reference Process

Required · Max use 1

Variants (all may be used)

DTMDate/Time Reference Current Schedule Ship

DTM-01 · 374 · Date/Time Qualifier · Required · Identifier (ID)

• 009: Process

DTM-02 · 373 · Date · Required · Date (DT) · CCYYMMDD format

DTM-03 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

240 Heading > TD5

TD5 Carrier Details (Routing Sequence/Transit Time)

Required · Max use 12

TD5-04 · 91 · Transportation Method/Type Code · Required · Identifier (ID)

• H: Customer Pickup
• M: Motor (Common Carrier)

N1 Loop Ship From Required Max 1

Variants (all may be used)

N1 Loop Ship To

300 Heading > N1 Loop Ship From > N1

N1 Name

Required · Max use 1

N1-01 · 98 · Entity Identifier Code · Required · Identifier (ID)

• SF: Ship From

N1-02 · 93 · Name · Required · String (AN) · Min 1 Max 60

N1-03 · 66 · Identification Code Qualifier · Required · Identifier (ID)

• 9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix

N1-04 · 67 · Identification Code · Required · String (AN) · Min 2 Max 80

330 Heading > N1 Loop Ship From > N4

N4 Geographic Location

Required · Max use 1

N4-01 · 19 · City Name · Required · String (AN) · Min 2 Max 30

N4-02 · 156 · State or Province Code · Required · Identifier (ID) · Min 2 Max 2

N4-03 · 116 · Postal Code · Required · Identifier (ID) · Min 3 Max 15

N1 Loop Ship To Required Max 1

Variants (all may be used)

N1 Loop Ship From

300 Heading > N1 Loop Ship To > N1

N1 Name

Required · Max use 1

N1-01 · 98 · Entity Identifier Code · Required · Identifier (ID)

• ST: Ship To

N1-02 · 93 · Name · Required · String (AN) · Min 1 Max 60

N1-03 · 66 · Identification Code Qualifier · Required · Identifier (ID)

• 9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix

N1-04 · 67 · Identification Code · Required · String (AN) · Min 2 Max 80

Detail

PO1 Loop Required Max 100000

010 Detail > PO1 Loop > PO1

PO1 Baseline Item Data

Required · Max use 1

PO1-01 · 350 · Assigned Identification · Optional · String (AN) · Min 1 Max 20

PO1-02 · 330 · Quantity Ordered · Required · Decimal number (R) · Min 1 Max 15

PO1-03 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• BG: Bag
• CA: Case
• DR: Drum
• EA: Each
• GA: Gallon
• PA: Pail
• TE: Tote

PO1-04 · 212 · Unit Price · Required · Decimal number (R) · Min 1 Max 15

PO1-06 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• UK: U.P.C./EAN Shipping Container Code (1-2-5-5-1)

PO1-07 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

PID Loop Required Max 1000

050 Detail > PO1 Loop > PID Loop > PID

PID Product/Item Description

Required · Max use 1

PID-01 · 349 · Item Description Type · Required · Identifier (ID)

• F: Free-form

PID-05 · 352 · Description · Required · String (AN) · Min 1 Max 80

SAC Loop Required Max 25

130 Detail > PO1 Loop > SAC Loop > SAC

SAC Service, Promotion, Allowance, or Charge Information

Required · Max use 1

SAC-01 · 248 · Allowance or Charge Indicator · Required · Identifier (ID)

• A: Allowance
• C: Charge

SAC-02 · 1300 · Service, Promotion, Allowance, or Charge Code · Required · Identifier (ID) · Min 4 Max 4

SAC-05 · 610 · Amount · Required · Numeric (N2) · Min 1 Max 15

SAC-08 · 118 · Rate · Required · Decimal number (R) · Min 1 Max 9

SAC-15 · 352 · Description · Required · String (AN) · Min 1 Max 80

Summary

CTT Loop Optional Max >1

010 Summary > CTT Loop > CTT

CTT Transaction Totals

Required · Max use 1

CTT-01 · 354 · Number of Line Items · Optional · Numeric (N0) · Min 1 Max 6

CTT-02 · 347 · Hash Total · Optional · Decimal number (R) · Min 1 Max 10

030 Summary > SE

SE Transaction Set Trailer

Required · Max use 1

SE-01 · 96 · Number of Included Segments · Required · Numeric (N0) · Min 1 Max 10

SE-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

GE Functional Group Trailer

Required · Max use 1

GE-01 · 97 · Number of Transaction Sets Included · Required · Numeric (N0) · Min 1 Max 6

GE-02 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

IEA Interchange Control Trailer

Required · Max use 1

IEA-01 · I16 · Number of Included Functional Groups · Required · Numeric (N0) · Min 1 Max 5

IEA-02 · I12 · Interchange Control Number · Required · Numeric (N0) · Min 9 Max 9

EDI Samples

Purchase Order Ack from Dot Foods 1

ST*855*000000394~
BAK*00*AD*019789-001*20091110~
DTM*009*20091110*1358~
DTM*068*20091119~
TD5****H~
N1*ST*DOT FOODS INC*9*0256712560101~
N1*SF*ABC FOOD COMPANIES*9*0291850270000~
N4*BALTIMORE*MD*212270000~
PO1**54*CA*17.28**UK*00812704000107~
PID*F****JR 24/20OZ GREEN APPLE~
SAC*A*ZZZZ***28512***5.28*******PROMOTION ALLOWANCE~
PO1**108*CA*17.28**UK*00812704000121~
PID*F****JR 24/20 WATERMELON~
SAC*A*ZZZZ***57024***5.28*******PROMOTION ALLOWANCE~
SE*15*000000394~

Purchase Order Ack from Dot Foods 2

ST*855*0695~
BAK*00*AC*987654-001*20090728~
DTM*009*20090729*1358~
DTM*068*20090803~
TD5****H~
N1*ST*DOT FOODS INC*9*0256712560101~
N1*SF*ABC COMPANIES*9*1234567890000~
N4*JACKSONVILLE*IL*62650~
PO1*1*8*CA*1.33**UK*90070100046720~
PID*F****3PC JM SBO HM WA CV 16/20 SBD~
SAC*A*ZZZZ***23***0.01*******ALLOWANCE~
PO1*2*180*CA*26.58**UK*10070100060492~
PID*F****300CT PRCKD BACON REG SLICED~
SAC*A*ZZZZ***76***0.29*******ALLOWANCE~
PO1*3*1*CA*34.6**UK*10070100060478~
PID*F****2/5# PRCKD BACON TOPPNG 1/4"GF~
SAC*A*ZZZZ***66***0.38*******ALLOWANCE~
PO1*4*4*CA*1.06**UK*90070100035861~
PID*F****4PC JM SPICED LCHN MT COV ASM~
SAC*A*ZZZZ***85***0.01*******ALLOWANCE~
PO1*5*6*CA*1.79**UK*90070100043774~
PID*F****3PC FDSRV RND BNL HAM WA 14/16~
SAC*A*ZZZZ***98***0.02*******ALLOWANCE~
PO1*6*2*CA*1.93**UK*90070100025367~
PID*F****4PC J-MOR 1/2 CKD SALAMI COV~
SAC*A*ZZZZ***66***0.02*******ALLOWANCE~
PO1*7*2*CA*37.5**UK*10070100071559~
PID*F****50LB CUBE SNOW CAP LARD~
SAC*A*ZZZZ***34***0.42*******ALLOWANCE~
PO1*8*30*CA*37.92**UK*10070100070620~
PID*F****48-1LB CTN SNOWCAP LARD~
SAC*A*ZZZZ***23***0.42*******ALLOWANCE~
PO1*9*7*CA*16.56**UK*10070100018288~
PID*F****16-12OZ JM SKNLS POL SAUS VP~
SAC*A*ZZZZ***98***0.18*******ALLOWANCE~
PO1*10*15*CA*23.85**UK*10070100065015~
PID*F****15LB FDSER BULK BAC DS14/17RED~
SAC*A*ZZZZ***56***0.26*******ALLOWANCE~
PO1*11*8*CA*27.36**UK*00070100016294~
PID*F****32-12OZ J-MOR HOT DOGS COLORED~
SAC*A*ZZZZ***76***0.3*******ALLOWANCE~
PO1*12*18*CA*46.56**UK*10070100060188~
PID*F****24-1LB J-MOR BACON T VAC~
SAC*A*ZZZZ***34***0.51*******ALLOWANCE~
PO1*13*27*CA*26.25**UK*10070100065206~
PID*F****15LB FDSRV BULK SL BCN14/17GLD~
SAC*A*ZZZZ***66***0.29*******ALLOWANCE~
PO1*14*2*CA*2.35**UK*90039073021301~
PID*F****2-4LB KRET OLIVE LOAF~
SAC*A*ZZZZ***96***0.03*******ALLOWANCE~
PO1*15*1*CA*2.35**UK*90039073021332~
PID*F****2-4LB KRET P&P LOAF~
SAC*A*ZZZZ***11***0.03*******ALLOWANCE~
PO1*16*75*CA*21.5**UK*10070043020362~
PID*F****10LB PEYTON CHORIZO LINKS AC~
SAC*A*ZZZZ***53***0.24*******ALLOWANCE~
PO1*17*1*CA*28**UK*10039073040849~
PID*F****14/8OZ KRET BRN SGR HAM ZIP PK~
SAC*A*ZZZZ***55***0.31*******ALLOWANCE~
PO1*18*24*CA*24.11**UK*10070100060546~
PID*F****300CT PRCKD BACON THIN SLICED~
SAC*A*ZZZZ***67***0.27*******ALLOWANCE~
PO1*19*14*CA*1.61**UK*90070100044085~
PID*F****2PC FSRV BQ 1827 BRAND HAM WA~
SAC*A*ZZZZ***12***0.02*******ALLOWANCE~
CTT*19*425~
SE*67*0695~