X12 856 Ship Notice/Manifest

X12 Release 5010

Delimiters

• ~ Segment
• * Element
• > Component
• ^ Repetition

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)
• 07: Global Location Number (GLN)
• 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: ACT, Inc. 4-Digit Code of Postsecondary Institutions.
• 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
• 38: The College Board and ACT, Inc. 6-Digit Code List of Secondary Institutions
• AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
• NR: National Retail Merchants Association (NRMA) - Assigned
• SA: User Identification Number as assigned by the Safety and Fitness Electronic Records (SAFER) System
• 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)
• 07: Global Location Number (GLN)
• 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: ACT, Inc. 4-Digit Code of Postsecondary Institutions.
• 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
• 38: The College Board and ACT, Inc. 6-Digit Code List of Secondary Institutions
• AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
• NR: National Retail Merchants Association (NRMA) - Assigned
• SA: User Identification Number as assigned by the Safety and Fitness Electronic Records (SAFER) System
• 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 · I65 · Repetition Separator · Required · String (AN) · Min 1 Max 1

• ^: Repetition Separator

ISA-12 · I11 · Interchange Control Version Number · Required · Identifier (ID)

• 00501: Standards Approved for Publication by ASC X12 Procedures Review Board through October 2003

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 Interchange Acknowledgment Requested
• 1: Interchange Acknowledgment Requested (TA1)

ISA-15 · I14 · Interchange 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)

• SH: Ship Notice/Manifest (856)

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)

• 005010: Standards Approved for Publication by ASC X12 Procedures Review Board through October 2003

Heading

0100 Heading > ST

ST Transaction Set Header

Required · Max use 1

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 4 Max 9

0200 Heading > BSN

BSN Beginning Segment for Ship Notice

Required · Max use 1

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

• 00: Original

BSN-02 · 396 · Shipment Identification · Required · String (AN) · Min 2 Max 30

BSN-03 · 373 · Date · Required · Date (DT) · CCYYMMDD format

BSN-04 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

BSN-05 · 1005 · Hierarchical Structure Code · Optional · Identifier (ID)

• 0001: Shipment, Order, Packaging, Item
• 0002: Shipment, Order, Item, Packaging
• 0004: Shipment, Order, Item

Detail

HL Loop Required Max >1

0100 Detail > HL Loop > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• S: Shipment

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

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

1100 Detail > HL Loop > TD1

TD1 Carrier Details (Quantity and Weight)

Required · Max use 20

If either Volume (TD1-09) or Unit or Basis for Measurement Code (TD1-10) is present, then the other is required

TD1-01 · 103 · Packaging Code · Required · String (AN) · Min 3 Max 5

TD1-02 · 80 · Lading Quantity · Required · Numeric (N0) · Min 1 Max 7

TD1-06 · 187 · Weight Qualifier · Required · Identifier (ID)

• G: Gross Weight

TD1-07 · 81 · Weight · Required · Decimal number (R) · Min 1 Max 10

TD1-08 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• KG: Kilogram
• LB: Pound

TD1-09 · 183 · Volume · Optional · Decimal number (R) · Min 1 Max 8

TD1-10 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CF: Cubic Feet

1200 Detail > HL Loop > TD5

TD5 Carrier Details (Routing Sequence/Transit Time)

Required · Max use 12

TD5-02 · 66 · Identification Code Qualifier · Required · Identifier (ID)

• 2: Standard Carrier Alpha Code (SCAC)

TD5-03 · 67 · Identification Code · Required · String (AN) · Min 2 Max 80

TD5-04 · 91 · Transportation Method/Type Code · Required · Identifier (ID) · Min 1 Max 2

TD5-05 · 387 · Routing · Optional · String (AN) · Min 1 Max 35

TD5-06 · 368 · Shipment/Order Status Code · Required · Identifier (ID)

• CC: Shipment Complete on (Date)
• CP: Partial Shipment on (Date), Considered No Backorder
• PD: Purchase Order Complete
• PR: Partial Shipment
• SH: Shipped (Date)
• SJ: Shipped or Performed as Indicated

TD3 Loop Optional Max >1

1300 Detail > HL Loop > TD3 Loop > TD3

TD3 Carrier Details (Equipment)

Required · Max use 1

TD3-01 · 40 · Equipment Description Code · Required · Identifier (ID) · Min 2 Max 2

TD3-02 · 206 · Equipment Initial · Required · String (AN) · Min 1 Max 4

TD3-03 · 207 · Equipment Number · Required · String (AN) · Min 1 Max 15

1500 Detail > HL Loop > REF

REF Bill of Lading Number

Required · Max use 1

Variants (all may be used)

REFCarrier's Reference Number (PRO/Invoice)

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• BM: Bill of Lading Number

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 50

1500 Detail > HL Loop > REF

REF Carrier's Reference Number (PRO/Invoice)

Optional · Max use 1

Variants (all may be used)

REFBill of Lading Number

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• CN: Carrier's Reference Number (PRO/Invoice)

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 50

2000 Detail > HL Loop > DTM

DTM Current Schedule Delivery

Optional · Max use 1

Variants (all may be used)

DTMShipped

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

• 067: Current Schedule Delivery

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

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

2000 Detail > HL Loop > DTM

DTM Shipped

Required · Max use 1

Variants (all may be used)

DTMCurrent Schedule Delivery

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

• 011: Shipped

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

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

N1 Ship From Required Max 1

Variants (all may be used)

Ship To

2200 Detail > HL Loop > Ship From > N1

N1 Party Identification

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

2500 Detail > HL 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 Ship To Required Max 1

Variants (all may be used)

Ship From

2200 Detail > HL Loop > Ship To > N1

N1 Party Identification

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

2400 Detail > HL Loop > Ship To > N3

N3 Party Location

Required · Max use 2

N3-01 · 166 · Address Information · Required · String (AN) · Min 1 Max 55

2500 Detail > HL Loop > Ship To > 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

HL Loop Required Max >1

0100 Detail > HL Loop > HL Loop > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• O: Order

HL-04 · 736 · 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.

0500 Detail > HL Loop > HL Loop > PRF

PRF Purchase Order Reference

Required · Max use 1

PRF-01 · 324 · Purchase Order Number · Required · String (AN) · Min 1 Max 22

1200 Detail > HL Loop > HL Loop > TD5

TD5 Carrier Details (Routing Sequence/Transit Time)

Required · Max use 12

TD5-06 · 368 · Shipment/Order Status Code · Required · Identifier (ID)

• CC: Shipment Complete on (Date)
• CP: Partial Shipment on (Date), Considered No Backorder
• PD: Purchase Order Complete
• PR: Partial Shipment
• SH: Shipped (Date)
• SJ: Shipped or Performed as Indicated

HL Loop Item Optional Max >1

Variants (all may be used)

HL Loop PackHL Loop Shipping Tare

0100 Detail > HL Loop > HL Loop > HL Loop Item > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• I: Item

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

• 0: No Subordinate HL Segment in This Hierarchical Structure.

0200 Detail > HL Loop > HL Loop > HL Loop Item > LIN

LIN Item Identification

Required · Max use 1

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

LIN-02 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• IN: Buyer's Item Number

LIN-03 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

LIN-04 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• EN: EAN/UCC - 13
• ND: National Drug Code (NDC)
• UA: U.P.C./EAN Case Code (2-5-5)
• UI: U.P.C. Consumer Package Code (1-5-5)
• UK: GTIN 14-digit Data Structure
• UP: UCC - 12
• VN: Vendor's (Seller's) Item Number

LIN-05 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

0300 Detail > HL Loop > HL Loop > HL Loop Item > SN1

SN1 Item Detail (Shipment)

Required · Max use 1

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

SN1-02 · 382 · Number of Units Shipped · Required · Decimal number (R) · Min 1 Max 10

SN1-03 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case
• EA: Each

SN1-04 · 646 · Quantity Shipped to Date · Optional · Decimal number (R) · Min 1 Max 15

SN1-05 · 380 · Quantity · Optional · Decimal number (R) · Min 1 Max 15

SN1-06 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CA: Case
• EA: Each

SN1-08 · 668 · Line Item Status Code · Required · Identifier (ID)

• AC: Item Accepted and Shipped
• BP: Item Accepted - Partial Shipment, Balance Backordered
• IB: Item Backordered
• IC: Item Accepted - Changes Made
• ID: Item Deleted
• IE: Item Accepted, Price Pending
• IH: Item on Hold
• IP: Item Accepted - Price Changed
• IQ: Item Accepted - Quantity Changed
• IR: Item Rejected
• IS: Item Accepted - Substitution Made
• IW: Item on Hold-Waiver Required
• R2: Item Rejected, Invalid Item Product Number
• R3: Item Rejected, Invalid Unit of Issue

0600 Detail > HL Loop > HL Loop > HL Loop Item > PO4

PO4 Item Physical Details

Required · Max use 1

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

PO4-01 · 356 · Pack · Required · Numeric (N0) · Min 1 Max 6

PO4-02 · 357 · Size · Optional · Decimal number (R) · Min 1 Max 8

PO4-03 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

PO4-14 · 810 · Inner Pack · Optional · Numeric (N0) · Min 1 Max 6

0700 Detail > HL Loop > HL Loop > HL Loop Item > PID

PID Product/Item Description

Required · Max use 200

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

• F: Free-form

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

1500 Detail > HL Loop > HL Loop > HL Loop Item > REF

REF Reference Information

Optional · Max use >1

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• LT: Lot Number

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 50

2000 Detail > HL Loop > HL Loop > HL Loop Item > DTM

DTM Date/Time Reference

Optional · Max use 10

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

• 036: Expiration

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

HL Loop Pack Optional Max >1

Variants (all may be used)

HL Loop ItemHL Loop Shipping Tare

0100 Detail > HL Loop > HL Loop > HL Loop Pack > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• P: Pack

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

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

1900 Detail > HL Loop > HL Loop > HL Loop Pack > MAN

MAN Marks and Numbers Information

Required · Max use >1

MAN-01 · 88 · Marks and Numbers Qualifier · Required · Identifier (ID)

• GM: EAN.UCC Serial Shipping Container Code (SSCC) and Application Identifier

MAN-02 · 87 · Marks and Numbers · Required · String (AN) · Min 1 Max 48

HL Loop Required Max >1

0100 Detail > HL Loop > HL Loop > HL Loop Pack > HL Loop > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• I: Item

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

• 0: No Subordinate HL Segment in This Hierarchical Structure.

0200 Detail > HL Loop > HL Loop > HL Loop Pack > HL Loop > LIN

LIN Item Identification

Required · Max use 1

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

LIN-02 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• IN: Buyer's Item Number

LIN-03 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

LIN-04 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• EN: EAN/UCC - 13
• ND: National Drug Code (NDC)
• UA: U.P.C./EAN Case Code (2-5-5)
• UI: U.P.C. Consumer Package Code (1-5-5)
• UK: GTIN 14-digit Data Structure
• UP: UCC - 12
• VN: Vendor's (Seller's) Item Number

LIN-05 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

0300 Detail > HL Loop > HL Loop > HL Loop Pack > HL Loop > SN1

SN1 Item Detail (Shipment)

Required · Max use 1

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

SN1-02 · 382 · Number of Units Shipped · Required · Decimal number (R) · Min 1 Max 10

SN1-03 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case
• EA: Each

SN1-04 · 646 · Quantity Shipped to Date · Optional · Decimal number (R) · Min 1 Max 15

SN1-05 · 380 · Quantity · Optional · Decimal number (R) · Min 1 Max 15

SN1-06 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CA: Case
• EA: Each

SN1-08 · 668 · Line Item Status Code · Required · Identifier (ID)

• AC: Item Accepted and Shipped
• BP: Item Accepted - Partial Shipment, Balance Backordered
• IB: Item Backordered
• IC: Item Accepted - Changes Made
• ID: Item Deleted
• IE: Item Accepted, Price Pending
• IH: Item on Hold
• IP: Item Accepted - Price Changed
• IQ: Item Accepted - Quantity Changed
• IR: Item Rejected
• IS: Item Accepted - Substitution Made
• IW: Item on Hold-Waiver Required
• R2: Item Rejected, Invalid Item Product Number
• R3: Item Rejected, Invalid Unit of Issue

0600 Detail > HL Loop > HL Loop > HL Loop Pack > HL Loop > PO4

PO4 Item Physical Details

Required · Max use 1

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

PO4-01 · 356 · Pack · Required · Numeric (N0) · Min 1 Max 6

PO4-02 · 357 · Size · Optional · Decimal number (R) · Min 1 Max 8

PO4-03 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

PO4-14 · 810 · Inner Pack · Optional · Numeric (N0) · Min 1 Max 6

0700 Detail > HL Loop > HL Loop > HL Loop Pack > HL Loop > PID

PID Product/Item Description

Required · Max use 200

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

• F: Free-form

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

1500 Detail > HL Loop > HL Loop > HL Loop Pack > HL Loop > REF

REF Reference Information

Optional · Max use >1

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• LT: Lot Number

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 50

2000 Detail > HL Loop > HL Loop > HL Loop Pack > HL Loop > DTM

DTM Date/Time Reference

Optional · Max use 10

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

• 036: Expiration

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

HL Loop Shipping Tare Optional Max >1

Variants (all may be used)

HL Loop ItemHL Loop Pack

0100 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• T: Shipping Tare

HL-04 · 736 · 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.

1900 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > MAN

MAN Marks and Numbers Information

Required · Max use >1

MAN-01 · 88 · Marks and Numbers Qualifier · Required · Identifier (ID)

• GM: EAN.UCC Serial Shipping Container Code (SSCC) and Application Identifier

MAN-02 · 87 · Marks and Numbers · Required · String (AN) · Min 1 Max 48

HL Loop Item Optional Max >1

Variants (all may be used)

HL Loop Pack

0100 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Item > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• I: Item

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

• 0: No Subordinate HL Segment in This Hierarchical Structure.

0200 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Item > LIN

LIN Item Identification

Required · Max use 1

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

LIN-02 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• IN: Buyer's Item Number

LIN-03 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

LIN-04 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• EN: EAN/UCC - 13
• ND: National Drug Code (NDC)
• UA: U.P.C./EAN Case Code (2-5-5)
• UI: U.P.C. Consumer Package Code (1-5-5)
• UK: GTIN 14-digit Data Structure
• UP: UCC - 12
• VN: Vendor's (Seller's) Item Number

LIN-05 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

0300 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Item > SN1

SN1 Item Detail (Shipment)

Required · Max use 1

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

SN1-02 · 382 · Number of Units Shipped · Required · Decimal number (R) · Min 1 Max 10

SN1-03 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case
• EA: Each

SN1-04 · 646 · Quantity Shipped to Date · Optional · Decimal number (R) · Min 1 Max 15

SN1-05 · 380 · Quantity · Optional · Decimal number (R) · Min 1 Max 15

SN1-06 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CA: Case
• EA: Each

SN1-08 · 668 · Line Item Status Code · Required · Identifier (ID)

• AC: Item Accepted and Shipped
• BP: Item Accepted - Partial Shipment, Balance Backordered
• IB: Item Backordered
• IC: Item Accepted - Changes Made
• ID: Item Deleted
• IE: Item Accepted, Price Pending
• IH: Item on Hold
• IP: Item Accepted - Price Changed
• IQ: Item Accepted - Quantity Changed
• IR: Item Rejected
• IS: Item Accepted - Substitution Made
• IW: Item on Hold-Waiver Required
• R2: Item Rejected, Invalid Item Product Number
• R3: Item Rejected, Invalid Unit of Issue

0600 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Item > PO4

PO4 Item Physical Details

Required · Max use 1

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

PO4-01 · 356 · Pack · Required · Numeric (N0) · Min 1 Max 6

PO4-02 · 357 · Size · Optional · Decimal number (R) · Min 1 Max 8

PO4-03 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

PO4-14 · 810 · Inner Pack · Optional · Numeric (N0) · Min 1 Max 6

0700 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Item > PID

PID Product/Item Description

Required · Max use 200

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

• F: Free-form

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

1500 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Item > REF

REF Reference Information

Optional · Max use >1

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• LT: Lot Number

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 50

2000 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Item > DTM

DTM Date/Time Reference

Optional · Max use 10

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

• 036: Expiration

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

HL Loop Pack Optional Max >1

Variants (all may be used)

HL Loop Item

0100 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• P: Pack

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

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

1900 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > MAN

MAN Marks and Numbers Information

Required · Max use >1

MAN-01 · 88 · Marks and Numbers Qualifier · Required · Identifier (ID)

• GM: EAN.UCC Serial Shipping Container Code (SSCC) and Application Identifier

MAN-02 · 87 · Marks and Numbers · Required · String (AN) · Min 1 Max 48

HL Loop Required Max >1

0100 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > HL Loop > HL

HL Hierarchical Level

Required · Max use 1

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

• I: Item

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

• 0: No Subordinate HL Segment in This Hierarchical Structure.

0200 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > HL Loop > LIN

LIN Item Identification

Required · Max use 1

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

LIN-02 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• IN: Buyer's Item Number

LIN-03 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

LIN-04 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• EN: EAN/UCC - 13
• ND: National Drug Code (NDC)
• UA: U.P.C./EAN Case Code (2-5-5)
• UI: U.P.C. Consumer Package Code (1-5-5)
• UK: GTIN 14-digit Data Structure
• UP: UCC - 12
• VN: Vendor's (Seller's) Item Number

LIN-05 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

0300 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > HL Loop > SN1

SN1 Item Detail (Shipment)

Required · Max use 1

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

SN1-02 · 382 · Number of Units Shipped · Required · Decimal number (R) · Min 1 Max 10

SN1-03 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case
• EA: Each

SN1-04 · 646 · Quantity Shipped to Date · Optional · Decimal number (R) · Min 1 Max 15

SN1-05 · 380 · Quantity · Optional · Decimal number (R) · Min 1 Max 15

SN1-06 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CA: Case
• EA: Each

SN1-08 · 668 · Line Item Status Code · Required · Identifier (ID)

• AC: Item Accepted and Shipped
• BP: Item Accepted - Partial Shipment, Balance Backordered
• IB: Item Backordered
• IC: Item Accepted - Changes Made
• ID: Item Deleted
• IE: Item Accepted, Price Pending
• IH: Item on Hold
• IP: Item Accepted - Price Changed
• IQ: Item Accepted - Quantity Changed
• IR: Item Rejected
• IS: Item Accepted - Substitution Made
• IW: Item on Hold-Waiver Required
• R2: Item Rejected, Invalid Item Product Number
• R3: Item Rejected, Invalid Unit of Issue

0600 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > HL Loop > PO4

PO4 Item Physical Details

Required · Max use 1

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

PO4-01 · 356 · Pack · Required · Numeric (N0) · Min 1 Max 6

PO4-02 · 357 · Size · Optional · Decimal number (R) · Min 1 Max 8

PO4-03 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

PO4-14 · 810 · Inner Pack · Optional · Numeric (N0) · Min 1 Max 6

0700 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > HL Loop > PID

PID Product/Item Description

Required · Max use 200

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

• F: Free-form

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

1500 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > HL Loop > REF

REF Reference Information

Optional · Max use >1

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• LT: Lot Number

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 50

2000 Detail > HL Loop > HL Loop > HL Loop Shipping Tare > HL Loop Pack > HL Loop > DTM

DTM Date/Time Reference

Optional · Max use 10

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

• 036: Expiration

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

Summary

0100 Summary > CTT

CTT Transaction Totals

Required · Max use 1

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

0200 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

Sample

ST*856*673230873~
BSN*00*111202*20131112*1032*0001~
HL*1**S~
TD1*PLT94*1464****G*189.250*LB*189.250*CF~
TD5**2*RDWY*M**CC~
REF*BM*6409527138~
DTM*011*20131111*1930~
N1*SF*VENDOR NAME~
N4*RIVERSIDE*CA*92507~
N1*ST*RITE AID WILSONVILLEDIST CENTER*9*0145788920080~
N3*29555 SW BOONES FERRY ROAD~
N4*WILSONVILLE*OR*97070~
HL*2*1*O~
PRF*6013687~
TD5******CC~
HL*3*2*I~
LIN**IN*0031292*UI*01182233292~
SN1**7*CA**7*CA**AC~
PO4*72*************72~
PID*F****RA GAUZE BND 2INX2.5YD~
HL*4*2*I~
LIN**IN*0352800*UI*01182252800~
SN1**7*CA**7*CA**AC~
PO4*36*************36~
PID*F****RA GAUZE ROLLS 4IN 5CT~
HL*5*2*I~
LIN**IN*0352801*UI*01182252801~
SN1**5*CA**5*CA**AC~
PO4*36*************36~
PID*F****RA GAUZE ROLLS 3IN 5CT~
HL*6*2*I~
LIN**IN*0393445*UI*01182254439~
SN1**11*CA**11*CA**AC~
PO4*48*************48~
PID*F****RA NONSTICK PAD 3X4 10CT~
CTT*6~
SE*37*673230873~