X12 875 Grocery Products Purchase Order

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)

• OG: Order Group - Grocery (875, 876)

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)

• 875: Grocery Products Purchase Order

ST-02 · 329 · Transaction Set Control Number · Required · Numeric (N0) · Min 4 Max 9

020 Heading > G50

G50 Purchase Order Identification

Required · Max use 1

G50-01 · 473 · Order Status Code · Required · Identifier (ID)

• N: Original

G50-02 · 373 · Date · Required · Date (DT) · CCYYMMDD format

G50-03 · 324 · Purchase Order Number · Required · String (AN) · Min 1 Max 22

030 Heading > N9

N9 Reference Identification

Optional · Max use 50

N9-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• AN: Associated Purchase Orders

N9-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

040 Heading > G61

G61 Contact

Optional · Max use 3

If either Communication Number Qualifier (G61-03) or Communication Number (G61-04) is present, then the other is required

G61-01 · 366 · Contact Function Code · Required · Identifier (ID)

• BD: Buyer Name or Department
• SC: Schedule Contact
• ZZ: Mutually Defined

G61-02 · 93 · Name · Required · String (AN) · Min 1 Max 20

G61-03 · 365 · Communication Number Qualifier · Optional · Identifier (ID)

• TE: Telephone

G61-04 · 364 · Communication Number · Optional · String (AN) · Min 1 Max 80

050 Heading > G62

G62 Date/Time

Optional · Max use 10

G62-01 · 432 · Date Qualifier · Required · Identifier (ID)

• 02: Delivery Requested on This Date
• 10: Requested Ship Date/Pick-up Date

G62-02 · 373 · Date · Required · Date (DT) · CCYYMMDD format

060 Heading > NTE

NTE Note/Special Instruction

Optional · Max use 20

NTE-01 · 363 · Note Reference Code · Required · Identifier (ID) · Min 3 Max 3

NTE-02 · 352 · Description · Required · String (AN) · Min 1 Max 80

070 Heading > G66

G66 Transportation Instructions

Optional · Max use 1

G66-01 · 146 · Shipment Method of Payment · Optional · Identifier (ID) · Min 2 Max 2

G66-02 · 91 · Transportation Method/Type Code · Optional · Identifier (ID) · Min 1 Max 2

0100 Loop Required Max 10

090 Heading > 0100 Loop > 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

110 Heading > 0100 Loop > N3

N3 Address Information

Optional · Max use 2

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

120 Heading > 0100 Loop > N4

N4 Geographic Location

Optional · 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

Detail

0300 Loop Required Max 9999

010 Detail > 0300 Loop > G68

G68 Line Item Detail - Product

Required · Max use 1

If either Product/Service ID Qualifier (G68-05) or Product/Service ID (G68-06) is present, then the other is required

At least one of U.P.C. Case Code (G68-04) or Product/Service ID Qualifier (G68-05) is required

G68-01 · 330 · Quantity Ordered · Required · Decimal number (R) · Min 1 Max 15

G68-02 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID) · Min 2 Max 2

G68-03 · 237 · Item List Cost · Optional · Decimal number (R) · Min 1 Max 9

G68-04 · 438 · U.P.C. Case Code · Optional · String (AN) · Min 12 Max 12

G68-05 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• IN: Buyer's Item Number

G68-06 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

020 Detail > 0300 Loop > G69

G69 Line Item Detail - Description

Optional · Max use 5

G69-01 · 369 · Free-form Description · Optional · String (AN) · Min 1 Max 45

030 Detail > 0300 Loop > G70

G70 Line Item Detail - Miscellaneous

Optional · Max use 2

If either Size (G70-02) or Unit or Basis for Measurement Code (G70-03) is present, then the other is required

G70-01 · 356 · Pack · Optional · Numeric (N0) · Min 1 Max 6

G70-02 · 357 · Size · Optional · Decimal number (R) · Min 1 Max 8

G70-03 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

0310 Loop Optional Max >1

060 Detail > 0300 Loop > 0310 Loop > G72

G72 Allowance or Charge

Required · Max use 1

G72-01 · 340 · Allowance or Charge Code · Required · Identifier (ID) · Min 1 Max 3

G72-02 · 331 · Allowance or Charge Method of Handling Code · Required · Identifier (ID) · Min 2 Max 2

G72-05 · 359 · Allowance or Charge Rate · Required · Decimal number (R) · Min 1 Max 15

Summary

010 Summary > G76

G76 Total Purchase Order

Required · Max use 1

If either Weight (G76-03) or Unit or Basis for Measurement Code (G76-04) is present, then the other is required

If either Volume (G76-05) or Unit or Basis for Measurement Code (G76-06) is present, then the other is required

G76-01 · 330 · Quantity Ordered · Required · Decimal number (R) · Min 1 Max 15

G76-02 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID) · Min 2 Max 2

G76-03 · 81 · Weight · Optional · Decimal number (R) · Min 1 Max 10

G76-04 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

G76-05 · 183 · Volume · Optional · Decimal number (R) · Min 1 Max 8

G76-06 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

020 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 (N0) · 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 1

ISA*00*          *00*          *08*WAREUSBTST     *08*92794101310T   *191212*1059*U*00401*000000001*0*T*>~
GS*OG*50358161002*2062866723T*20191212*1059*000000001*T*004010UCS~
ST*875*000000001~
G50*N*20191212*5791274~
G61*BD*ORDER ENTRY*TE*12086722045~
G62*02*20191215~
NTE*GEN*TEST ORDER.  DO NOT PROCESS~
N1*ST*Vendor name*9*0012345678900~
N1*ST*  2 Kennewick*9*0098263145906~
N3*4602 W. Clearwater~
N4*Kennewick*WA*99336~
N1*ST*WINCO FOODS*9*0098263140001~
N3*PO BOX 52~
N4*BOISE*ID*83707~
G68*36*CA**008870056356*IN*912345~
G69*Description~
G76*1*UN~
SE*16*000000001~
GE*1*000000001~
IEA*1*000000001~