AM1 Informational Values

To specify a code and the amount, quantity associated with it, or both

Position
Element
Name
Type
Requirement
Min
Max
Repeat
AM1-01
Code Category
Identifier (ID)
Mandatory
2
2
-
Specifies the situation or category to which the code applies
AM1-02
Product/Service ID Qualifier
Identifier (ID)
Mandatory
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
AM1-03
Product/Service ID
String (AN)
Mandatory
1
40
-
Identifying number for a product or service
AM1-04
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
AM1-05
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity

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