EDI 194 Grant or Assistance Application

Functional Group GT

X12F Finance Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Grant or Assistance Application Transaction Set (194) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used by organizations submitting applications for grants, cooperative agreements, and other assistance. These applications will typically include project, budget, personnel, descriptive, and other related data.

Heading

1. 0100 · ST · Transaction Set Header · Max 1 · Mandatory

   To indicate the start of a transaction set and to assign a control number

2. 0200 · BGN · Beginning Segment · Max 1 · Mandatory

   To indicate the beginning of a transaction set

3. 0300 · DTM · Date/Time Reference · Max >1 · Optional

   To specify pertinent dates and times

4. 0400 · LDT · Lead Time · Max >1 · Optional

   To specify lead time for availability of products and services

5. 0500 · PWK · Paperwork · Max >1 · Optional

   To identify the type or transmission or both of paperwork or supporting information

6. N9 Loop Optional Repeat >1

   1. 0600 · N9 · Reference Identification · Max 1 · Mandatory

      To transmit identifying information as specified by the Reference Identification Qualifier

   2. 0700 · L11 · Business Instructions and Reference Number · Max >1 · Optional

      To specify instructions in this business relationship or a reference number

   3. 0800 · MTX · Text · Max >1 · Optional

      To specify textual data

7. NM1 Loop Optional Repeat >1

   1. 0900 · NM1 · Individual or Organizational Name · Max 1 · Mandatory

      To supply the full name of an individual or organizational entity

   2. 1000 · N2 · Additional Name Information · Max 2 · Optional

      To specify additional names

   3. 1100 · N3 · Address Information · Max 2 · Optional

      To specify the location of the named party

   4. 1200 · N4 · Geographic Location · Max 1 · Optional

      To specify the geographic place of the named party

   5. 1300 · N9 · Reference Identification · Max >1 · Optional

      To transmit identifying information as specified by the Reference Identification Qualifier

   6. 1400 · PER · Administrative Communications Contact · Max >1 · Optional

      To identify a person or office to whom administrative communications should be directed

Detail

1. HL Loop Mandatory Repeat >1

   1. 0100 · HL · Hierarchical Level · Max 1 · Mandatory

      To identify dependencies among and the content of hierarchically related groups of data segments

   2. 0200 · QTY · Quantity · Max >1 · Optional

      To specify quantity information

   3. 0300 · AMT · Monetary Amount · Max >1 · Optional

      To indicate the total monetary amount

   4. 0500 · DTM · Date/Time Reference · Max >1 · Optional

      To specify pertinent dates and times

   5. 0600 · PAM · Period Amount · Max >1 · Optional

      To indicate a quantity, and/or amount for an identified period

   6. 0700 · HSD · Health Care Services Delivery · Max >1 · Optional

      To specify the delivery pattern of health care services

   7. 0800 · NX1 · Property or Entity Identification · Max >1 · Optional

      To define the attributes of a property or an entity

   8. 0900 · YNQ · Yes/No Question · Max >1 · Optional

      To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition

   9. N9 Loop Optional Repeat >1

      1. 1000 · N9 · Reference Identification · Max 1 · Mandatory

         To transmit identifying information as specified by the Reference Identification Qualifier

      2. 1050 · L11 · Business Instructions and Reference Number · Max >1 · Optional

         To specify instructions in this business relationship or a reference number

      3. 1100 · MTX · Text · Max >1 · Optional

         To specify textual data

      4. INX Loop Optional Repeat >1

         1. 1200 · INX · Index Detail · Max 1 · Mandatory

            To specify an index

         2. 1300 · K3 · File Information · Max >1 · Mandatory

            To transmit a fixed-format record or matrix contents

   10. PO1 Loop Optional Repeat >1

       1. 1400 · PO1 · Baseline Item Data · Max 1 · Mandatory

          To specify basic and most frequently used line item data

       2. 1600 · MTX · Text · Max >1 · Optional

          To specify textual data

   11. PPL Loop Optional Repeat >1

       1. 1700 · PPL · Price Support Data · Max 1 · Mandatory

          To provide information about pricing support

       2. 1800 · REF · Reference Identification · Max >1 · Optional

          To specify identifying information

       3. PD Loop Optional Repeat >1

          1. 1900 · PD · Pricing Data · Max 1 · Mandatory

             To describe the pricing basic input detail

          2. 2000 · PDD · Pricing Data Detail · Max >1 · Optional

             To provide the rates, direct input, and pricing factors for each element of work, cross-referenced to an applicable request or submission

       4. PL Loop Optional Repeat >1

          1. 2100 · PL · Proposal Cost Logic · Max 1 · Mandatory

             To describe the cost logic used when pricing a particular aspect of a proposal

          2. 2200 · REF · Reference Identification · Max >1 · Optional

             To specify identifying information

          3. 2300 · AMT · Monetary Amount · Max 1 · Optional

             To indicate the total monetary amount

          4. 2400 · PCT · Percent Amounts · Max 1 · Optional

             To qualify percent amounts and supply percent amounts

          5. 2500 · QTY · Quantity · Max 1 · Optional

             To specify quantity information

          6. 2600 · NTE · Note/Special Instruction · Max >1 · Optional

             To transmit information in a free-form format, if necessary, for comment or special instruction

          7. PD Loop Optional Repeat >1

             1. 2700 · PD · Pricing Data · Max 1 · Mandatory

                To describe the pricing basic input detail

             2. 2800 · SPI · Specification Identifier · Max 1 · Optional

                To provide a description of the included specification or technical data items

             3. 2900 · REF · Reference Identification · Max >1 · Optional

                To specify identifying information

             4. 3000 · PDD · Pricing Data Detail · Max >1 · Optional

                To provide the rates, direct input, and pricing factors for each element of work, cross-referenced to an applicable request or submission

             5. 3100 · MTX · Text · Max >1 · Optional

                To specify textual data

             6. 3200 · DTM · Date/Time Reference · Max 10 · Optional

                To specify pertinent dates and times

   12. LX Loop Optional Repeat >1

       1. 3300 · LX · Assigned Number · Max 1 · Mandatory

          To reference a line number in a transaction set

       2. 3400 · NM1 · Individual or Organizational Name · Max 1 · Optional

          To supply the full name of an individual or organizational entity

       3. 3500 · N2 · Additional Name Information · Max 2 · Optional

          To specify additional names

       4. 3600 · N3 · Address Information · Max 2 · Optional

          To specify the location of the named party

       5. 3700 · N4 · Geographic Location · Max 1 · Optional

          To specify the geographic place of the named party

       6. 3750 · PER · Administrative Communications Contact · Max >1 · Optional

          To identify a person or office to whom administrative communications should be directed

       7. 3800 · DMG · Demographic Information · Max >1 · Optional

          To supply demographic information

       8. 3900 · EMS · Employment Position · Max 1 · Optional

          To describe employment position

       9. N9 Loop Optional Repeat >1

          1. 4000 · N9 · Reference Identification · Max 1 · Mandatory

             To transmit identifying information as specified by the Reference Identification Qualifier

          2. 4050 · L11 · Business Instructions and Reference Number · Max >1 · Optional

             To specify instructions in this business relationship or a reference number

          3. 4100 · MTX · Text · Max >1 · Optional

             To specify textual data

       10. DEG Loop Optional Repeat >1

           1. 4200 · DEG · Degree Record · Max 1 · Mandatory

              To provide information about an educational institution's academic award

           2. 4300 · FOS · Field of Study · Max >1 · Optional

              To provide information about a course or field of study associated with an academic program

           3. 4400 · N1 · Name · Max >1 · Optional

              To identify a party by type of organization, name, and code

       11. K2 Loop Optional Repeat >1

           1. 4500 · K2 · Administrative Message · Max 1 · Mandatory

              To transmit information in a free-form format for comment or special instruction

           2. 4600 · N9 · Reference Identification · Max >1 · Optional

              To transmit identifying information as specified by the Reference Identification Qualifier

           3. 4700 · NM1 · Individual or Organizational Name · Max >1 · Optional

              To supply the full name of an individual or organizational entity

2. 4800 · SE · Transaction Set Trailer · Max 1 · Mandatory

   To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)