FRM Supporting Documentation

To specify information in response to a codified questionnaire document

Position: FRM-01 · Element: 350 · Name: Assigned Identification · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 20 · Repeat: 1

Alphanumeric characters assigned for differentiation within a transaction set

FRM01 is the question number on a questionnaire or codified form.

Position: FRM-02 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Conditional · Min: 1 · Max: 1 · Repeat: 1

Code indicating a Yes or No condition or response

R02030405: At least one of FRM-02, FRM-03, FRM-04 or FRM-05 is required

FRM02, FRM03, FRM04 and FRM05 are responses which only have meaning in reference to the question identified in FRM01.

Position: FRM-03 · Element: 127 · Name: Reference Identification · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 80 · Repeat: 1

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Position: FRM-04 · Element: 373 · Name: Date · Type: Date (DT) · Requirement: Conditional · Min: 8 · Max: 8 · Repeat: 1

Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year

Position: FRM-05 · Element: 332 · Name: Percent, Decimal Format · Type: Decimal number (R) · Requirement: Conditional · Min: 1 · Max: 6 · Repeat: 1

Percent given in decimal format (e.g., 0.0 through 100.0 represents 0% through 100%)