EDI 868 Electronic Form Structure

Functional Group MT

X12C Communications and Controls Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Electronic Form Structure Transaction Set (868) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide a structure for transfer of EDI standards, or portions thereof, in an electronic form. These EDI standards include but are not limited to: X12 standards, approved X12 Transaction Sets, UN/EDIFACT standard messages, and industry EDI conventions and guidelines. It is intended to provide users with the following: The ability to send and receive EDI standards data which can be used to update application or translation software. The ability to exchange data maintenance information with trading partners about transaction sets, segments, composite data structures, elements and codes that will be used for EDI transmissions. The ability to transmit complete or partial EDI standards or conventions.

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 · E01 · Electronic Form Main Heading · Max 1 · Mandatory

   To provide the information related to all of the values for this instance of the electronic form of the X12 standards

3. 0300 · DMI · Data Maintenance Information · Max 100 · Optional

   To provide information related to the data maintenance request number in the electronic form of the X12 standards

4. 0400 · E03 · Interchange Order of Segments · Max 100 · Optional

   To provide information related to the interchange order table of the control segments for the electronic form of the X12 standards

5. 0450 · MSG · Message Text · Max 1000 · Optional

   To provide a free-form format that allows the transmission of text information

6. E10 Loop Optional Repeat 1000

   1. 0500 · E10 · Transaction Set Grouping · Max 1 · Mandatory

      To provide information grouping of transaction sets by transaction ID and functional ID for the electronic form of the X12 standards

   2. 0550 · E13 · Segment Order in Transaction Set · Max 1000 · Optional

      To provide the list of segments in a transaction set for the electronic form of the X12 standards

7. E20 Loop Optional Repeat 1000

   1. 0800 · E20 · Segment Header Information · Max 1 · Mandatory

      To provide for grouping the data elements by segment ID value for the electronic form of the X12 standards

   2. 0900 · E22 · Data Element Relationships in a Segment or Composite · Max 100 · Optional

      To provide the detail information for the data element relationships in a segment or composite for the electronic form of the X12 standards

   3. 1000 · E24 · Data Element Sequence in a Segment or Composite · Max 100 · Optional

      To provide the detail information related to the sequence of the data elements in a segment or composite for the electronic form of the X12 standards

8. E41 Loop Optional Repeat 2000

   1. 1060 · E41 · Composite Header Information · Max 1 · Mandatory

      To provide for grouping the data elements by composite ID value for the electronic form of the X12 standards

   2. 1120 · E22 · Data Element Relationships in a Segment or Composite · Max 100 · Optional

      To provide the detail information for the data element relationships in a segment or composite for the electronic form of the X12 standards

   3. 1180 · E24 · Data Element Sequence in a Segment or Composite · Max 100 · Optional

      To provide the detail information related to the sequence of the data elements in a segment or composite for the electronic form of the X12 standards

9. E30 Loop Optional Repeat 2000

   1. 1200 · E30 · Data Element Attributes · Max 1 · Mandatory

      To provide the data element attributes for the electronic form of the X12 standards

   2. 1300 · DAI · Appendix Information · Max 10 · Optional

      To provide appendix information for the electronic form of the X12 standards

   3. 1350 · QTY · Quantity Information · Max 1 · Optional

      To specify quantity information

      This quantity is the total number of code values for a particular data element after the current update is applied.

   4. E34 Loop Optional Repeat 100000

      1. 1400 · E34 · Code List Values for a Data Element · Max 1 · Mandatory

         To provide the code list values of a data element for the electronic form of the X12 standards

      2. 1500 · DDI · Explanation · Max 20 · Optional

         To provide description information related to the electronic form of the X12 standards

      3. 1600 · DAI · Appendix Information · Max 5 · Optional

         To provide appendix information for the electronic form of the X12 standards

10. E40 Loop Optional Repeat 10000

    1. 1700 · E40 · EDI Standards Note Reference · Max 1 · Mandatory

       To transmit information relative to comments and notes within the X12 standards

    2. 1800 · DMI · Data Maintenance Information · Max 100 · Optional

       To provide information related to the data maintenance request number in the electronic form of the X12 standards

    3. 1900 · DDI · Explanation · Max 1000 · Optional

       To provide description information related to the electronic form of the X12 standards

11. 2000 · 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)