AmerisourceBergen
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Ship Notice/Manifest
  • Specification
  • EDI Inspector
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X12 856 Ship Notice/Manifest

X12 Release 4010

This Draft Standard for Trial Use contains the format and establishes the data contents of the Ship Notice/Manifest Transaction Set (856) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to list the contents of a shipment of goods as well as additional information relating to the shipment, such as order information, product description, physical characteristics, type of packaging, marking, carrier information, and configuration of goods within the transportation equipment. The transaction set enables the sender to describe the contents and configuration of a shipment in various levels of detail and provides an ordered flexibility to convey information.

The sender of this transaction is the organization responsible for detailing and communicating the contents of a shipment, or shipments, to one or more receivers of the transaction set. The receiver of this transaction set can be any organization having an interest in the contents of a shipment or information about the contents of a shipment.

Delimiters
  • ~ Segment
  • | Element
  • > Component
EDI samples
  • None included
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Overview
ISA
-
Interchange Control Header
Max use 1
Required
GS
-
Functional Group Header
Max use 1
Required
heading
detail
HL Loop
HL
010
Hierarchical Level
Max use 1
Required
TD1
110
Carrier Details (Quantity and Weight)
Max use 20
Optional
TD5
120
Carrier Details (Routing Sequence/Transit Time)
Max use 12
Optional
TD3
130
Carrier Details (Equipment)
Max use 12
Optional
REF
150
Reference Identification
Max use 1
Required
DTM
200
Estimated and Current Schedule Delivery
Max use 1
Required
DTM
200
Shipped
Max use 1
Required
YNQ
335
Yes/No Question DPS
Max use 1
Optional
YNQ
335
Yes/No Question TS
Max use 1
Required
HL Loop
HL
010
Hierarchical Level
Max use 1
Required
PRF
050
Purchase Order Reference
Max use 1
Required
REF
150
Reference Identification
Max use 1
Optional
DTM
200
Date/Time Reference
Max use 10
Optional
HL Loop
GE
-
Functional Group Trailer
Max use 1
Required
IEA
-
Interchange Control Trailer
Max use 1
Required
ISA

Interchange Control Header

RequiredMax use 1

To start and identify an interchange of zero or more functional groups and interchange-related control segments

Example
ISA-01
I01
Authorization Information Qualifier
Required
Identifier (ID)

Code to identify the type of information in the Authorization Information

00
No Authorization Information Present (No Meaningful Information in I02)
ISA-02
I02
Authorization Information
Required
String (AN)
Min 10Max 10

Information used for additional identification or authorization of the interchange sender or the data in the interchange; the type of information is set by the Authorization Information Qualifier (I01)

ISA-03
I03
Security Information Qualifier
Required
Identifier (ID)

Code to identify the type of information in the Security Information

00
No Security Information Present (No Meaningful Information in I04)
ISA-04
I04
Security Information
Required
String (AN)
Min 10Max 10

This is used for identifying the security information about the interchange sender or the data in the interchange; the type of information is set by the Security Information Qualifier (I03)

ISA-05
I05
Interchange ID Qualifier
Required
Identifier (ID)
Min 2Max 2

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

Codes
ISA-06
I06
Interchange Sender ID
Required
String (AN)
Min 15Max 15

Identification code published by the sender for other parties to use as the receiver ID to route data to them; the sender always codes this value in the sender ID element

ISA-07
I05
Interchange ID Qualifier
Required
Identifier (ID)
Min 2Max 2

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

Codes
ISA-08
I07
Interchange Receiver ID
Required
String (AN)
Min 15Max 15

Identification code published by the receiver of the data; When sending, it is used by the sender as their sending ID, thus other parties sending to them will use this as a receiving ID to route data to them

ISA-09
I08
Interchange Date
Required
Date (DT)
YYMMDD format

Date of the interchange

ISA-10
I09
Interchange Time
Required
Time (TM)
HHMM format

Time of the interchange

ISA-11
I10
Interchange Control Standards Identifier
Required
Identifier (ID)

Code to identify the agency responsible for the control standard used by the message that is enclosed by the interchange header and trailer

U
U.S. EDI Community of ASC X12, TDCC, and UCS
ISA-12
I11
Interchange Control Version Number
Required
Identifier (ID)

This version number covers the interchange control segments

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 9Max 9

A control number assigned by the interchange sender

ISA-14
I13
Acknowledgment Requested
Required
Identifier (ID)
Min 1Max 1

Code sent by the sender to request an interchange acknowledgment (TA1)

0
No Acknowledgment Requested
1
Interchange Acknowledgment Requested
ISA-15
I14
Usage Indicator
Required
Identifier (ID)
Min 1Max 1

Code to indicate whether data enclosed by this interchange envelope is test, production or information

I
Information
P
Production Data
T
Test Data
ISA-16
I15
Component Element Separator
Required
String (AN)
Min 1Max 1

Type is not applicable; the component element separator is a delimiter and not a data element; this field provides the delimiter used to separate component data elements within a composite data structure; this value must be different than the data element separator and the segment terminator

>
Component Element Separator

Functional Group Header

RequiredMax use 1

To indicate the beginning of a functional group and to provide control information

Example
GS-01
479
Functional Identifier Code
Required
Identifier (ID)

Code identifying a group of application related transaction sets

SH
Ship Notice/Manifest (856)
GS-02
142
Application Sender's Code
Required
String (AN)
Min 2Max 15

Code identifying party sending transmission; codes agreed to by trading partners

GS-03
124
Application Receiver's Code
Required
String (AN)
Min 2Max 15

Code identifying party receiving transmission. Codes agreed to by trading partners

GS-04
373
Date
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

GS-05
337
Time
Required
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

GS-06
28
Group Control Number
Required
Numeric (N0)
Min 1Max 9

Assigned number originated and maintained by the sender

GS-07
455
Responsible Agency Code
Required
Identifier (ID)
Min 1Max 2

Code used in conjunction with Data Element 480 to identify the issuer of the standard

T
Transportation Data Coordinating Committee (TDCC)
X
Accredited Standards Committee X12
GS-08
480
Version / Release / Industry Identifier Code
Required
String (AN)

Code indicating the version, release, subrelease, and industry identifier of the EDI standard being used, including the GS and GE segments; if code in DE455 in GS segment is X, then in DE 480 positions 1-3 are the version number; positions 4-6 are the release and subrelease, level of the version; and positions 7-12 are the industry or trade association identifiers (optionally assigned by user); if code in DE455 in GS segment is T, then other formats are allowed

004010
Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1997

Heading

ST
010
Heading > ST

Transaction Set Header

RequiredMax use 1

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

Example
ST-01
143
Transaction Set Identifier Code
Required
Identifier (ID)

Code uniquely identifying a Transaction Set

  • The transaction set identifier (ST01) used by the translation routines of the interchange partners to select the appropriate transaction set definition (e.g., 810 selects the Invoice Transaction Set).
856
Ship Notice/Manifest
ST-02
329
Transaction Set Control Number
Required
Numeric (N)
Min 4Max 9

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

BSN
020
Heading > BSN

Beginning Segment for Ship Notice

RequiredMax use 1

To transmit identifying numbers, dates, and other basic data relating to the transaction set

Example
BSN-01
353
Transaction Set Purpose Code
Required
Identifier (ID)

Code identifying purpose of transaction set

00
Original
05
Replace
BSN-02
396
Shipment Identification
Required
String (AN)
Min 2Max 30

A unique control number assigned by the original shipper to identify a specific shipment

Usage notes

Vendor Bill of Lading Number or other Shipment Identifier

BSN-03
373
Date
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

  • BSN03 is the date the shipment transaction set is created.
Usage notes

Document Create Date

BSN-04
337
Time
Required
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

  • BSN04 is the time the shipment transaction set is created.
Usage notes

Document Create Time. Strongly suggest HHMM only.

BSN-05
1005
Hierarchical Structure Code
Optional
Identifier (ID)

Code indicating the hierarchical application structure of a transaction set that utilizes the HL segment to define the structure of the transaction set

0001
Shipment, Order, Packaging, Item
0004
Shipment, Order, Item
BSN-06
640
Transaction Type Code
Optional
Identifier (ID)

Code specifying the type of transaction

  • BSN06 is limited to shipment related codes.
  • BSN06 and BSN07 differentiate the functionality of use for the transaction set.
AS
Shipment Advice

Notification by an inventory management organization providing current shipping advice
relating to the outstanding requisition or order

DO
Drop Shipment Invoice

Used to indicate a drop ship notice, not a drop ship invoice

Heading end

Detail

HL Loop
RequiredMax 200000
HL
010
Detail > HL Loop > HL

Hierarchical Level

RequiredMax use 1

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

  • The HL segment is the only mandatory segment within the HL loop, and by itself, the HL segment has no meaning.
Example
HL-01
628
Hierarchical ID Number
Required
String (AN)
Min 1Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

  • HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.
HL-03
735
Hierarchical Level Code
Required
Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

  • HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.
S
Shipment
HL-04
736
Hierarchical Child Code
Optional
Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

  • HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.
1
Additional Subordinate HL Data Segment in This Hierarchical Structure.
TD1
110
Detail > HL Loop > TD1

Carrier Details (Quantity and Weight)

OptionalMax use 20

To specify the transportation details relative to commodity, weight, and quantity

Example
If Packaging Code (TD1-01) is present, then Lading Quantity (TD1-02) is required
If Weight Qualifier (TD1-06) is present, then Weight (TD1-07) is required
If either Weight (TD1-07) or Unit or Basis for Measurement Code (TD1-08) is present, then the other is required
TD1-01
103
Packaging Code
Optional
String (AN)

Code identifying the type of packaging; Part 1: Packaging Form, Part 2: Packaging Material; if the Data Element is used, then Part 1 is always required

Part 1/1
CAS
Case
CTN
Carton
PLT
Pallet
TD1-02
80
Lading Quantity
Optional
Numeric (N0)
Min 1Max 7

Number of units (pieces) of the lading commodity

TD1-06
187
Weight Qualifier
Optional
Identifier (ID)

Code defining the type of weight

G
Gross Weight
TD1-07
81
Weight
Optional
Decimal number (R)
Min 1Max 10

Numeric value of weight

TD1-08
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

LB
Pound
TD5
120
Detail > HL Loop > TD5

Carrier Details (Routing Sequence/Transit Time)

OptionalMax use 12

To specify the carrier and sequence of routing and provide transit time information

Example
If Identification Code Qualifier (TD5-02) is present, then Identification Code (TD5-03) is required
TD5-01
133
Routing Sequence Code
Optional
Identifier (ID)

Code describing the relationship of a carrier to a specific shipment movement

O
Origin Carrier (Air, Motor, or Ocean)
TD5-02
66
Identification Code Qualifier
Optional
Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

  • When specifying a routing sequence to be used for the shipment movement in lieu of specifying each carrier within the movement, use TD502 to identify the party responsible for defining the routing sequence, and use TD503 to identify the actual routing sequence, specified by the party identified in TD502.
2
Standard Carrier Alpha Code (SCAC)
TD5-03
67
Identification Code
Optional
String (AN)
Min 2Max 80

Code identifying a party or other code

TD5-04
91
Transportation Method/Type Code
Optional
Identifier (ID)

Code specifying the method or type of transportation for the shipment

A
Air
AE
Air Express
H
Customer Pickup
M
Motor (Common Carrier)
R
Rail
S
Ocean
SR
Supplier Truck
X
Intermodal (Piggyback)
TD5-05
387
Routing
Optional
String (AN)
Min 1Max 35

Free-form description of the routing or requested routing for shipment, or the originating carrier's identity

Usage notes

Carrier Name

TD5-06
368
Shipment/Order Status Code
Optional
Identifier (ID)

Code indicating the status of an order or shipment or the disposition of any difference between the quantity ordered and the quantity shipped for a line item or transaction

CC
Shipment Complete on (Date)
PR
Partial Shipment
TD3
130
Detail > HL Loop > TD3

Carrier Details (Equipment)

OptionalMax use 12

To specify transportation details relating to the equipment used by the carrier

Example
If Equipment Initial (TD3-02) is present, then Equipment Number (TD3-03) is required
TD3-01
40
Equipment Description Code
Optional
Identifier (ID)

Code identifying type of equipment used for shipment

CN
Container
RR
Rail Car
TL
Trailer (not otherwise specified)
VE
Vessel, Ocean
TD3-02
206
Equipment Initial
Optional
String (AN)
Min 1Max 4

Prefix or alphabetic part of an equipment unit's identifying number

TD3-03
207
Equipment Number
Optional
String (AN)
Min 1Max 10

Sequencing or serial part of an equipment unit's identifying number (pure numeric form for equipment number is preferred)

REF
150
Detail > HL Loop > REF

Reference Identification

RequiredMax use >1

To specify identifying information

Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)

Code qualifying the Reference Identification

2I
Tracking Number
BM
Bill of Lading Number
CN
Carrier's Reference Number (PRO/Invoice)
MB
Master Bill of Lading
SN
Seal Number
REF-02
127
Reference Identification
Required
String (AN)
Min 1Max 30

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

DTM
200
Detail > HL Loop > DTM

Estimated and Current Schedule Delivery

RequiredMax use >1

To specify pertinent dates and times

Usage notes

ABC requires the DTM|017 or DTM|067 sent on all ASNs.

Example
Variants (all may be used)
DTMShipped
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)

Code specifying type of date or time, or both date and time

017
Estimated Delivery
067
Current Schedule Delivery
DTM-02
373
Date
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

DTM-03
337
Time
Required
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

DTM-04
623
Time Code
Required
Identifier (ID)

Code identifying the time. In accordance with International Standards Organization standard 8601, time can be specified by a + or - and an indication in hours in relation to Universal Time Coordinate (UTC) time; since + is a restricted character, + and - are substituted by P and M in the codes that follow

CD
Central Daylight Time
CS
Central Standard Time
CT
Central Time
ED
Eastern Daylight Time
ES
Eastern Standard Time
ET
Eastern Time
GM
Greenwich Mean Time
LT
Local Time
MD
Mountain Daylight Time
MS
Mountain Standard Time
MT
Mountain Time
PD
Pacific Daylight Time
PS
Pacific Standard Time
PT
Pacific Time
DTM
200
Detail > HL Loop > DTM

Shipped

RequiredMax use 1

To specify pertinent dates and times

Usage notes

ABC requires the DTM|011 sent on all ASNs.

Example
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)

Code specifying type of date or time, or both date and time

011
Shipped
DTM-02
373
Date
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

DTM-03
337
Time
Required
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

DTM-04
623
Time Code
Required
Identifier (ID)

Code identifying the time. In accordance with International Standards Organization standard 8601, time can be specified by a + or - and an indication in hours in relation to Universal Time Coordinate (UTC) time; since + is a restricted character, + and - are substituted by P and M in the codes that follow

CD
Central Daylight Time
CS
Central Standard Time
CT
Central Time
ED
Eastern Daylight Time
ES
Eastern Standard Time
ET
Eastern Time
GM
Greenwich Mean Time
LT
Local Time
MD
Mountain Daylight Time
MS
Mountain Standard Time
MT
Mountain Time
PD
Pacific Daylight Time
PS
Pacific Standard Time
PT
Pacific Time
N1 Buying Party (Purchaser)
RequiredMax 1
Variants (all may be used)
Selling PartyShip FromShip To
N1
220
Detail > HL Loop > Buying Party (Purchaser) > N1

Name

RequiredMax use 1

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

Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

BY
Buying Party (Purchaser)
N1-02
93
Name
Required
String (AN)
Min 1Max 60

Free-form name

N1-03
66
Identification Code Qualifier
Required
Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

1
D-U-N-S Number, Dun & Bradstreet
9
D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11
Drug Enforcement Administration (DEA)
21
Health Industry Number (HIN)
91
Assigned by Seller or Seller's Agent
92
Assigned by Buyer or Buyer's Agent
UL
UCC/EAN Location Code
N1-04
67
Identification Code
Required
String (AN)
Min 2Max 80

Code identifying a party or other code

  • This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.
N3
240
Detail > HL Loop > Buying Party (Purchaser) > N3

Address Information

OptionalMax use 2

To specify the location of the named party

Usage notes

This segment is Mandatory for Nonexempt RX Products

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

Address information

N3-02
166
Address Information
Optional
String (AN)
Min 1Max 55

Address information

N4
250
Detail > HL Loop > Buying Party (Purchaser) > N4

Geographic Location

OptionalMax use 1

To specify the geographic place of the named party

Usage notes

This segment is Mandatory for Nonexempt RX Products

Example
N4-01
19
City Name
Required
String (AN)
Min 2Max 30

Free-form text for city name

  • A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.
N4-02
156
State or Province Code
Required
Identifier (ID)
Min 2Max 2

Code (Standard State/Province) as defined by appropriate government agency

  • N402 is required only if city name (N401) is in the U.S. or Canada.
N4-03
116
Postal Code
Required
Identifier (ID)
Min 3Max 15

Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

REF
260
Detail > HL Loop > Buying Party (Purchaser) > REF

Reference Identification

OptionalMax use 12

To specify identifying information

Usage notes

ABC's preference is to populate this segment for Ship To, if data is available.

Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)

Code qualifying the Reference Identification

D3
National Association of Boards of Pharmacy Number
FW
State License Identification Number
REF-02
127
Reference Identification
Required
String (AN)
Min 1Max 30

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

Usage notes

The license number of the ship to entity.

REF-03
352
Description
Optional
String (AN)
Min 1Max 80

A free-form description to clarify the related data elements and their content

N1 Buying Party (Purchaser) end
N1 Selling Party
RequiredMax 1
N1
220
Detail > HL Loop > Selling Party > N1

Name

RequiredMax use 1

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

Usage notes

The business name and address from whom ownership is transferred, per
21 USC Sec. 581 (26) (I

Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

SE
Selling Party
N1-02
93
Name
Required
String (AN)
Min 1Max 60

Free-form name

N1-03
66
Identification Code Qualifier
Required
Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

1
D-U-N-S Number, Dun & Bradstreet
9
D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11
Drug Enforcement Administration (DEA)
21
Health Industry Number (HIN)
UL
UCC/EAN Location Code
N1-04
67
Identification Code
Required
String (AN)
Min 2Max 80

Code identifying a party or other code

  • This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.
N3
240
Detail > HL Loop > Selling Party > N3

Address Information

OptionalMax use 1

To specify the location of the named party

Usage notes

This segment is Mandatory for Nonexempt RX Products

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

Address information

N3-02
166
Address Information
Optional
String (AN)
Min 1Max 55

Address information

N4
250
Detail > HL Loop > Selling Party > N4

Geographic Location

OptionalMax use 1

To specify the geographic place of the named party

Usage notes

This segment is Mandatory for Nonexempt RX Products

Example
N4-01
19
City Name
Required
String (AN)
Min 2Max 30

Free-form text for city name

  • A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.
N4-02
156
State or Province Code
Required
Identifier (ID)
Min 2Max 2

Code (Standard State/Province) as defined by appropriate government agency

  • N402 is required only if city name (N401) is in the U.S. or Canada.
N4-03
116
Postal Code
Required
Identifier (ID)
Min 3Max 15

Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

REF
260
Detail > HL Loop > Selling Party > REF

Reference Identification

OptionalMax use 12

To specify identifying information

Usage notes

This segment is Mandatory for Nonexempt RX Products

Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)

Code qualifying the Reference Identification

D3
National Association of Boards of Pharmacy Number

Supplier’s NABP provided VAWD (Verified
Accredited Wholesale Distributors™) Number.

FW
State License Identification Number

A unique number assigned to each provider of
service; this number is assigned by state
governments and is the provider's legal
identification number in the state that is assigned.

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

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

Usage notes

The license number of the ship to entity.

REF-03
352
Description
Optional
String (AN)
Min 1Max 80

A free-form description to clarify the related data elements and their content

N1 Selling Party end
N1 Ship From
RequiredMax 1
N1
220
Detail > HL Loop > Ship From > N1

Name

RequiredMax use 1

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

Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

SF
Ship From
N1-02
93
Name
Required
String (AN)
Min 1Max 60

Free-form name

N1-03
66
Identification Code Qualifier
Required
Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

1
D-U-N-S Number, Dun & Bradstreet
9
D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11
Drug Enforcement Administration (DEA)
21
Health Industry Number (HIN)
91
Assigned by Seller or Seller's Agent
92
Assigned by Buyer or Buyer's Agent
UL
UCC/EAN Location Code
N1-04
67
Identification Code
Required
String (AN)
Min 2Max 80

Code identifying a party or other code

  • This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.
N3
240
Detail > HL Loop > Ship From > N3

Address Information

OptionalMax use 2

To specify the location of the named party

Usage notes

This segment is Mandatory for Nonexempt RX Products

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

Address information

N3-02
166
Address Information
Optional
String (AN)
Min 1Max 55

Address information

N4
250
Detail > HL Loop > Ship From > N4

Geographic Location

OptionalMax use 1

To specify the geographic place of the named party

Usage notes

This segment is Mandatory for Nonexempt RX Products

Example
N4-01
19
City Name
Required
String (AN)
Min 2Max 30

Free-form text for city name

  • A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.
N4-02
156
State or Province Code
Required
Identifier (ID)
Min 2Max 2

Code (Standard State/Province) as defined by appropriate government agency

  • N402 is required only if city name (N401) is in the U.S. or Canada.
N4-03
116
Postal Code
Required
Identifier (ID)
Min 3Max 15

Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

REF
260
Detail > HL Loop > Ship From > REF

Reference Identification

OptionalMax use 12

To specify identifying information

Usage notes

This segment is Mandatory for Nonexempt RX Products

Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)

Code qualifying the Reference Identification

D3
National Association of Boards of Pharmacy Number

Supplier’s NABP provided VAWD
(VerifiedAccredited Wholesale Distributors™) Number.

FW
State License Identification Number

A unique number assigned to each provider of
service; this number is assigned by state governments and is the provider's legal identification number in the state that is assigned.

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

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

Usage notes

The license number of the ship to entity.

REF-03
352
Description
Optional
String (AN)
Min 1Max 80

A free-form description to clarify the related data elements and their content

PER
270
Detail > HL Loop > Ship From > PER

Administrative Communications Contact

RequiredMax use 3

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

Example
If either Communication Number Qualifier (PER-03) or Communication Number (PER-04) is present, then the other is required
If either Communication Number Qualifier (PER-05) or Communication Number (PER-06) is present, then the other is required
PER-01
366
Contact Function Code
Required
Identifier (ID)

Code identifying the major duty or responsibility of the person or group named

CE
Certifier
PER-02
93
Name
Required
String (AN)
Min 1Max 60

Free-form name

PER-03
365
Communication Number Qualifier
Optional
Identifier (ID)

Code identifying the type of communication number

TE
Telephone
PER-04
364
Communication Number
Optional
String (AN)
Min 1Max 80

Complete communications number including country or area code when applicable

Usage notes

A valid telephone number must be provided

PER-05
365
Communication Number Qualifier
Optional
Identifier (ID)

Code identifying the type of communication number

EM
Electronic Mail
PER-06
364
Communication Number
Optional
String (AN)
Min 1Max 80

Complete communications number including country or area code when applicable

Usage notes

A valid email address must be provided

N1 Ship From end
N1 Ship To
RequiredMax 1
N1
220
Detail > HL Loop > Ship To > N1

Name

RequiredMax use 1

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

Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

ST
Ship To
N1-02
93
Name
Required
String (AN)
Min 1Max 60

Free-form name

Usage notes

AmerisourceBergen facility name

N1-03
66
Identification Code Qualifier
Required
Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

1
D-U-N-S Number, Dun & Bradstreet
9
D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11
Drug Enforcement Administration (DEA)
21
Health Industry Number (HIN)
UL
UCC/EAN Location Code
N1-04
67
Identification Code
Required
String (AN)
Min 2Max 80

Code identifying a party or other code

  • This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.
Usage notes

AmerisourceBergen prefers the DEA Number be used. If not possible please use HIN, GLN or DUN. Please request us for the identifier’s list for all the distribution centers if you don’t have one.

N3
240
Detail > HL Loop > Ship To > N3

Address Information

OptionalMax use 2

To specify the location of the named party

Usage notes

This segment is Mandatory for Nonexempt RX Products

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

Address information

N3-02
166
Address Information
Optional
String (AN)
Min 1Max 55

Address information

N4
250
Detail > HL Loop > Ship To > N4

Geographic Location

OptionalMax use 1

To specify the geographic place of the named party

Usage notes

This segment is Mandatory for Nonexempt Rx Products

Example
N4-01
19
City Name
Required
String (AN)
Min 2Max 30

Free-form text for city name

  • A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.
N4-02
156
State or Province Code
Required
Identifier (ID)
Min 2Max 2

Code (Standard State/Province) as defined by appropriate government agency

  • N402 is required only if city name (N401) is in the U.S. or Canada.
N4-03
116
Postal Code
Required
Identifier (ID)
Min 3Max 15

Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

REF
260
Detail > HL Loop > Ship To > REF

Reference Identification

OptionalMax use 12

To specify identifying information

Usage notes

ABC's preference is to populate this segment for Ship To, if data is available.

Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)

Code qualifying the Reference Identification

D3
National Association of Boards of Pharmacy Number
FW
State License Identification Number
REF-02
127
Reference Identification
Required
String (AN)
Min 1Max 30

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

REF-03
352
Description
Optional
String (AN)
Min 1Max 80

A free-form description to clarify the related data elements and their content

N1 Ship To end
YNQ
335
Detail > HL Loop > YNQ

Yes/No Question DPS

OptionalMax use 1

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

Usage notes

The YNQ02 should have a value of Y which indicates that Direct
Purchase Statement details are available at the item level. As indicated, product was purchased directly from the manufacturer, manufacturer’s exclusive distributor or repackager who purchased directly from a manufacturer

Example
Variants (all may be used)
YNQYes/No Question TS
YNQ-02
1073
Yes/No Condition or Response Code
Required
Identifier (ID)

Code indicating a Yes or No condition or response

  • YNQ02 confirms or denies the statement made in YNQ01, YNQ09 or YNQ10. A "Y" indicates the statement is confirmed; an "N" indicates the statement is denied.
Y
Yes
YNQ-05
933
Free-Form Message Text
Required
String (AN)
Min 1Max 264

Free-form message text

Usage notes

As indicated below, product was purchased directly from the manufacturer, manufacturer’s exclusive distributor or repackager who purchased directly from a manufacturer

YNQ-08
1270
Code List Qualifier Code
Required
Identifier (ID)

Code identifying a specific industry code list

99
Purpose Code
YNQ-09
1271
Industry Code
Required
String (AN)

Code indicating a code from a specific industry code list

DPS

Direct Purchase Statement

YNQ
335
Detail > HL Loop > YNQ

Yes/No Question TS

RequiredMax use 1

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

Usage notes

The YNQ02 should have a value of 'Y' which indicates that DSCSA applies.
This segment is Mandatory for Nonexempt RX Products

Example
Variants (all may be used)
YNQYes/No Question DPS
YNQ-02
1073
Yes/No Condition or Response Code
Required
Identifier (ID)

Code indicating a Yes or No condition or response

  • YNQ02 confirms or denies the statement made in YNQ01, YNQ09 or YNQ10. A "Y" indicates the statement is confirmed; an "N" indicates the statement is denied.
Y
Yes

"Y" indicates that the transaction is DSCSA compliant

YNQ-05
933
Free-Form Message Text
Required
String (AN)
Min 1Max 264

Free-form message text

Usage notes

Seller has complied with each applicable subsection of FDCA Sec.
581(27)(A)-(G).

YNQ-06
933
Free-Form Message Text
Optional
String (AN)
Min 1Max 264

Free-form message text

YNQ-07
933
Free-Form Message Text
Optional
String (AN)
Min 1Max 264

Free-form message text

YNQ-08
1270
Code List Qualifier Code
Required
Identifier (ID)

Code identifying a specific industry code list

99
Purpose Code
YNQ-09
1271
Industry Code
Required
String (AN)

Code indicating a code from a specific industry code list

TS

Transaction Statement

YNQ-10
933
Free-Form Message Text
Optional
String (AN)
Min 1Max 264

Free-form message text

  • YNQ10 contains a free-form question when codified questions are not available.
HL Loop
RequiredMax 1
HL
010
Detail > HL Loop > HL Loop > HL

Hierarchical Level

RequiredMax use 1

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

  • The HL segment is the only mandatory segment within the HL loop, and by itself, the HL segment has no meaning.
Example
HL-01
628
Hierarchical ID Number
Required
String (AN)
Min 1Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

  • HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.
HL-02
734
Hierarchical Parent ID Number
Required
String (AN)
Min 1Max 12

Identification number of the next higher hierarchical data segment that the data segment being described is subordinate to

  • HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.
HL-03
735
Hierarchical Level Code
Required
Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

  • HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.
O
Order
HL-04
736
Hierarchical Child Code
Optional
Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

  • HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.
0
No Subordinate HL Segment in This Hierarchical Structure.
1
Additional Subordinate HL Data Segment in This Hierarchical Structure.
PRF
050
Detail > HL Loop > HL Loop > PRF

Purchase Order Reference

RequiredMax use 1

To provide reference to a specific purchase order

Example
PRF-01
324
Purchase Order Number
Required
String (AN)
Min 1Max 22

Identifying number for Purchase Order assigned by the orderer/purchaser

Usage notes

ABC Purchase Order Number – Please send the PO number only. No
extra characters are required other than the actual PO number.

PRF-02
328
Release Number
Optional
String (AN)
Min 1Max 30

Number identifying a release against a Purchase Order previously placed by the parties involved in the transaction

PRF-03
327
Change Order Sequence Number
Optional
String (AN)
Min 1Max 8

Number assigned by the orderer identifying a specific change or revision to a previously transmitted transaction set

PRF-04
373
Date
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

  • PRF04 is the date assigned by the purchaser to purchase order.
Usage notes

Original Purchase Order Date

REF
150
Detail > HL Loop > HL Loop > REF

Reference Identification

OptionalMax use >1

To specify identifying information

Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)

Code qualifying the Reference Identification

IV
Seller's Invoice Number
VN
Vendor Order Number
REF-02
127
Reference Identification
Required
String (AN)
Min 1Max 30

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

DTM
200
Detail > HL Loop > HL Loop > DTM

Date/Time Reference

OptionalMax use 10

To specify pertinent dates and times

Example
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)

Code specifying type of date or time, or both date and time

003
Invoice
DTM-02
373
Date
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

HL Loop
OptionalMax 200000
Usage notes

If using S-O-T-P-I, the T (Tare) level is strongly desired.

HL
010
Detail > HL Loop > HL Loop > HL Loop > HL

Hierarchical Level

RequiredMax use 1

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

  • The HL segment is the only mandatory segment within the HL loop, and by itself, the HL segment has no meaning.
Example
HL-01
628
Hierarchical ID Number
Required
String (AN)
Min 1Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

  • HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.
HL-02
734
Hierarchical Parent ID Number
Required
String (AN)
Min 1Max 12

Identification number of the next higher hierarchical data segment that the data segment being described is subordinate to

  • HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.
HL-03
735
Hierarchical Level Code
Required
Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

  • HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.
T
Shipping Tare
HL-04
736
Hierarchical Child Code
Optional
Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

  • HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.
0
No Subordinate HL Segment in This Hierarchical Structure.
1
Additional Subordinate HL Data Segment in This Hierarchical Structure.
MAN
190
Detail > HL Loop > HL Loop > HL Loop > MAN

Marks and Numbers

RequiredMax use >1

To indicate identifying marks and numbers for shipping containers

Example
MAN-01
88
Marks and Numbers Qualifier
Required
Identifier (ID)

Code specifying the application or source of Marks and Numbers (87)

  • MAN01/MAN02 and MAN04/MAN05 may be used to identify two different marks and numbers assigned to the same physical container.
  • When MAN01 contains code "UC" (U.P.C. Shipping Container Code) and MAN05/MAN06 contain a range of ID numbers, MAN03 is not used. The reason for this is that the U.P.C. Shipping Container code is the same on every carton that is represented in the range in MAN05/MAN06.
GM
SSCC-18 and Application Identifier
W
Pallet Number
MAN-02
87
Marks and Numbers
Required
String (AN)
Min 1Max 48

Marks and numbers used to identify a shipment or parts of a shipment

  • When both MAN02 and MAN03 are used, MAN02 is the starting number of a sequential range and MAN03 is the ending number of that range.
Usage notes

Tare Level SSCC-18 Pallet Tracking ID
MAN02 element value needs to be all numeric with 20 characters length if MAN01 is “GM”. It should start with "00" and remaining 18 characters should specify the valid SSCC. Same SSCC cannot be used multiple times in an ASN

HL Loop
OptionalMax 200000
HL
010
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL

Hierarchical Level

RequiredMax use 1

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

  • The HL segment is the only mandatory segment within the HL loop, and by itself, the HL segment has no meaning.
Example
HL-01
628
Hierarchical ID Number
Required
String (AN)
Min 1Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

  • HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.
HL-02
734
Hierarchical Parent ID Number
Required
String (AN)
Min 1Max 12

Identification number of the next higher hierarchical data segment that the data segment being described is subordinate to

  • HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.
HL-03
735
Hierarchical Level Code
Required
Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

  • HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.
P
Pack
HL-04
736
Hierarchical Child Code
Optional
Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

  • HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.
1
Additional Subordinate HL Data Segment in This Hierarchical Structure.
LIN
020
Detail > HL Loop > HL Loop > HL Loop > HL Loop > LIN

Item Identification

OptionalMax use 1

To specify basic item identification data

Usage notes

Only Applicable for Single (homogeneous) SKU Full Case Cartons

Example
LIN-01
350
Assigned Identification
Required
String (AN)
Min 1Max 20

Alphanumeric characters assigned for differentiation within a transaction set

  • LIN01 is the line item identification
Usage notes

ASN Line Number or Original PO Line Number (ABC's preference is the Original PO Line Number)

LIN-02
235
Product/Service ID Qualifier
Required
Identifier (ID)

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

  • LIN02 through LIN31 provide for fifteen different product/service IDs for each item. For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.
Usage notes

The Product Qualifier code used here must match the code used in the EDI 850 transaction sent by AmerisourceBergen

LT
Lot Number
MF
Manufacturer
N1
National Drug Code in 4-4-2 Format
N2
National Drug Code in 5-3-2 Format
N3
National Drug Code in 5-4-1 Format
N4
National Drug Code in 5-4-2 Format
N5
National Health Related Item Code in 5-5 Format
N6
National Health Related Item Code in 4-6 Format
ND
National Drug Code (NDC)
NH
National Health Related Item Code
UA
U.P.C./EAN Case Code (2-5-5)
UK
U.P.C./EAN Shipping Container Code (1-2-5-5-1)
UP
U.P.C. Consumer Package Code (1-5-5-1)
UX
Universal Product Number
VC
Vendor's (Seller's) Catalog Number
LIN-03
234
Product/Service ID
Required
String (AN)
Min 1Max 48

Identifying number for a product or service

Usage notes

NDC Number – Please send the valid NDC number without additional prefix or suffix number.

PO4
060
Detail > HL Loop > HL Loop > HL Loop > HL Loop > PO4

Item Physical Details

OptionalMax use 1

To specify the physical qualities, packaging, weights, and dimensions relating to the item

Usage notes

Only Applicable for Single SKU Full Case Cartons

Example
If either Size (PO4-02) or Unit or Basis for Measurement Code (PO4-03) is present, then the other is required
If Weight Qualifier (PO4-05) is present, then Gross Weight per Pack (PO4-06) is required
If either Gross Volume per Pack (PO4-08) or Unit or Basis for Measurement Code (PO4-09) is present, then the other is required
If Length (PO4-10) is present, then Unit or Basis for Measurement Code (PO4-13) is required
If Width (PO4-11) is present, then Unit or Basis for Measurement Code (PO4-13) is required
If Height (PO4-12) is present, then Unit or Basis for Measurement Code (PO4-13) is required
If Unit or Basis for Measurement Code (PO4-13) is present, then at least one of Length (PO4-10), Width (PO4-11) or Height (PO4-12) is required
PO4-01
356
Pack
Required
Numeric (N0)
Min 1Max 6

The number of inner containers, or number of eaches if there are no inner containers, per outer container

PO4-02
357
Size
Required
Decimal number (R)
Min 1Max 8

Size of supplier units in pack

PO4-03
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

  • PO403 - The "Unit or Basis for Measure Code" in this segment position is for purposes of defining the pack (PO401) /size (PO402) measure which indicates the quantity in the inner pack unit. For example: If the carton contains 24 12-Ounce packages, it would be described as follows: Data element 356 = "24"; Data element 357 = "12"; Data element 355 = "OZ".
AM
Ampoule
BO
Bottle
BX
Box
CA
Case
CH
Container
CT
Carton
DZ
Dozen
EA
Each
GS
Gross
KT
Kit
OZ
Ounce - Av
P1
Percent
PC
Piece
PF
Pallet (Lift)
PK
Package
SP
Shelf Package
SZ
Syringe
UN
Unit

Use UN for pill counts or for partials

VI
Vial
PO4-04
103
Packaging Code
Optional
String (AN)
Min 3Max 5

Code identifying the type of packaging; Part 1: Packaging Form, Part 2: Packaging Material; if the Data Element is used, then Part 1 is always required

PO4-05
187
Weight Qualifier
Optional
Identifier (ID)
Min 1Max 2

Code defining the type of weight

PO4-06
384
Gross Weight per Pack
Optional
Decimal number (R)
Min 1Max 9

Numeric value of gross weight per pack

PO4-07
355
Unit or Basis for Measurement Code
Required
Identifier (ID)
Min 2Max 2

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

PO4-08
385
Gross Volume per Pack
Required
Decimal number (R)
Min 1Max 9

Numeric value of gross volume per pack

PO4-09
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

CC
Cubic Centimeter
CF
Cubic Feet
CI
Cubic Inches
CR
Cubic Meter
CY
Cubic Yard
PO4-10
82
Length
Optional
Decimal number (R)
Min 1Max 8

Largest horizontal dimension of an object measured when the object is in the upright position

PO4-11
189
Width
Optional
Decimal number (R)
Min 1Max 8

Shorter measurement of the two horizontal dimensions measured with the object in the upright position

PO4-12
65
Height
Optional
Decimal number (R)
Min 1Max 8

Vertical dimension of an object measured when the object is in the upright position

PO4-13
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

  • PO413 defines the unit of measure for PO410, PO411, and PO412.
CM
Centimeter
IN
Inch
MM
Millimeter
PO4-14
810
Inner Pack
Optional
Numeric (N0)
Min 1Max 6

The number of eaches per inner container

MAN
190
Detail > HL Loop > HL Loop > HL Loop > HL Loop > MAN

Marks and Numbers

OptionalMax use >1

To indicate identifying marks and numbers for shipping containers

Example
MAN-01
88
Marks and Numbers Qualifier
Required
Identifier (ID)

Code specifying the application or source of Marks and Numbers (87)

  • MAN01/MAN02 and MAN04/MAN05 may be used to identify two different marks and numbers assigned to the same physical container.
  • When MAN01 contains code "UC" (U.P.C. Shipping Container Code) and MAN05/MAN06 contain a range of ID numbers, MAN03 is not used. The reason for this is that the U.P.C. Shipping Container code is the same on every carton that is represented in the range in MAN05/MAN06.
AI
UCC/EAN-128 Application Identifier (AI) and Data
GM
SSCC-18 and Application Identifier
MAN-02
87
Marks and Numbers
Required
String (AN)
Min 1Max 48

Marks and numbers used to identify a shipment or parts of a shipment

  • When both MAN02 and MAN03 are used, MAN02 is the starting number of a sequential range and MAN03 is the ending number of that range.
Usage notes

For MAN01- GM : SSCC-18 and Application Identifier
MAN02 element value needs to be all numeric with 20 characters length if MAN01 is “GM”. It should start with "00" and remaining 18 characters should specify the valid SSCC. Same SSCC cannot be used multiple times in an ASN

DTM
200
Detail > HL Loop > HL Loop > HL Loop > HL Loop > DTM

Date/Time Reference

RequiredMax use 10

To specify pertinent dates and times

Usage notes

Only Applicable for Single (homogeneous) SKU Full Case Cartons

Example
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)

Code specifying type of date or time, or both date and time

208
Lot Number Expiration
DTM-02
373
Date
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

HL Loop
RequiredMax 200000
HL
010
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > HL

Hierarchical Level

RequiredMax use 1

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

  • The HL segment is the only mandatory segment within the HL loop, and by itself, the HL segment has no meaning.
Example
HL-01
628
Hierarchical ID Number
Required
String (AN)
Min 1Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

  • HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.
HL-02
734
Hierarchical Parent ID Number
Required
String (AN)
Min 1Max 12

Identification number of the next higher hierarchical data segment that the data segment being described is subordinate to

  • HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.
HL-03
735
Hierarchical Level Code
Required
Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

  • HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.
I
Item
HL-04
736
Hierarchical Child Code
Optional
Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

  • HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.
0
No Subordinate HL Segment in This Hierarchical Structure.
LIN
020
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > LIN

Item Identification

RequiredMax use 1

To specify basic item identification data

Usage notes

This segment is used to communicate NDC and Lot Number Transaction Information for DSCSA.
Note:- For nonexempted RX products, NDC (Either N1 or N2 or N3 or N4 or ND are required along with LT)

Example
If either Product/Service ID Qualifier (LIN-06) or Product/Service ID (LIN-07) is present, then the other is required
If either Product/Service ID Qualifier (LIN-08) or Product/Service ID (LIN-09) is present, then the other is required
If either Product/Service ID Qualifier (LIN-10) or Product/Service ID (LIN-11) is present, then the other is required
If either Product/Service ID Qualifier (LIN-14) or Product/Service ID (LIN-15) is present, then the other is required
If either Product/Service ID Qualifier (LIN-16) or Product/Service ID (LIN-17) is present, then the other is required
If either Product/Service ID Qualifier (LIN-18) or Product/Service ID (LIN-19) is present, then the other is required
If either Product/Service ID Qualifier (LIN-20) or Product/Service ID (LIN-21) is present, then the other is required
LIN-01
350
Assigned Identification
Required
String (AN)
Min 1Max 20

Alphanumeric characters assigned for differentiation within a transaction set

  • LIN01 is the line item identification
Usage notes

ASN Line Number or Original PO Line Number (ABC's preference is the
Original PO line Number)

LIN-02
235
Product/Service ID Qualifier
Required
Identifier (ID)

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

  • LIN02 through LIN31 provide for fifteen different product/service IDs for each item. For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.
Usage notes

The Product Qualifier code used here must match the code used in the EDI 850 transaction sent by AmerisourceBergen.

LT
Lot Number
MF
Manufacturer
N1
National Drug Code in 4-4-2 Format
N2
National Drug Code in 5-3-2 Format
N3
National Drug Code in 5-4-1 Format
N4
National Drug Code in 5-4-2 Format
N5
National Health Related Item Code in 5-5 Format
N6
National Health Related Item Code in 4-6 Format
ND
National Drug Code (NDC)
NH
National Health Related Item Code
UA
U.P.C./EAN Case Code (2-5-5)
UI
U.P.C. Consumer Package Code (1-5-5)
UK
U.P.C./EAN Shipping Container Code (1-2-5-5-1)
UP
U.P.C. Consumer Package Code (1-5-5-1)
UX
Universal Product Number
VC
Vendor's (Seller's) Catalog Number
LIN-03
234
Product/Service ID
Required
String (AN)
Min 1Max 48

Identifying number for a product or service

Usage notes

NDC Number

LIN-04
235
Product/Service ID Qualifier
Required
Identifier (ID)

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LT
Lot Number
LIN-05
234
Product/Service ID
Required
String (AN)
Min 1Max 48

Identifying number for a product or service

LIN-06
235
Product/Service ID Qualifier
Optional
Identifier (ID)

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LT
Lot Number
LIN-07
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

Usage notes

Lot Number

LIN-08
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LIN-09
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

LIN-10
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LIN-11
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

LIN-12
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LIN-13
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

LIN-14
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LIN-15
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

LIN-16
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LIN-17
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

LIN-18
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LIN-19
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

LIN-20
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

LIN-21
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

SN1
030
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > SN1

Item Detail (Shipment)

OptionalMax use 1

To specify line-item detail relative to shipment

Usage notes

This segment can be used to communicate number of containers for Transaction Information for DSCSA.
ALL SHIPMENT MUST REFLECT THE SMALLEST DISTRIBUTION QUANTITY AND SHOULD BE REFLECTED IN THE SN1 SEGMENT.

Please send non-zero value in SN102. Please send SN104 - Qty shipped to date and SN105 - Qty ordered according to current shipment qty. This is critical for our item reconciliation

Example
If either Quantity Ordered (SN1-05) or Unit or Basis for Measurement Code (SN1-06) is present, then the other is required
SN1-01
350
Assigned Identification
Required
String (AN)
Min 1Max 20

Alphanumeric characters assigned for differentiation within a transaction set

  • SN101 is the ship notice line-item identification.
Usage notes

ABC prefers to receive the Original PO Line Number as referenced in
LIN01. If it is not available the ASN Line Number may be used.

SN1-02
382
Number of Units Shipped
Required
Decimal number (R)
Min 1Max 10

Numeric value of units shipped in manufacturer's shipping units for a line item or transaction set

SN1-03
355
Unit or Basis for Measurement Code
Required
Identifier (ID)

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

  • SN103 defines the unit of measurement for both SN102 and SN104.
AM
Ampoule
BO
Bottle
BX
Box
CA
Case
CH
Container
CT
Carton
DZ
Dozen
EA
Each
GS
Gross
KT
Kit
OZ
Ounce - Av
P1
Percent
PC
Piece
PF
Pallet (Lift)
PK
Package
SP
Shelf Package
SZ
Syringe
UN
Unit
VI
Vial
SN1-04
646
Quantity Shipped to Date
Optional
Decimal number (R)
Min 1Max 15

Number of units shipped to date

SN1-05
330
Quantity Ordered
Required
Decimal number (R)
Min 1Max 15

Quantity ordered

SN1-06
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

AM
Ampoule
BO
Bottle
BX
Box
CA
Case
CH
Container
CT
Carton
DZ
Dozen
EA
Each
GS
Gross
KT
Kit
OZ
Ounce - Av
P1
Percent
PC
Piece
PF
Pallet (Lift)
PK
Package
SP
Shelf Package
SZ
Syringe
UN
Unit
VI
Vial
PID
070
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > PID

Product/Item Description

OptionalMax use 200

To describe a product or process in coded or free-form format

Usage notes

PID05 is mandatory for all nonexempted RX products

Example
PID-01
349
Item Description Type
Required
Identifier (ID)

Code indicating the format of a description

  • If PID01 equals "F", then PID05 is used. If PID01 equals "S", then PID04 is used. If PID01 equals "X", then both PID04 and PID05 are used.
F
Free-form
PID-05
352
Description
Required
String (AN)
Min 1Max 80

A free-form description to clarify the related data elements and their content

Usage notes

The description must include the prescription (Rx) drug product information such as proprietary or established name of the product, strength, dosage and container size

REF
150
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > REF

Reference Identification

OptionalMax use >1

To specify identifying information

Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)

Code qualifying the Reference Identification

IV
Seller's Invoice Number
REF-02
127
Reference Identification
Required
String (AN)
Min 1Max 30

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

Usage notes

Seller's Invoice Number

DTM
200
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > DTM

Date/Time Reference

RequiredMax use 10

To specify pertinent dates and times

Usage notes

For all nonexempted RX products, DTM01 & DTM02 are mandatory

Example
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)

Code specifying type of date or time, or both date and time

208
Lot Number Expiration
DTM-02
373
Date
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

N1 Loop
OptionalMax >1
N1
220
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > N1 Loop > N1

Name

RequiredMax use 1

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

Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

DS
Distributor
MF
Manufacturer of Goods
SU
Supplier/Manufacturer
N1-02
93
Name
Optional
String (AN)
Min 1Max 60

Free-form name

N1-03
66
Identification Code Qualifier
Required
Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

1
D-U-N-S Number, Dun & Bradstreet
9
D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11
Drug Enforcement Administration (DEA)
21
Health Industry Number (HIN)
UL
UCC/EAN Location Code
N1-04
67
Identification Code
Required
String (AN)
Min 2Max 80

Code identifying a party or other code

  • This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.
N3
240
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > N1 Loop > N3

Address Information

OptionalMax use 1

To specify the location of the named party

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

Address information

N3-02
166
Address Information
Optional
String (AN)
Min 1Max 55

Address information

N4
250
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > N1 Loop > N4

Geographic Location

OptionalMax use 1

To specify the geographic place of the named party

Example
N4-01
19
City Name
Required
String (AN)
Min 2Max 30

Free-form text for city name

  • A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.
N4-02
156
State or Province Code
Required
Identifier (ID)
Min 2Max 2

Code (Standard State/Province) as defined by appropriate government agency

  • N402 is required only if city name (N401) is in the U.S. or Canada.
N4-03
116
Postal Code
Required
Identifier (ID)
Min 3Max 15

Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

REF
260
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > N1 Loop > REF

Reference Identification

OptionalMax use >1

To specify identifying information

Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)

Code qualifying the Reference Identification

KK
Delivery Reference
REF-02
127
Reference Identification
Required
String (AN)
Min 1Max 30

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

Usage notes

Delivery Reference Date

REF-03
352
Description
Optional
String (AN)
Min 1Max 80

A free-form description to clarify the related data elements and their content

Usage notes

Advance Ship Notice Reference Number

N1 Loop end
YNQ
335
Detail > HL Loop > HL Loop > HL Loop > HL Loop > HL Loop > YNQ

Yes/No Question

OptionalMax use 1

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

Usage notes

The purpose of the YNQ segment at the Item Level is to indicate that the Direct Purchase Statement established at the Shipment Level applies or that a Direct Purchase Statement was received.

Example
YNQ-01
1321
Condition Indicator
Optional
Identifier (ID)
Min 2Max 2

Code indicating a condition

YNQ-02
1073
Yes/No Condition or Response Code
Required
Identifier (ID)

Code indicating a Yes or No condition or response

  • YNQ02 confirms or denies the statement made in YNQ01, YNQ09 or YNQ10. A "Y" indicates the statement is confirmed; an "N" indicates the statement is denied.
Usage notes

“Y” indicates that the direct purchase statement applies or that a direct
purchase statement has been received

Y
Yes
YNQ-08
1270
Code List Qualifier Code
Required
Identifier (ID)

Code identifying a specific industry code list

99
Purpose Code
YNQ-09
1271
Industry Code
Required
String (AN)

Code indicating a code from a specific industry code list

DIR
Product Purchased Directly

Product Purchased Directly

RDPS
Received Direct Purchase Statement

Received Direct Purchase Statement

HL Loop end
HL Loop end
HL Loop end
HL Loop end
HL Loop end
Detail end

Summary

CTT
010
Summary > CTT

Transaction Totals

OptionalMax use 1

To transmit a hash total for a specific element in the transaction set

  • Number of line items (CTT01) is the accumulation of the number of HL segments.
    If used, hash total (CTT02) is the sum of the value of units shipped (SN102) for each SN1 segment.
Example
CTT-01
354
Number of Line Items
Required
Numeric (N0)
Min 1Max 6

Total number of line items in the transaction set

Usage notes

On the 856 document, this value represents the number of HL Segments in the transaction set, not the number of actual line items, as stated in the Transaction Set Notes

SE
020
Summary > SE

Transaction Set Trailer

RequiredMax use 1

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

Example
SE-01
96
Number of Included Segments
Required
Numeric (N0)
Min 1Max 10

Total number of segments included in a transaction set including ST and SE segments

SE-02
329
Transaction Set Control Number
Required
Numeric (N)
Min 4Max 9

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

Summary end

Functional Group Trailer

RequiredMax use 1

To indicate the end of a functional group and to provide control information

Example
GE-01
97
Number of Transaction Sets Included
Required
Numeric (N0)
Min 1Max 6

Total number of transaction sets included in the functional group or interchange (transmission) group terminated by the trailer containing this data element

GE-02
28
Group Control Number
Required
Numeric (N0)
Min 1Max 9

Assigned number originated and maintained by the sender

Interchange Control Trailer

RequiredMax use 1

To define the end of an interchange of zero or more functional groups and interchange-related control segments

Example
IEA-01
I16
Number of Included Functional Groups
Required
Numeric (N0)
Min 1Max 5

A count of the number of functional groups included in an interchange

IEA-02
I12
Interchange Control Number
Required
Numeric (N0)
Min 9Max 9

A control number assigned by the interchange sender

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