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Product Transfer and Resale Report
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X12 867 Product Transfer and Resale Report

X12 Release 4010

This Draft Standard for Trial Use contains the format and establishes the data contents of the Product Transfer and Resale Report Transaction Set (867) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to: (1) report information about product that has been transferred from one location to another; (2) report sales of product from one or more locations to an end customer; or (3) report sales of a product from one or more locations to an end customer, and demand beyond actual sales (lost orders). Report may be issued by either buyer or seller.

Delimiters
  • ~ Segment
  • * Element
  • > Component
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    Overview
    ISA
    -
    Interchange Control Header
    Max use 1
    Required
    GS
    -
    Functional Group Header
    Max use 1
    Required
    heading
    ST
    010
    Transaction Set Header
    Max use 1
    Required
    BPT
    020
    Beginning Segment for Product Transfer and Resale
    Max use 1
    Required
    DTM
    050
    Report End
    Max use 10
    Optional
    DTM
    050
    Report Start
    Max use 10
    Optional
    Distributor Branch
    detail
    PTD 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

    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
    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

    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
    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
    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
    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
    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
    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
    YYMMDD format

    Date of the interchange

    ISA-10
    I09
    Interchange Time
    Required
    HHMM format

    Time of the interchange

    ISA-11
    I10
    Interchange Control Standards Identifier
    Required

    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

    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
    Min 9Max 9

    A control number assigned by the interchange sender

    ISA-14
    I13
    Acknowledgment Requested
    Required
    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
    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
    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

    Code identifying a group of application related transaction sets

    PT
    Product Transfer and Resale Report (867)
    GS-02
    142
    Application Sender's Code
    Required
    Min 2Max 15

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

    GS-03
    124
    Application Receiver's Code
    Required
    Min 2Max 15

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

    GS-04
    373
    Date
    Required
    CCYYMMDD format

    Date expressed as CCYYMMDD

    GS-05
    337
    Time
    Required
    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
    Min 1Max 9

    Assigned number originated and maintained by the sender

    GS-07
    455
    Responsible Agency Code
    Required
    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

    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

    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

    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).
    867
    Product Transfer and Resale Report
    ST-02
    329
    Transaction Set Control Number
    Required
    Min 4Max 9

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

    BPT
    020

    Beginning Segment for Product Transfer and Resale

    RequiredMax use 1

    To indicate the beginning of the Product Transfer and Resale Report Transaction Set and transmit identifying data

    Example
    BPT-01
    353
    Transaction Set Purpose Code
    Required

    Code identifying purpose of transaction set

    00
    Original
    BPT-03
    373
    Date
    Required
    CCYYMMDD format

    Date expressed as CCYYMMDD

    • BPT03 identifies the transfer/resale date.
    BPT-04
    755
    Report Type Code
    Optional

    Code indicating the title or contents of a document, report or supporting item

    SS
    Seller Sales Report
    BPT-10
    786
    Security Level Code
    Optional
    Min 2Max 2

    Code indicating the level of confidentiality assigned by the sender to the information following

    DTM
    050

    Report End

    OptionalMax use 10

    To specify pertinent dates and times

    Usage notes

    Example: DTM09120090830

    Example
    Variants (all may be used)
    DTMReport Start
    DTM-01
    374
    Date/Time Qualifier
    Required

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

    091
    Report End
    DTM-02
    373
    Date
    Optional
    CCYYMMDD format

    Date expressed as CCYYMMDD

    DTM
    050

    Report Start

    OptionalMax use 10

    To specify pertinent dates and times

    Usage notes

    Example: DTM09020090825

    Example
    Variants (all may be used)
    DTMReport End
    DTM-01
    374
    Date/Time Qualifier
    Required

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

    090
    Report Start
    DTM-02
    373
    Date
    Optional
    CCYYMMDD format

    Date expressed as CCYYMMDD

    N1 Distributor Branch
    OptionalMax >1
    Variants (all may be used)
    N1Supplier/Manufacturer
    N1
    080

    Name

    RequiredMax use 1

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

    Usage notes

    Example: N1DBH-E-B11RH0277067

    Example
    At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required
    If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required
    N1-01
    98
    Entity Identifier Code
    Required

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

    DB
    Distributor Branch
    N1-02
    93
    Name
    Optional
    Min 1Max 60

    Free-form name

    Usage notes

    Division Name

    N1-03
    66
    Identification Code Qualifier
    Optional

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

    11
    Drug Enforcement Administration (DEA)
    N1-04
    67
    Identification Code
    Optional
    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

    DEA Number

    N1 Supplier/Manufacturer
    OptionalMax >1
    Variants (all may be used)
    N1Distributor Branch
    N1
    080

    Name

    RequiredMax use 1

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

    Example
    At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required
    If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required
    N1-01
    98
    Entity Identifier Code
    Required

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

    SU
    Supplier/Manufacturer
    N1-02
    93
    Name
    Optional
    Min 1Max 60

    Free-form name

    Usage notes

    Supplier Name

    N1-03
    66
    Identification Code Qualifier
    Optional

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

    11
    Drug Enforcement Administration (DEA)
    N1-04
    67
    Identification Code
    Optional
    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

    Supplier DEA Number

    Detail

    PTD Loop
    RequiredMax >1
    PTD
    010

    Product Transfer and Resale Detail

    RequiredMax use 1

    To indicate the start of detail information relating to the transfer/resale of a product and provide identifying data

    Usage notes

    Invoice Loop Example: PTDSS*DI5546

    Example
    If either Reference Identification Qualifier (PTD-04) or Reference Identification (PTD-05) is present, then the other is required
    PTD-01
    521
    Product Transfer Type Code
    Required

    Code identifying the type of product transfer

    RP
    Return of List Price
    SS
    Stock Sale
    PTD-04
    128
    Reference Identification Qualifier
    Optional

    Code qualifying the Reference Identification

    DI
    Distributor Invoice Number
    PTD-05
    127
    Reference Identification
    Optional
    Min 1Max 30

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

    Usage notes

    Original Invoice Number

    DTM
    020

    Invoice

    OptionalMax use 10

    To specify pertinent dates and times

    Usage notes

    Example: DTM00320090823

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

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

    003
    Invoice
    DTM-02
    373
    Date
    Optional
    CCYYMMDD format

    Date expressed as CCYYMMDD

    DTM
    020

    Order

    OptionalMax use 10

    To specify pertinent dates and times

    Usage notes

    Example: DTM93820090823

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

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

    938
    Order
    DTM-02
    373
    Date
    Optional
    CCYYMMDD format

    Date expressed as CCYYMMDD

    DTM
    020

    Shipped

    OptionalMax use 10

    To specify pertinent dates and times

    Usage notes

    Example: DTM01120090824

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

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

    011
    Shipped
    DTM-02
    373
    Date
    Optional
    CCYYMMDD format

    Date expressed as CCYYMMDD

    N1 Loop
    RequiredMax >1
    N1
    050

    Name

    RequiredMax use 1

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

    Usage notes

    Example: N1STSA41 Potranco/160411FH0006418

    Example
    At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required
    If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required
    N1-01
    98
    Entity Identifier Code
    Required

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

    ST
    Ship To
    N1-02
    93
    Name
    Optional
    Min 1Max 60

    Free-form name

    N1-03
    66
    Identification Code Qualifier
    Optional

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

    11
    Drug Enforcement Administration (DEA)
    N1-04
    67
    Identification Code
    Optional
    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

    Ship-To DEA Number

    N3
    070

    Address Information

    OptionalMax use 2

    To specify the location of the named party

    Usage notes

    Example: N3*10718 POTRANCO

    Example
    N3-01
    166
    Address Information
    Required
    Min 1Max 55

    Address information

    N3-02
    166
    Address Information
    Optional
    Min 1Max 55

    Address information

    N4
    080

    Geographic Location

    OptionalMax use 1

    To specify the geographic place of the named party

    Usage notes

    Example: N4SAN ANTONIOTX64181USA

    Example
    N4-01
    19
    City Name
    Optional
    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
    Optional
    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
    Optional
    Min 3Max 15

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

    N4-04
    26
    Country Code
    Optional
    Min 2Max 3

    Code identifying the country

    SII Loop
    OptionalMax >1
    SII
    105

    Sales Item Information

    RequiredMax use 1

    To specify line item information related to a sale of an item

    Example
    SII-01
    235
    Product/Service ID Qualifier
    Required
    Min 2Max 2

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

    SII-02
    234
    Product/Service ID
    Required
    Min 1Max 48

    Identifying number for a product or service

    SII-03
    380
    Quantity
    Required
    Min 1Max 15

    Numeric value of quantity

    • SII03 is the amount of the product identified in SII01 and SII02.
    SII-04
    C001
    Composite Unit of Measure
    To identify a composite unit of measure (See Figures Appendix for examples of use)
    C001-01
    355
    Unit or Basis for Measurement Code
    Required
    Min 2Max 2

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

    C001-02
    1018
    Exponent
    Optional
    Min 1Max 15

    Power to which a unit is raised

    C001-03
    649
    Multiplier
    Optional
    Min 1Max 10

    Value to be used as a multiplier to obtain a new value

    C001-04
    355
    Unit or Basis for Measurement Code
    Optional
    Min 2Max 2

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

    C001-05
    1018
    Exponent
    Optional
    Min 1Max 15

    Power to which a unit is raised

    C001-06
    649
    Multiplier
    Optional
    Min 1Max 10

    Value to be used as a multiplier to obtain a new value

    C001-07
    355
    Unit or Basis for Measurement Code
    Optional
    Min 2Max 2

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

    C001-08
    1018
    Exponent
    Optional
    Min 1Max 15

    Power to which a unit is raised

    C001-09
    649
    Multiplier
    Optional
    Min 1Max 10

    Value to be used as a multiplier to obtain a new value

    C001-10
    355
    Unit or Basis for Measurement Code
    Optional
    Min 2Max 2

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

    C001-11
    1018
    Exponent
    Optional
    Min 1Max 15

    Power to which a unit is raised

    C001-12
    649
    Multiplier
    Optional
    Min 1Max 10

    Value to be used as a multiplier to obtain a new value

    C001-13
    355
    Unit or Basis for Measurement Code
    Optional
    Min 2Max 2

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

    C001-14
    1018
    Exponent
    Optional
    Min 1Max 15

    Power to which a unit is raised

    C001-15
    649
    Multiplier
    Optional
    Min 1Max 10

    Value to be used as a multiplier to obtain a new value

    SII-05
    212
    Unit Price
    Optional
    Min 1Max 15

    Price per unit of product, service, commodity, etc.

    • SII05 is the wholesale acquisition price.
    SII-06
    212
    Unit Price
    Optional
    Min 1Max 15

    Price per unit of product, service, commodity, etc.

    • SII06 is the contract price.
    SII-07
    782
    Monetary Amount
    Optional
    Min 1Max 15

    Monetary amount

    • SII07 is the extended rebate amount.
    N9
    107

    Reference Identification

    OptionalMax use 1

    To transmit identifying information as specified by the Reference Identification Qualifier

    Example
    At least one of Reference Identification (N9-02) or Free-form Description (N9-03) is required
    If Time Code (N9-06) is present, then Time (N9-05) is required
    N9-01
    128
    Reference Identification Qualifier
    Required
    Min 2Max 3

    Code qualifying the Reference Identification

    N9-02
    127
    Reference Identification
    Optional
    Min 1Max 30

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

    N9-03
    369
    Free-form Description
    Optional
    Min 1Max 45

    Free-form descriptive text

    N9-04
    373
    Date
    Optional
    CCYYMMDD format

    Date expressed as CCYYMMDD

    N9-05
    337
    Time
    Optional
    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)

    N9-06
    623
    Time Code
    Optional
    Min 2Max 2

    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

    • N906 reflects the time zone which the time reflects.
    N9-07
    C040
    Reference Identifier
    To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier
    If either Reference Identification Qualifier (C040-03) or Reference Identification (C040-04) is present, then the other is required
    If either Reference Identification Qualifier (C040-05) or Reference Identification (C040-06) is present, then the other is required
    C040-01
    128
    Reference Identification Qualifier
    Required
    Min 2Max 3

    Code qualifying the Reference Identification

    C040-02
    127
    Reference Identification
    Required
    Min 1Max 30

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

    C040-03
    128
    Reference Identification Qualifier
    Optional
    Min 2Max 3

    Code qualifying the Reference Identification

    C040-04
    127
    Reference Identification
    Optional
    Min 1Max 30

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

    C040-05
    128
    Reference Identification Qualifier
    Optional
    Min 2Max 3

    Code qualifying the Reference Identification

    C040-06
    127
    Reference Identification
    Optional
    Min 1Max 30

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

    QTY Loop
    OptionalMax >1
    QTY
    110

    Quantity

    RequiredMax use 1

    To specify quantity information

    Usage notes

    Example: QTY321*EA

    Example
    QTY-01
    673
    Quantity Qualifier
    Required

    Code specifying the type of quantity

    32
    Quantity Sold
    QTY-02
    380
    Quantity
    Optional
    Min 1Max 15

    Numeric value of quantity

    QTY-03
    C001
    Composite Unit of Measure
    To identify a composite unit of measure (See Figures Appendix for examples of use)
    C001-01
    355
    Unit or Basis for Measurement Code
    Required

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

    CA
    Case
    CT
    Carton
    EA
    Each
    LIN
    120

    Item Identification

    OptionalMax use 1

    To specify basic item identification data

    Usage notes

    Example: LIN*N413310015307PI0089646MG3742954

    Example
    If either Product/Service ID Qualifier (LIN-04) or Product/Service ID (LIN-05) is present, then the other is required
    If either Product/Service ID Qualifier (LIN-06) or Product/Service ID (LIN-07) is present, then the other is required
    LIN-01
    350
    Assigned Identification
    Optional
    Min 1Max 20

    Alphanumeric characters assigned for differentiation within a transaction set

    • LIN01 is the line item identification
    LIN-02
    235
    Product/Service ID Qualifier
    Required

    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.
    N4
    National Drug Code in 5-4-2 Format
    LIN-03
    234
    Product/Service ID
    Required
    Min 1Max 48

    Identifying number for a product or service

    LIN-04
    235
    Product/Service ID Qualifier
    Optional

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

    PI
    Purchaser's Item Code
    LIN-05
    234
    Product/Service ID
    Optional
    Min 1Max 48

    Identifying number for a product or service

    LIN-06
    235
    Product/Service ID Qualifier
    Optional

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

    MG
    Manufacturer's Part Number
    LIN-07
    234
    Product/Service ID
    Optional
    Min 1Max 48

    Identifying number for a product or service

    UIT
    130

    Unit Detail

    OptionalMax use 12

    To specify item unit data

    Usage notes

    Example: UITEA131.049*WH

    Example
    If Basis of Unit Price Code (UIT-03) is present, then Unit Price (UIT-02) is required
    UIT-01
    C001
    Composite Unit of Measure
    To identify a composite unit of measure (See Figures Appendix for examples of use)
    C001-01
    355
    Unit or Basis for Measurement Code
    Required

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

    CA
    Case
    CT
    Carton
    EA
    Each
    UIT-02
    212
    Unit Price
    Optional
    Min 1Max 15

    Price per unit of product, service, commodity, etc.

    UIT-03
    639
    Basis of Unit Price Code
    Optional

    Code identifying the type of unit price for an item

    WH
    Wholesale
    AMT
    140

    Monetary Amount

    OptionalMax use 12

    To indicate the total monetary amount

    Usage notes

    Example: AMTTT131.049

    Example
    AMT-01
    522
    Amount Qualifier Code
    Required

    Code to qualify amount

    TT
    Total Transaction Amount
    AMT-02
    782
    Monetary Amount
    Required
    Min 1Max 15

    Monetary amount

    AMT-03
    478
    Credit/Debit Flag Code
    Optional
    Min 1Max 1

    Code indicating whether amount is a credit or debit

    PID
    150

    Product/Item Description

    OptionalMax use 200

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

    Usage notes

    Example: PIDF***Asprin

    Example
    PID-01
    349
    Item Description Type
    Required

    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
    Optional
    Min 1Max 80

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

    REF
    190

    Reference Identification

    OptionalMax use >1

    To specify identifying information

    Usage notes

    Example: REFDI5546*Asprin

    Example
    At least one of Reference Identification (REF-02) or Description (REF-03) is required
    REF-01
    128
    Reference Identification Qualifier
    Required

    Code qualifying the Reference Identification

    DI
    Distributor Invoice Number
    REF-02
    127
    Reference Identification
    Optional
    Min 1Max 30

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

    Usage notes

    Invoice Number

    REF-03
    352
    Description
    Optional
    Min 1Max 80

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

    Usage notes

    Drug Description

    DTM
    210

    Date/Time Reference

    OptionalMax use 10

    To specify pertinent dates and times

    Usage notes

    Example: DTM00320090823

    Example
    DTM-01
    374
    Date/Time Qualifier
    Required

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

    003
    Invoice
    DTM-02
    373
    Date
    Optional
    CCYYMMDD format

    Date expressed as CCYYMMDD

    Summary

    CTT Loop
    OptionalMax >1
    CTT
    010

    Transaction Totals

    RequiredMax use 1

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

    • The number of line items (CTT01) is the accumulation of the number of LIN segments. If used, hash total (CTT02) is the sum of the value of quantities (QTY02) for each QTY segment.
    Usage notes

    Example: CTT*125

    Example
    CTT-01
    354
    Number of Line Items
    Required
    Min 1Max 6

    Total number of line items in the transaction set

    SE
    030

    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
    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
    Min 4Max 9

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

    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
    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
    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
    Min 1Max 5

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

    IEA-02
    I12
    Interchange Control Number
    Required
    Min 9Max 9

    A control number assigned by the interchange sender

    EDI Samples

    Sample

    ST*867*540001
    BPT*00**20100426*SS
    DTM*090*20100420
    DTM*091*20100425
    N1*DB*H-E-B*11*RH0277067
    N1*SU*ABC & CO, INC (EFT)*11*AA2223331
    PTD*SS***DI*6158
    DTM*938*20100418
    DTM*003*20100418
    DTM*011*20100419
    N1*ST*TRADING PARTNER INFO*11*BH9673941
    N3* TRADING PARTNER INFO
    N4*AUSTIN*TX*39419*USA
    QTY*32*1*EA
    LIN**N4*AAAAAAAAAAA*PI*0012028*MG*CCCCCCC
    UIT*EA*1537.849*WH
    AMT*TT*1537.849
    PID*F****ZOSTAVAX VIAL
    REF*DI*6158*ZOSTAVAX VIAL
    DTM*003*20100418
    PTD*SS***DI*1659
    DTM*938*20100419
    DTM*003*20100419
    DTM*011*20100420
    N1*ST* TRADING PARTNER INFO *11*BH7514462
    N3* TRADING PARTNER INFO
    N4*SAN ANTONIO*TX*44621*USA
    QTY*32*1*EA
    LIN**N4*AAAAAAAAAAA*PI*0012028*MG*CCCCCCC
    UIT*EA*1537.849*WH
    AMT*TT*1537.849
    PID*F****ZOSTAVAX VIAL
    REF*DI*1659*ZOSTAVAX VIAL
    DTM*003*20100419
    PTD*SS***DI*1829
    DTM*938*20100419
    DTM*003*20100419
    DTM*011*20100420
    N1*ST* TRADING PARTNER INFO *11*BH7489063
    N3*TRADING PARTNER INFO
    N4*GATESVILLE*TX*90638*USA
    QTY*32*1*EA
    LIN**N4*AAAAAAAAAAA*PI*0012028*MG*CCCCCCC
    UIT*EA*1537.849*WH
    AMT*TT*1537.849
    PID*F****ZOSTAVAX VIAL
    REF*DI*1829*ZOSTAVAX VIAL
    DTM*003*20100419
    PTD*SS***DI*7184
    DTM*938*20100420
    DTM*003*20100420
    DTM*011*20100420
    N1*ST*TRADING PARTNER INFO*11*BH7866405
    N3*TRADING PARTNER INFO
    N4*FREDERICKSBURG*TX*64054*USA
    QTY*32*1*EA
    LIN**N4*AAAAAAAAAAA*PI*0012028*MG*CCCCCCC
    UIT*EA*1537.849*WH
    AMT*TT*1537.849
    PID*F****ZOSTAVAX VIAL
    REF*DI*7184*ZOSTAVAX VIAL
    DTM*003*20100420
    PTD*SS***DI*7267
    DTM*938*20100420
    DTM*003*20100420
    DTM*011*20100421
    N1*ST* TRADING PARTNER INFO *11*BH7487780
    N3* TRADING PARTNER INFO
    N4*SAN ANTONIO*TX*77803*USA
    QTY*32*1*EA
    LIN**N4*AAAAAAAAAAA*PI*0012028*MG*CCCCCCC
    UIT*EA*1537.849*WH
    AMT*TT*1537.849
    PID*F****ZOSTAVAX VIAL
    REF*DI*7267*ZOSTAVAX VIAL
    DTM*003*20100420
    PTD*SS***DI*8322
    DTM*938*20100422
    DTM*003*20100422
    DTM*011*20100423
    N1*ST*TRADING PARTNER INFO*11*BH7488718
    N3* TRADING PARTNER INFO
    N4*SAN ANTONIO*TX*87187*USA
    QTY*32*1*EA
    LIN**N4*AAAAAAAAAAA*PI*0012028*MG*CCCCCCC
    UIT*EA*1537.849*WH
    AMT*TT*1537.849
    PID*F****ZOSTAVAX VIAL
    REF*DI*8322*ZOSTAVAX VIAL
    DTM*003*20100422
    CTT*6
    SE*92*540001

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