500 Medical Event Reporting

Functional Group MM

X12N Insurance Subcommittee

This Draft Standard for Trial Use contains the format and establishes the data contents of the Medical Event Reporting Transaction Set (500) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to make voluntary, mandatory, baseline, annual and semi-annual reports on medication and medical device adverse effects and product problems.

Heading

Position
Segment
Name
Max use
  1. To indicate the start of a transaction set and to assign a control number

  2. To indicate the beginning of a transaction set

  3. NM1 Loop Optional
    Repeat >1
    1. To supply the full name of an individual or organizational entity

      The NM1 loop carries information about the party transmitting the report.
    2. To specify additional names

    3. To specify the location of the named party

    4. To specify the geographic place of the named party

    5. To specify identifying information

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

    7. To specify pertinent dates and times

    8. To specify quantity information

    9. To uniquely identify a transaction to an application

    10. LM Loop Optional
      Repeat >1
      1. To transmit standard code list identification information

      2. Code to transmit standard industry codes

Detail

Position
Segment
Name
Max use
  1. HL Loop Optional
    Repeat >1
    1. To identify dependencies among and the content of hierarchically related groups of data segments

      The HL loop divides a report into sections such as event, patient, device, medication, reporter, user facility, distributor and manufacturer.
    2. LM Loop Optional
      Repeat >1
      1. To transmit standard code list identification information

        The LM loop provides report data in coded form.
      2. LQ Loop Mandatory
        Repeat >1
        1. Code to transmit standard industry codes

        2. To specify pertinent dates and times

        3. To specify identifying information

        4. To specify quantity information

        5. To specify textual data

    3. LIN Loop Optional
      Repeat >1
      1. To specify basic item identification data

        The LIN loop provides product device or medication specific information.
      2. To describe a product or process in coded or free-form format

      3. To specify quantity information

      4. To specify pertinent dates and times

      5. To specify identifying information

      6. To specify physical measurements or counts, including dimensions, tolerances, variances, and weights (See Figures Appendix for example of use of C001)

      7. To uniquely identify a transaction to an application

      8. To specify textual data

    4. NM1 Loop Optional
      Repeat >1
      1. To supply the full name of an individual or organizational entity

        The NM1 loop carries party or organization reporting information.
      2. To specify additional names

      3. To specify the location of the named party

      4. To specify the geographic place of the named party

      5. To specify identifying information

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

      7. To specify pertinent dates and times

      8. To supply demographic information

      9. To specify physical measurements or counts, including dimensions, tolerances, variances, and weights (See Figures Appendix for example of use of C001)

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

      11. To uniquely identify a transaction to an application

      12. QTY Loop Optional
        Repeat >1
        1. To specify quantity information

        2. LM Loop Optional
          Repeat >1
          1. To transmit standard code list identification information

          2. Code to transmit standard industry codes

      13. PID Loop Optional
        Repeat >1
        1. To describe a product or process in coded or free-form format

        2. To specify pertinent dates and times

        3. To specify quantity information

      14. MTX Loop Optional
        Repeat >1
        1. To specify textual data

        2. To specify pertinent dates and times

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

    CTT01 is the number of occurrences of the HL segment.
  3. To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference is provided for marketing purposes and is free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.