FRM Supporting Documentation

To specify information in response to a codified questionnaire document

Position
Element
Name
Type
Requirement
Min
Max
Repeat
FRM01
Assigned Identification
String (AN)
Mandatory
1
20
1
Alphanumeric characters assigned for differentiation within a transaction set
FRM01 is the question number on a questionnaire or codified form.
FRM02
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
1
Code indicating a Yes or No condition or response
R02030405: At least one of FRM-02, FRM-03, FRM-04 or FRM-05 is required
FRM02, FRM03, FRM04 and FRM05 are responses which only have meaning in reference to the question identified in FRM01.
FRM03
Reference Identification
String (AN)
Conditional
1
50
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
FRM04
Date
Date (DT)
Conditional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
FRM05
Percent
Decimal number (R)
Conditional
1
6
1
Percent expressed as a percent

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