Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
Reference Identification Qualifier
Identifier (ID)
Mandatory
2
3
1
Code identifying the Reference Identification
02
Reference Identification
String (AN)
Mandatory
1
80
1
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
03
Contract Status Code
Identifier (ID)
Mandatory
2
2
1
Code specifying the current status of the contract