Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
Quantity
Decimal number (R)
Mandatory
1
15
1
Numeric value of quantity
DLV01 is quantity ordered.
02
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
1
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
P0203: If either DLV-02 or DLV-03 is present, then the other is required
03
Product/Service ID
String (AN)
Conditional
1
80
1
Identifying number for a product or service
04
Program Type Code
Identifier (ID)
Optional
2
2
1
Code identifying a program type
05
Description
String (AN)
Optional
1
80
1
A free-form description to clarify the related data elements and their content