E01 Electronic Form Main Heading

To provide the information related to all of the values for this instance of the electronic form of the X12 standards

Sequence

Element

Name

Type

Requirement

Min

Max

Repeat

01

487

Maintenance Operation Code

Identifier (ID)

Mandatory

1

1

1

Code indicating the type maintenance operation

Codes (6)

02

922

Electronic Form Standards Type Code

Identifier (ID)

Mandatory

1

1

1

Code identifying the standard type being transferred using the electronic form

Codes (6)

03

480

Version / Release / Industry Identifier Code

String (AN)

Mandatory

1

12

1

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

Codes (102)

04

924

Full or Partial Indicator Code

Identifier (ID)

Mandatory

1

1

1

Code identifying if the electronic form tables being transferred are a full or partial set

Codes (2)