Cardinal Health, Inc. X12 810 Invoice

Cardinal Health - Medical Products and Services (Allegiance Health Care)

3 schema elements found

This Draft Standard schema for Trial Use contains the format and data contents of the schema for use within the context of an Electronic Data Interchange (EDI) environment.

ISA

ISA

Interchange Control Header

MMax: 1

To start and identify an interchange of zero or more functional groups and interchange-related control segments

ISA01
Authorization Information Qualifier
MIDMIN 2 MAX 2ID: I01

Code to identify the type of information in the Authorization Information

ISA02
Authorization Information
MANMIN 10 MAX 10ID: I02

Information used for additional identification or authorization of the interchange sender or the data in the interchange; the type of information is set by the Authorization Information Qualifier (I01)

ISA03
Security Information Qualifier
MIDMIN 2 MAX 2ID: I03

Code to identify the type of information in the Security Information

ISA04
Security Information
MANMIN 10 MAX 10ID: I04

This is used for identifying the security information about the interchange sender or the data in the interchange; the type of information is set by the Security Information Qualifier (I03)

ISA05
Interchange ID Qualifier
MIDMIN 2 MAX 2ID: I05

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

ISA06
Interchange Sender ID
MANMIN 15 MAX 15ID: I06

Identification code published by the sender for other parties to use as the receiver ID to route data to them; the sender always codes this value in the sender ID element

ISA07
Interchange ID Qualifier
MIDMIN 2 MAX 2ID: I05

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

ISA08
Interchange Receiver ID
MANMIN 15 MAX 15ID: I07

Identification code published by the receiver of the data; When sending, it is used by the sender as their sending ID, thus other parties sending to them will use this as a receiving ID to route data to them

ISA09
Interchange Date
MDTMIN 6 MAX 6ID: I08

Date of the interchange

ISA10
Interchange Time
MTMMIN 4 MAX 4ID: I09

Time of the interchange

ISA11
Interchange Control Standards Identifier
MIDMIN 1 MAX 1ID: I10

Code to identify the agency responsible for the control standard used by the message that is enclosed by the interchange header and trailer

ISA12
Interchange Control Version Number
MIDMIN 5 MAX 5ID: I11

This version number covers the interchange control segments

ISA13
Interchange Control Number
MN0MIN 9 MAX 9ID: I12

A control number assigned by the interchange sender

ISA14
Acknowledgment Requested
MIDMIN 1 MAX 1ID: I13

Code sent by the sender to request an interchange acknowledgment (TA1)

ISA15
Usage Indicator
MIDMIN 1 MAX 1ID: I14

Code to indicate whether data enclosed by this interchange envelope is test, production or information

ISA16
Component Element Separator
MMIN 1 MAX 1ID: I15

Type is not applicable; the component element separator is a delimiter and not a data element; this field provides the delimiter used to separate component data elements within a composite data structure; this value must be different than the data element separator and the segment terminator

GS

GS

Functional Group Header

MMax: 1

To indicate the beginning of a functional group and to provide control information

GS01
Functional Identifier Code
MIDMIN 2 MAX 2ID: 479

Code identifying a group of application related transaction sets

GS02
Application Sender's Code
MANMIN 2 MAX 15ID: 142

Code identifying party sending transmission; codes agreed to by trading partners

GS03
Application Receiver's Code
MANMIN 2 MAX 15ID: 124

Code identifying party receiving transmission. Codes agreed to by trading partners

GS04
Date
MDTMIN 8 MAX 8ID: 373

Date expressed as CCYYMMDD

GS05
Time
MTMMIN 4 MAX 8ID: 337

Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

GS06
Group Control Number
MN0MIN 1 MAX 9ID: 28

Assigned number originated and maintained by the sender

GS07
Responsible Agency Code
MIDMIN 1 MAX 2ID: 455

Code used in conjunction with Data Element 480 to identify the issuer of the standard

GS08
Version / Release / Industry Identifier Code
MANMIN 1 MAX 12ID: 480

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

transactionSets

Loop: transactionSets

ST

Transaction Set Header

MMax: 1Area: 1Seq: 010

To indicate the start of a transaction set and to assign a control number

ST01
Transaction Set Identifier Code
MIDMIN 3 MAX 3ID: 143

Code uniquely identifying a Transaction Set

810Invoice
ST02
Transaction Set Control Number
MANMIN 4 MAX 9ID: 329

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

BIG

Beginning Segment for Invoice

MMax: 1Area: 1Seq: 020

To indicate the beginning of an invoice transaction set and transmit identifying numbers and dates

BIG01
Date
MDTMIN 8 MAX 8ID: 373

Date expressed as CCYYMMDD

BIG02
Invoice Number
MANMIN 1 MAX 22ID: 76

Identifying number assigned by issuer

BIG03
Date
ODTMIN 8 MAX 8ID: 373

Date expressed as CCYYMMDD

BIG04
Purchase Order Number
OANMIN 1 MAX 22ID: 324

Identifying number for Purchase Order assigned by the orderer/purchaser

BIG05
Release Number
OANMIN 1 MAX 30ID: 328

Number identifying a release against a Purchase Order previously placed by the parties involved in the transaction

BIG06
Change Order Sequence Number
OANMIN 1 MAX 8ID: 327

Number assigned by the orderer identifying a specific change or revision to a previously transmitted transaction set

BIG07
Transaction Type Code
OIDMIN 2 MAX 2ID: 640

Code specifying the type of transaction

DIDebit Invoice
DRDebit Memo
PRProduct (or Service)
NTE

Note/Special Instruction

OMax: 100Area: 1Seq: 030

To transmit information in a free-form format, if necessary, for comment or special instruction

NTE02
Description
MANMIN 1 MAX 80ID: 352

A free-form description to clarify the related data elements and their content

CUR

Currency

OMax: 1Area: 1Seq: 040

To specify the currency (dollars, pounds, francs, etc.) used in a transaction

CUR01
Entity Identifier Code
MIDMIN 2 MAX 3ID: 98

Code identifying an organizational entity, a physical location, property or an individual

VNVendor
CUR02
Currency Code
MIDMIN 3 MAX 3ID: 100

Code (Standard ISO) for country in whose currency the charges are specified

REF

Reference Identification

OMax: 12Area: 1Seq: 050

To specify identifying information

REF01
Reference Identification Qualifier
MIDMIN 2 MAX 3ID: 128

Code qualifying the Reference Identification

BLGovernment Bill of Lading
BMBill of Lading Number
SIShipper's Identifying Number for Shipment (SID)
REF02
Reference Identification
CANMIN 1 MAX 30ID: 127

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Loop: N1_loop

Repeat: 200
N1

Name

OMax: 1Area: 1Seq: 070

To identify a party by type of organization, name, and code

N101
Entity Identifier Code
MIDMIN 2 MAX 3ID: 98

Code identifying an organizational entity, a physical location, property or an individual

BTBill-to-Party
MFManufacturer of Goods
N102
Name
CANMIN 1 MAX 60ID: 93

Free-form name

N103
Identification Code Qualifier
CIDMIN 1 MAX 2ID: 66

Code designating the system/method of code structure used for Identification Code (67)

92Assigned by Buyer or Buyer's Agent
ULUCC/EAN Location Code
N104
Identification Code
CANMIN 2 MAX 80ID: 67

Code identifying a party or other code

Loop: IT1_loop

Repeat: 200000
IT1

Baseline Item Data (Invoice)

OMax: 1Area: 2Seq: 010

To specify the basic and most frequently used line item data for the invoice and related transactions

IT101
Assigned Identification
OANMIN 1 MAX 20ID: 350

Alphanumeric characters assigned for differentiation within a transaction set

IT102
Quantity Invoiced
CRMIN 1 MAX 10ID: 358

Number of units invoiced (supplier units)

IT103
Unit or Basis for Measurement Code
CIDMIN 2 MAX 2ID: 355

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

EAEach
CACase
IT104
Unit Price
CRMIN 1 MAX 17ID: 212

Price per unit of product, service, commodity, etc.

IT105
Basis of Unit Price Code
OIDMIN 2 MAX 2ID: 639

Code identifying the type of unit price for an item

AABill
ABPay
APAdvise Price
AWAverage Wholesale Price
BDBefore Discount
BRBroker
BWBiweekly Price per Unit
CACatalog
CPCurrent Price (Subject to Change)
CRCarnet
CTContract
DIDistributor
DPDaily Price per Unit
DRDealer
DSDiscount
ECEstimated Credit
EHShift Differential
ESEstimated
FBFabrication Cost
FOFormula
FXFixed Price
HFPer 100 Feet
HPPrice per Hundred
HTPrice Per 100,000
KAPrice with Government Furnished Property
KPEscalated Price
KRIn Stock
LCCatalog Price per Hundred
LDCatalog Price per Dozen
LECatalog Price per Each
LMCatalog Price per Thousand
LRPrevious Catalog Price
MEMidterm Endorsement Price per Unit
MLPrice per Milliliter
NCNo Charge
NENot to Exceed
NQNo Quote
NSNot Separately Priced
NTNet
PAPrice per Troy Ounce
PBAnnual Price Per Unit
PDPrice per Dozen
PEPrice per Each
PFPrice Per Foot
PGPrice per Gram
PKPrice per Kilogram
PLPrice per Liter
PMMonthly Price Per Unit
PNPrice per Ten
POPrice per Ounce
PPPrice per Pound
PQPosted
PRPromotion
PSPrice Per Thousand Square Foot
PTPrice per Ton
PUQuarterly Price per Unit
PVProvisional Price
PYPrice per Yard
QEQuoted Price per Each
QHQuoted Price per Hundred
QRPrevious Quoted Price
QSQuoted Price per Thousand
QTQuoted
RCRetail Price per Hundred
RDRetail Price per Dozen
RERetail Price per Each
RMRetail Price per Thousand
RSResale Price
RTRetail
SASemi Annual Price per Unit
SCSubmitted Contract
SMSemi Monthly Price per Unit
SRSuggested Retail
STStandard
SWSubmitted Wholesale
TBTo be negotiated.
TCContract Price per Hundred
TDContract Price per Dozen
TEContract Price per Each
TFPer 1000 Feet
TMContract Price per Thousand
TPPrice per Thousand
TTPrice Per 10,000
UMPrice per Unit of Measure
VQVerbal Quote
WCWholesale Price per Hundred
WDWholesale Price per Dozen
WEWholesale Price per Each
WHWholesale
WIWeekly Price per Unit
WMWholesale Price per Thousand
IT106
Product/Service ID Qualifier
CIDMIN 2 MAX 2ID: 235

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

CBBuyer's Catalog Number
IT107
Product/Service ID
CANMIN 1 MAX 48ID: 234

Identifying number for a product or service

IT108
Product/Service ID Qualifier
CIDMIN 2 MAX 2ID: 235

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

VCVendor's (Seller's) Catalog Number
IT109
Product/Service ID
CANMIN 1 MAX 48ID: 234

Identifying number for a product or service

IT110
Product/Service ID Qualifier
CIDMIN 2 MAX 2ID: 235

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

HIHIBC (Health Care Industry Bar Code)
INBuyer's Item Number
NDNational Drug Code (NDC)
UKU.P.C./EAN Shipping Container Code (1-2-5-5-1)
IT111
Product/Service ID
CANMIN 1 MAX 48ID: 234

Identifying number for a product or service

Loop: PID_loop

Repeat: 1000
PID

Product/Item Description

OMax: 1Area: 2Seq: 060

To describe a product or process in coded or free-form format

PID01
Item Description Type
MIDMIN 1 MAX 1ID: 349

Code indicating the format of a description

FFree-form
PID05
Description
CANMIN 1 MAX 80ID: 352

A free-form description to clarify the related data elements and their content

TDS

Total Monetary Value Summary

MMax: 1Area: 3Seq: 010

To specify the total invoice discounts and amounts

TDS01
Amount
MN2MIN 1 MAX 15ID: 610

Monetary amount

Loop: SAC_loop

Repeat: 25
SAC

Service, Promotion, Allowance, or Charge Information

OMax: 1Area: 3Seq: 040

To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge

SAC01
Allowance or Charge Indicator
MIDMIN 1 MAX 1ID: 248

Code which indicates an allowance or charge for the service specified

AAllowance
CCharge
SAC02
Service, Promotion, Allowance, or Charge Code
CIDMIN 4 MAX 4ID: 1300

Code identifying the service, promotion, allowance, or charge

B610Container Service Charge USA/Canada
C030Delivery Surcharge
C040Delivery
D240Freight
D500Handling
D530Hazardous Cargo Charge
F180Pallet
F330Pick-up and Delivery
F560Premium Transportation
F800Promotional Allowance
F810Promotional Discount
G740Service Charge
G830Shipping and Handling
H390Stop-off Charge
H770Tax - State Tax
SAC05
Amount
ON2MIN 1 MAX 15ID: 610

Monetary amount

SAC12
Allowance or Charge Method of Handling Code
OIDMIN 2 MAX 2ID: 331

Code indicating method of handling for an allowance or charge

05Charge to be Paid by Vendor
06Charge to be Paid by Customer
CTT

Transaction Totals

OMax: 1Area: 3Seq: 070

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

CTT01
Number of Line Items
MN0MIN 1 MAX 6ID: 354

Total number of line items in the transaction set

SE

Transaction Set Trailer

MMax: 1Area: 3Seq: 080

To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

SE01
Number of Included Segments
MN0MIN 1 MAX 10ID: 96

Total number of segments included in a transaction set including ST and SE segments

SE02
Transaction Set Control Number
MANMIN 4 MAX 9ID: 329

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set