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UN/EDIFACT
UNITED NATIONS STANDARD MESSAGE (UNSM)

Medical prescription message

Version:D
Release:02A
Contr. Agency:UN
Revision:1
Date:2002-05-15
SOURCE:D11 Healthcare SWG

CONTENTS
Medical prescription message
  1. INTRODUCTION
  2. SCOPE
    1. Functional definition
    2. Field of application
    3. Principles
  3. REFERENCES
  4. TERMS AND DEFINITIONS
    1. Standard terms and definitions
    2. Message terms and definitions
  5. MESSAGE DEFINITION
    1. Segment clarification
    2. Segment index (alphabetical sequence by tag)
    3. Message structure
      1. Segment table

For general information on UN standard message types see UN Trade Data Interchange Directory, UNTDID, Part 4, Section 2.3, UN/ECE UNSM General Introduction


This message also occurs in the following versions of this standard:
D99B, D00A, D00B, D01A, D01B, D01C, D02A, D02B, D03A, D03B, D04A, D04B

0. INTRODUCTION

This specification provides the definition of the Medical prescription message (MEDPRE) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport.


1. SCOPE


1.1. Functional definition

The MEDPRE message is sent from a prescriber (issuer) of prescriptions (healthcare professionals, i.e. physician, dentist, or veterinarian) to a dispensing agent (i.e. pharmacy) in order to allow the dispenser to deliver dispensed medicines(s) for the treatment of a subject of care (patient, patient group, animal or animal group).

The MEDPRE message may also be sent via a relaying agent for storage until it is requested by a dispenser. Copies of the message may also be sent to parties entitled to receive a copy.

The MEDPRE message can also be used as a request for a prescription from a dispensing agent to a prescriber.


1.2. Field of application

The Medical prescription message may be used for both national and international applications. It is based on universal practice related to administration, commerce and transport, and is not dependent on the type of business or industry.


1.3. Principles

A Medical prescription is an order to a dispenser to prepare prescribed medicines for a patient or animal and either to send them to a specific address or to await collection at the pharmacy.

The following principles apply:

  • A Medical prescription message is issued to one subject of care: one patient, a group of patients, an animal, a group of animals, or for use by the issuer himself.
  • A Medical prescription message contains one prescription set which contains one or more prescription items, each of these for one medicinal product and/or appliance.
  • The prescribed medicinal product(s) can be identified by registered name, industry code, or a generic drug name.
  • The prescription may also be used for non-prescription medicinal products and/or appliances and other material from the pharmacy according to national regulations and local rules.
  • A prescription may contain extemporaneously dispensed medicines identified by a recipe.
  • The individual prescription item may contain information concerning repeat dispensing.
  • The individual prescription item as well as a complete prescription set may contain information concerning payment guarantor and payment details.
  • The dispensed medicine(s) can be delivered to the party at the pharmacy or alternatively sent to a specific address. All prescription items in a prescription set have the same delivery information.

2. REFERENCES

See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General Introduction, Section 1.


3. TERMS AND DEFINITIONS


3.1. Standard terms and definitions

See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General Introduction, Section 2.


3.2. Message terms and definitions

The word "prescription" is used for the prescribing of one single prescribed medicine. The word "prescription set" is used for one or more prescriptions for prescribed medicines generated at the same time.


4. MESSAGE DEFINITION


4.1. Segment clarification

This section should be read in conjunction with the segment table which indicates mandatory, conditional and repeating requirements.

0010 UNH, Message header

A service segment starting and uniquely identifying a message. The message type code for the Medical prescription message is MEDPRE.

Note: Medical prescription messages conforming to this document must contain the following data in segment UNH, composite S009:

Data element0065MEDPRE
0052D
005402A
0051UN

0020 BGM, Beginning of message

To indicate the type and function of a message and to transmit the identification of the message.

0030 DTM, Date/time/period

To specify date and/or time relating to the message, such as the date and time the message is generated.

0040 FTX, Free text

A segment with free text information, in coded or clear form, to provide information related to the message.

0050 Segment Group 1: SEQ-PNA-IDE-SPR-QUA-EMP-ADR-COM-RFF-SG2

To represent information about involved healthcare parties.

0060 SEQ, Sequence details

To allocate a unique reference number to an individual party allowing each party to be referenced from other locations within the message.

0070 PNA, Party identification

To specify information necessary to establish the identity of a healthcare party.

One occurrence of the segment is used to specify the identity details at one level. If both organisation, department and/or physician are to be specified then a separate occurrence of this segment has to be used for each of them.

0080 IDE, Identity

To specify alternative identification numbers of a healthcare party.

0090 SPR, Organisation classification details

To specify the medical speciality and type of a healthcare organisation.

0100 QUA, Qualification

To specify the qualification of a healthcare professional.

0110 EMP, Employment details

A segment to specify the type, medical speciality and the position or military rank of a healthcare professional.

0120 ADR, Address

To specify an address of a healthcare party.

0130 COM, Communication contact

To specify a communication number of a party.

0140 RFF, Reference

A segment to specify a link to a higher level healthcare organisation which the actual healthcare organisation or healthcare professional is a part of.

This segment is only used if multiple occurrences of this segment group is needed to express the information of a healthcare party.

0150 Segment Group 2: DOC-COM

To specify a document or message to be returned to the actual party as a response to this message.

0160 DOC, Document/message details

To specify the type of the requested document or message.

0170 COM, Communication contact

To identify the requested communication method.

0180 Segment Group 3: ATT-PNA-PDI-IDE-DTM-NAT-AGR-CCI-STS-FTX-LAN-

CAV-SG4-SG5-SG6-SG7 A group of segments to describe the subject of care.

0190 ATT, Attribute

To specify the type of subject of care such as a person, group of persons, an animal or a group of animals.

0200 PNA, Party identification

To specify the name and official ID of the person or the identification of a group of persons, animal or animal group.

0210 PDI, Person demographic information

To specify the gender of the person or animal.

0220 IDE, Identity

To specify an alternative identification numbers for the subject of care.

0230 DTM, Date/time/period

To specify a date and/or time related to the subject of care such as date and time of birth or age.

0240 NAT, Nationality

To specify the nationality of the person.

0250 AGR, Agreement identification

To specify the basis of entitlement to health services and any confidentiality constraint that applies to the handling of information about the subject of care.

0260 CCI, Characteristic/class id

To specify the breed and species of an animal.

0270 STS, Status

To specify the authenticity of the person's identity by the prescriber, such as person known by prescriber, person unknown, etc.

0280 FTX, Free text

A segment with free text information, in coded or clear form, to provide information relating to the subject of care, such as a confidentiality constraint concerning a person or age of a group of animals.

0290 LAN, Language

To specify the language of the person.

0300 CAV, Characteristic value

To specify the person's ability in the language.

0310 Segment Group 4: HAN-FTX-DTM

A group of segments to specify any precaution advice concerning the subject of care.

0320 HAN, Handling instructions

To specify a precaution as a code.

0330 FTX, Free text

A segment with free text information, in coded or clear form, to specify a precaution.

0340 DTM, Date/time/period

To specify an associated date for the precaution such as start or end date and/or time.

0350 Segment Group 5: ADR-COM

A group of segments to specify an address and related communication number(s) of the actual party.

0360 ADR, Address

To specify an address of the subject of care.

0370 COM, Communication contact

To specify a communication number for the subject of care at the specific address.

0380 Segment Group 6: REL-PNA-PDI-ADR-COM-LAN-CAV

A segment group to provide information about a related party such as next-of-kin or animal carer.

0390 REL, Relationship

To specify the type of relationship between the subject of care and the related party.

0400 PNA, Party identification

To specify information necessary to establish the identity of a related party.

0410 PDI, Person demographic information

To specify the gender of the person.

0420 ADR, Address

To specify an address of a patient related party.

0430 COM, Communication contact

To specify a communication number of a patient related party.

0440 LAN, Language

To specify a language of the person.

0450 CAV, Characteristic value

To specify the person's ability in the language.

0460 Segment Group 7: LIN-CIN-DTM-PNA-LAN-FTX-RSL-CLI-CCI-SG8

This segment group contains clinical information about the patient such as medical history, investigation results, medication records or allergies.

Each occurrence of this segment group provides information concerning a single clinical information item.

0470 LIN, Line item

To allocate an identification number to the clinical information item.

0480 CIN, Clinical information

To specify the type of clinical information item and possibly a medical diagnosis.

0490 DTM, Date/time/period

To specify start and/or end date and/or time for the clinical information item and/or date and/or time of the origin of the clinical information item.

0500 PNA, Party identification

To specify information necessary to establish the identity of the party providing the clinical information item.

One occurrence of the segment is used to specify the identity details at one level. If both organisation, department and/or physician are to be specified then a separate occurrence of this segment has to be used for each of them.

0510 LAN, Language

To specify the language of the clinical information item.

0520 FTX, Free text

A segment with free text information, in coded or clear form, to specify an item of clinical information.

0530 RSL, Result

To specify a clinical investigation result item, such as the height or weight of the subject of care or the result of a laboratory investigation.

0540 CLI, Clinical intervention

To specify a clinical examination such as a height measurement.

Multiple occurrences of this segment may be needed if a multi-axial coding scheme is being used.

0550 CCI, Characteristic/class id

To specify a characteristic of a laboratory investigation.

Multiple occurrences of this segment may be needed if a multi-axial coding scheme is being used.

0560 Segment Group 8: IMD-STS-DSG-INP-FTX-SCC-QTY

A group of segments to specify current or past medication or known allergy.

0570 IMD, Item description

A segment to identify a medicinal product item.

0580 STS, Status

To specify the medicinal treatment status such as commenced, stopped or a patient allergy.

0590 DSG, Dosage administration

To specify the form of presentation or the route of administration of the medicinal product as well as dosage administration or trigger for administration.

0600 INP, Parties and instruction

To specify an instruction for use.

0610 FTX, Free text

A segment with free text information, in coded or clear form, to provide comments to dosage administration.

0620 SCC, Scheduling conditions

To specify a dosage pattern as structured information.

0630 QTY, Quantity

To specify a quantity concerning the medicine such as a single dose or strength of tablet.

0640 Segment Group 9: GIS-IDE-DTM-PTY-AGR-LAN-STS-FTX-SG10-SG11-

SG12-SG14 A group of segments to specify a set of prescriptions issued for a subject of care.

0650 X GIS, General indicator

To specify the service type of the prescription set such as a new prescription, a modification of an earlier prescription or cancellation of a prescription.

0660 IDE, Identity

To identify the prescription set and the coding scheme used for identification of the medicinal product(s).

0670 DTM, Date/time/period

A segment to specify a date and/or time relevant for the prescription set such as issue date of prescription set or requested date and time of dispensing.

0680 PTY, Priority

A segment to specify the requested priority for dispensing.

0690 AGR, Agreement identification

To specify the agreed disposal of the prescribed medicinal product(s) such as to be used by the client or for distribution.

0700 LAN, Language

A segment to specify the language of the prescription set.

0710 STS, Status

To specify the status of the prescription set such as requested, prescribed or dispensed.

0720 FTX, Free text

A segment with free text information, in coded or clear form, to provide comments to the prescription set.

0730 Segment Group 10: DOC-IDE-DTM

A group of segments to specify a reference to a related message or document.

0740 DOC, Document/message details

To specify the type of message or document being referenced.

0750 IDE, Identity

To identify a referenced message or document.

0760 DTM, Date/time/period

To specify issue date and/or time for a referenced message or document.

0770 Segment Group 11: TOD-TDT-FTX-DTM-ADR-COM-PNA-PTY-PAC

A group of segments to specify where the dispensed medicine is to be delivered or collected.

0780 TOD, Terms of delivery or transport

To specify how the dispensed medicine(s) will be delivered or collected.

0790 TDT, Details of transport

A segment to specify the mode of transport for the delivery of dispensed medicine(s).

0800 FTX, Free text

A segment with free text information, in coded or clear form, to specify the delivery of the dispensed medicine(s).

0810 DTM, Date/time/period

A segment to specify a date and/or time relevant for the delivery of the dispensed medicine(s) such as date and time of delivery.

0820 ADR, Address

A segment to specify the address for delivery of the dispensed medicine(s).

0830 COM, Communication contact

A segment to identify a telecommunication number for the receiver at the dispensed medicine delivery point.

0840 PNA, Party identification

A segment to identify the receiver of a dispensed medicine.

0850 PTY, Priority

A segment to specify the requested priority for the delivery of the dispensed medicine(s).

0860 PAC, Package

To specify if special packaging is required.

0870 Segment Group 12: FCA-PNA-IDE-RCS-SG13

A group of segments to specify the party responsible in part or in whole for the payment and the related payment conditions for the dispensed medicine(s) in the actual prescription set.

0880 FCA, Financial charges allocation

To specify the responsibility for the settlement of charges, i.e. whether the costs are to be paid by the patient, by private insurance, etc.

0890 PNA, Party identification

To specify information necessary to establish the identity of the payer.

One occurrence of the segment is used to specify the identity details at one level. Thus two occurrences of this segment may be needed if both organisation and department are being used.

0900 IDE, Identity

To identify a payer.

0910 RCS, Requirements and conditions

To specify a national requirement or condition.

0920 Segment Group 13: ICD-ALC-PCD-MOA-IDE-DTM

A group of segments to specify a payment condition.

0930 ICD, Insurance cover description

To specify insurance cover type and care coverage.

0940 ALC, Allowance or charge

To specify a reason for reduced or no payment.

0950 PCD, Percentage details

To specify percentage to be paid as the contribution of the payer.

0960 MOA, Monetary amount

To specify a monetary amount as the contribution of the payer.

0970 IDE, Identity

To specify a reference for the authorisation of this service.

0980 DTM, Date/time/period

A segment to specify a date and/or time relevant to this payment condition such as date of authorisation.

0990 Segment Group 14: LIN-DSG-IMD-QTY-PGI-PNA-PAC-IDE-DLM-EQN-

PRC-DTM-STS-CIN-FTX-SG15-SG16-SG17 A group of segments to specify the information about a single prescription item.

1000 LIN, Line item

A segment to specify a prescription item identification and request for notification information related to variation in delivery such as a substituted item or delivery failure.

1010 DSG, Dosage administration

A segment to specify the form of presentation of the medicinal product.

1020 IMD, Item description

A segment to identify a medicinal product item and the type of the item.

1030 QTY, Quantity

To specify a quantity concerning the medicine regime such as number of units of supply or strength of tablet.

1040 PGI, Product group information

A segment to specify the group in which the medicine belongs such as legal category or price category.

1050 PNA, Party identification

A segment to specify the supplier of the medicinal product, the manufacturer of the medicinal product or the initial prescriber of the treatment.

1060 PAC, Package

A segment to specify the type of package and the number of physical units.

1070 IDE, Identity

To identify the package or to give an alternative identification of the initial authoriser.

1080 DLM, Delivery limitations

To specify limitations on dispensing such as allowed substitution type if any.

1090 EQN, Number of units

To specify the number of times dispensing to be repeated.

1100 PRC, Process identification

A segment to specify information about the preparation of an extemporaneously dispensed medicine.

1110 DTM, Date/time/period

A segment to specify a date and/or time or period concerning the prescribing of the dispensed medicine such as dispensing interval or initial date of treatment.

1120 STS, Status

To specify the status of the dispensed medicine provided such as requested, dispensed, etc.

1130 CIN, Clinical information

To specify the indication for the prescribed item and/or comments concerning the prescribed item expressed as a clinical code.

1140 FTX, Free text

A segment with free text information, in coded or clear form, expressing the indication for the prescribed item, package description, comments concerning the prescribed item or other information about this prescription item.

1150 Segment Group 15: CAV-IMD-QTY-FTX

A group of segments to specify information about a single ingredient.

1160 CAV, Characteristic value

A segment to specify the function of the ingredient such as active or excipient ingredient.

1170 IMD, Item description

A segment to identify the ingredient.

1180 QTY, Quantity

A segment to specify the quantity for an ingredient.

1190 FTX, Free text

A segment with free text information, in coded or clear form, to provide comments about the ingredient.

1200 Segment Group 16: SEQ-DSG-QTY-INP-DTM-FTX-SCC-CIN-PCI-

LAN-EQA A group of segments to specify how the dispensed medicine should be administered and used.

1210 SEQ, Sequence details

To allocate a sequential regimen phase number.

1220 DSG, Dosage administration

To specify how the dispensed medicine is administered.

If this information is provided in a structured way then this segment is used for route of administration or trigger for administration.

1230 QTY, Quantity

A segment to specify a quantity related to dosage of the dispensed medicine such as the single dose or maximum daily dose.

1240 INP, Parties and instruction

To instruct the dispenser that an exceptional dosage regimen is intended.

1250 DTM, Date/time/period

A segment to specify a date and/or time or period concerning dosage of the dispensed medicine such as duration of treatment or time of administration.

1260 FTX, Free text

A segment with free text information, in coded or clear form, to provide information relating to the medicine dosage and administration.

1270 SCC, Scheduling conditions

To specify a dosage pattern and dosage frequency as structured information.

1280 CIN, Clinical information

A segment to specify the indication for the use of the dispensed medicine.

1290 PCI, Package identification

To specify a cautionary or advisory label.

1300 LAN, Language

A segment to specify the language of the instructions.

1310 EQA, Attached equipment

To specify device or equipment to be used for the administration of the dispensed medicine.

1320 Segment Group 17: FCA-PNA-IDE-RCS-SG18

A group of segments to specify the party that is responsible in part or in whole for the payment of the actual prescription item and the related payment conditions.

1330 FCA, Financial charges allocation

To specify the responsibility for the settlement of charges, i.e. whether the costs are to be paid by the patient, by private insurance, etc.

1340 PNA, Party identification

To specify information necessary to establish the identity of the payer.

One occurrence of the segment is used to specify the identity details at one level. Thus two occurrences of this segment may be needed if both organisation and department are being used.

1350 IDE, Identity

To identify a payer.

1360 RCS, Requirements and conditions

To specify a national requirement or condition.

1370 Segment Group 18: ICD-ALC-PCD-MOA-IDE-DTM

A group of segments to specify a payment condition.

1380 ICD, Insurance cover description

To specify the insurance cover type and care coverage.

1390 ALC, Allowance or charge

To specify a reason for reduced or no payment.

1400 PCD, Percentage details

To specify percentage to be paid as the contribution of the payer.

1410 MOA, Monetary amount

To specify a monetary amount as the contribution of the payer.

1420 IDE, Identity

To specify a reference for the authorisation of this service.

1430 DTM, Date/time/period

A segment to specify a date and/or time relevant to this payment condition such as date of authorisation.

1440 CNT, Control total

A segment to provide the number of prescription items in the message.

1450 UNT, Message trailer

A service segment ending a message, giving the total number of segments in the message (including the UNH & UNT) and the control reference number of the message.


4.2. Segment index (alphabetical sequence by tag)

ADR Address
AGR Agreement identification
ALC Allowance or charge
ATT Attribute
BGM Beginning of message
CAV Characteristic value
CCI Characteristic/class id
CIN Clinical information
CLI Clinical intervention
CNT Control total
COM Communication contact
DLM Delivery limitations
DOC Document/message details
DSG Dosage administration
DTM Date/time/period
EMP Employment details
EQA Attached equipment
EQN Number of units
FCA Financial charges allocation
FTX Free text
GIS General indicator
HAN Handling instructions
ICD Insurance cover description
IDE Identity
IMD Item description
INP Parties and instruction
LAN Language
LIN Line item
MOA Monetary amount
NAT Nationality
PAC Package
PCD Percentage details
PCI Package identification
PDI Person demographic information
PGI Product group information
PNA Party identification
PRC Process identification
PTY Priority
QTY Quantity
QUA Qualification
RCS Requirements and conditions
REL Relationship
RFF Reference
RSL Result
SCC Scheduling conditions
SEQ Sequence details
SPR Organisation classification details
STS Status
TDT Details of transport
TOD Terms of delivery or transport
UNH Message header
UNT Message trailer

4.3. Message structure


4.3.1. Segment table

├─UNH Message header ×1 (M)
├─BGM Beginning of message ×1 (M)
├─DTM Date/time/period ×9 (C)
├─FTX Free text ×9 (C)
├─Segment Group 1 ×99 (M)
├─SEQ Sequence details ×1 (M)
├─PNA Party identification ×9 (C)
├─IDE Identity ×9 (C)
├─SPR Organisation classification details ×9 (C)
├─QUA Qualification ×9 (C)
├─EMP Employment details ×1 (C)
├─ADR Address ×1 (C)
├─COM Communication contact ×9 (C)
├─RFF Reference ×1 (C)
└─Segment Group 2 ×9 (C)
──├─DOC Document/message details ×1 (M)
──└─COM Communication contact ×1 (C)
├─Segment Group 3 ×1 (C)
├─ATT Attribute ×1 (M)
├─PNA Party identification ×9 (C)
├─PDI Person demographic information ×1 (C)
├─IDE Identity ×9 (C)
├─DTM Date/time/period ×2 (C)
├─NAT Nationality ×1 (C)
├─AGR Agreement identification ×9 (C)
├─CCI Characteristic/class id ×2 (C)
├─STS Status ×1 (C)
├─FTX Free text ×9 (C)
├─LAN Language ×1 (C)
├─CAV Characteristic value ×1 (C)
├─Segment Group 4 ×9 (C)
├─HAN Handling instructions ×1 (M)
├─FTX Free text ×9 (C)
└─DTM Date/time/period ×2 (C)
├─Segment Group 5 ×9 (C)
├─ADR Address ×1 (M)
└─COM Communication contact ×9 (C)
├─Segment Group 6 ×99 (C)
├─REL Relationship ×1 (M)
├─PNA Party identification ×9 (M)
├─PDI Person demographic information ×1 (C)
├─ADR Address ×1 (C)
├─COM Communication contact ×9 (C)
├─LAN Language ×1 (C)
└─CAV Characteristic value ×1 (C)
└─Segment Group 7 ×999 (C)
──├─LIN Line item ×1 (M)
──├─CIN Clinical information ×9 (C)
──├─DTM Date/time/period ×9 (C)
──├─PNA Party identification ×9 (C)
──├─LAN Language ×1 (C)
──├─FTX Free text ×99 (C)
──├─RSL Result ×1 (C)
──├─CLI Clinical intervention ×9 (C)
──├─CCI Characteristic/class id ×9 (C)
──└─Segment Group 8 ×1 (C)
────├─IMD Item description ×1 (M)
────├─STS Status ×1 (M)
────├─DSG Dosage administration ×9 (C)
────├─INP Parties and instruction ×9 (C)
────├─FTX Free text ×9 (C)
────├─SCC Scheduling conditions ×9 (C)
────└─QTY Quantity ×9 (C)
├─Segment Group 9 ×1 (M)
├─GIS General indicator ×1 (M)
├─IDE Identity ×9 (M)
├─DTM Date/time/period ×9 (M)
├─PTY Priority ×1 (C)
├─AGR Agreement identification ×1 (C)
├─LAN Language ×1 (C)
├─STS Status ×1 (C)
├─FTX Free text ×99 (C)
├─Segment Group 10 ×9 (C)
├─DOC Document/message details ×1 (M)
├─IDE Identity ×1 (C)
└─DTM Date/time/period ×1 (C)
├─Segment Group 11 ×1 (C)
├─TOD Terms of delivery or transport ×1 (M)
├─TDT Details of transport ×1 (C)
├─FTX Free text ×9 (C)
├─DTM Date/time/period ×9 (C)
├─ADR Address ×1 (C)
├─COM Communication contact ×9 (C)
├─PNA Party identification ×9 (C)
├─PTY Priority ×1 (C)
└─PAC Package ×1 (C)
├─Segment Group 12 ×9 (C)
├─FCA Financial charges allocation ×1 (M)
├─PNA Party identification ×9 (C)
├─IDE Identity ×9 (C)
├─RCS Requirements and conditions ×9 (C)
└─Segment Group 13 ×9 (C)
──├─ICD Insurance cover description ×1 (M)
──├─ALC Allowance or charge ×9 (C)
──├─PCD Percentage details ×1 (C)
──├─MOA Monetary amount ×9 (C)
──├─IDE Identity ×9 (C)
──└─DTM Date/time/period ×9 (C)
└─Segment Group 14 ×99 (C)
──├─LIN Line item ×1 (M)
──├─DSG Dosage administration ×9 (C)
──├─IMD Item description ×1 (M)
──├─QTY Quantity ×9 (C)
──├─PGI Product group information ×9 (C)
──├─PNA Party identification ×9 (C)
──├─PAC Package ×1 (C)
──├─IDE Identity ×9 (C)
──├─DLM Delivery limitations ×9 (C)
──├─EQN Number of units ×1 (C)
──├─PRC Process identification ×9 (C)
──├─DTM Date/time/period ×9 (C)
──├─STS Status ×1 (C)
──├─CIN Clinical information ×99 (C)
──├─FTX Free text ×99 (C)
──├─Segment Group 15 ×99 (C)
──├─CAV Characteristic value ×1 (M)
──├─IMD Item description ×1 (M)
──├─QTY Quantity ×9 (C)
──└─FTX Free text ×99 (C)
──├─Segment Group 16 ×99 (C)
──├─SEQ Sequence details ×1 (M)
──├─DSG Dosage administration ×9 (C)
──├─QTY Quantity ×9 (C)
──├─INP Parties and instruction ×9 (C)
──├─DTM Date/time/period ×9 (C)
──├─FTX Free text ×9 (C)
──├─SCC Scheduling conditions ×9 (C)
──├─CIN Clinical information ×9 (C)
──├─PCI Package identification ×9 (C)
──├─LAN Language ×1 (C)
──└─EQA Attached equipment ×9 (C)
──└─Segment Group 17 ×9 (C)
────├─FCA Financial charges allocation ×1 (M)
────├─PNA Party identification ×9 (C)
────├─IDE Identity ×9 (C)
────├─RCS Requirements and conditions ×9 (C)
────└─Segment Group 18 ×9 (C)
──────├─ICD Insurance cover description ×1 (M)
──────├─ALC Allowance or charge ×9 (C)
──────├─PCD Percentage details ×1 (C)
──────├─MOA Monetary amount ×9 (C)
──────├─IDE Identity ×9 (C)
──────└─DTM Date/time/period ×9 (C)
├─CNT Control total ×1 (C)
└─UNT Message trailer ×1 (M)

Change indicators
plus sign An addition.
asterisk Addition/substraction/change to a code entry for a particular data element.
hash or pound sign Changes to names.
vertical bar Changes to text for descriptions, notes and functions.
minus sign A deletion.
letter X Marked for deletion.

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