Segment
X12 EDI Release 00504
To specify the action that was taken or is to be taken in response to a service request
Elements
  • REP01350Assigned Identification
    AN
    O可选(Optional)
    Min 1 / Max 20

    Alphanumeric characters assigned for differentiation within a transaction set

  • REP02235Product/Service ID Qualifier
    ID
    O可选(Optional)

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

    Codes (511)
  • REP03234Product/Service ID
    AN
    O可选(Optional)
    Min 1 / Max 48

    Identifying number for a product or service

  • REP04235Product/Service ID Qualifier
    ID
    O可选(Optional)

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

    Codes (511)
  • REP05234Product/Service ID
    AN
    O可选(Optional)
    Min 1 / Max 48

    Identifying number for a product or service

  • REP06559Agency Qualifier Code
    ID
    O可选(Optional)

    Code identifying the agency assigning the code values

    Codes (195)
  • REP07822Source Subqualifier
    AN
    O可选(Optional)
    Min 1 / Max 15

    A reference that indicates the table or text maintained by the Source Qualifier

  • REP081226Repair Action Code
    ID
    O可选(Optional)

    Code specifying if the required action is to repair or scrap, etc.; it also can be used to specify the particular type of repair task

    Codes (16)
  • REP09352Description
    AN
    O可选(Optional)
    Min 1 / Max 80

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

  • REP10559Agency Qualifier Code
    ID
    O可选(Optional)

    Code identifying the agency assigning the code values

    Codes (195)
  • REP11822Source Subqualifier
    AN
    O可选(Optional)
    Min 1 / Max 15

    A reference that indicates the table or text maintained by the Source Qualifier

  • REP121227Repair Complexity Code
    ID
    O可选(Optional)

    Code identifying the complexity of the repair

    Codes (7)
  • REP13235Product/Service ID Qualifier
    ID
    O可选(Optional)

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

    Codes (511)
  • REP14234Product/Service ID
    AN
    O可选(Optional)
    Min 1 / Max 48

    Identifying number for a product or service

  • REP151226Repair Action Code
    ID
    O可选(Optional)

    Code specifying if the required action is to repair or scrap, etc.; it also can be used to specify the particular type of repair task

    Codes (16)
  • REP16352Description
    AN
    O可选(Optional)
    Min 1 / Max 80

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

  • REP17559Agency Qualifier Code
    ID
    O可选(Optional)

    Code identifying the agency assigning the code values

    Codes (195)
  • REP18822Source Subqualifier
    AN
    O可选(Optional)
    Min 1 / Max 15

    A reference that indicates the table or text maintained by the Source Qualifier

  • REP19127Reference Identification
    AN
    O可选(Optional)
    Min 1 / Max 80

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

  • REP20553Authorization Identification
    AN
    O可选(Optional)
    Min 1 / Max 4

    Identifier representing authorization of an unusual repair or some attendant condition