Segment
X12 EDI Release 00602
To identify a provided service
Elements
  • FX5011073Yes/No Condition or Response Code
    ID
    M必须(Mandatory)

    Code indicating a Yes or No condition or response

    Codes (4)
  • FX502875Maintenance Type Code
    ID
    M必须(Mandatory)

    Code identifying the specific type of item maintenance

    Codes (128)
  • FX503235Product/Service ID Qualifier
    ID
    O可选(Optional)

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

    Codes (518)
  • FX504234Product/Service ID
    AN
    O可选(Optional)
    Min 1 / Max 80

    Identifying number for a product or service

  • FX505235Product/Service ID Qualifier
    ID
    O可选(Optional)

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

    Codes (518)
  • FX506234Product/Service ID
    AN
    O可选(Optional)
    Min 1 / Max 80

    Identifying number for a product or service

  • FX507352Description
    AN
    O可选(Optional)
    Min 1 / Max 80

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