ISA-
Interchange Control Header
| 01 |
I01 |
Authorization Information Qualifier |
R |
|
|
00 03 |
| 02 |
I02 |
Authorization Information |
R |
|
| 03 |
I03 |
Security Information Qualifier |
R |
|
|
00 01 |
| 04 |
I04 |
Security Information |
R |
|
| 05 |
I05 |
Interchange ID Qualifier |
R |
|
|
01 14 20 27 28 29 30 33 ZZ |
| 06 |
I06 |
Interchange Sender ID |
R |
|
| 07 |
I05 |
Interchange ID Qualifier |
R |
|
|
01 14 20 27 28 29 30 33 ZZ |
| 08 |
I07 |
Interchange Receiver ID |
R |
|
| 09 |
I08 |
Interchange Date |
R |
|
| 10 |
I09 |
Interchange Time |
R |
|
| 11 |
I10 |
Interchange Control Standards Identifier |
R |
|
|
U |
| 12 |
I11 |
Interchange Control Version Number |
R |
|
|
00401 |
| 13 |
I12 |
Interchange Control Number |
R |
|
| 14 |
I13 |
Acknowledgment Requested |
R |
|
|
0 1 |
| 15 |
I14 |
Usage Indicator |
R |
|
|
P T |
| 16 |
I15 |
Component Element Separator |
R |
|
GS-
Functional Group Header
| 01 |
479 |
Functional Identifier Code |
R |
|
|
SP |
| 02 |
142 |
Application Sender's Code |
R |
|
| 03 |
124 |
Application Receiver's Code |
R |
|
| 04 |
373 |
Date |
R |
|
| 05 |
337 |
Time |
R |
|
| 06 |
28 |
Group Control Number |
R |
|
| 07 |
455 |
Responsible Agency Code |
R |
|
|
X |
| 08 |
480 |
Version / Release / Industry Identifier Code |
R |
|
|
004010XXXC |
ST-
Transaction Set Header
| 01 |
143 |
Transaction Set Identifier Code |
R |
|
|
841 |
| 02 |
329 |
Transaction Set Control Number |
R |
|
SPI-
Code List P0203
| 01 |
786 |
Security Level Code |
R |
|
|
00 |
| 02 |
128 |
Reference Identification Qualifier |
N |
|
| 03 |
127 |
Reference Identification |
N |
|
| 04 |
790 |
Entity Title |
R |
|
| 05 |
791 |
Entity Purpose |
R |
|
| 06 |
792 |
Entity Status Code |
N |
|
| 07 |
353 |
Transaction Set Purpose Code |
N |
|
| 08 |
755 |
Report Type Code |
N |
|
| 09 |
786 |
Security Level Code |
N |
|
| 10 |
559 |
Agency Qualifier Code |
N |
|
| 11 |
822 |
Source Subqualifier |
N |
|
| 12 |
554 |
Assigned Number |
N |
|
| 13 |
1322 |
Certification Type Code |
N |
|
| 14 |
1401 |
Proposal Data Detail Identifier Code |
N |
|
| 15 |
1005 |
Heirarchal Structure Code |
N |
|
RDT-
Release Date C0102 L030405 C0605
| 01 |
795 |
Revision Level Code |
N |
|
| 02 |
796 |
Revision Value |
N |
|
| 03 |
374 |
Date/Time Qualifier |
R |
|
|
171 |
| 04 |
373 |
Date |
R |
|
| 05 |
337 |
Time |
N |
|
| 06 |
623 |
Time Code |
N |
|
RDT-
Effective Date C0102 L030405 C0605
| 01 |
795 |
Revision Level Code |
N |
|
| 02 |
796 |
Revision Value |
N |
|
| 03 |
374 |
Date/Time Qualifier |
R |
|
|
007 |
| 04 |
373 |
Date |
R |
|
| 05 |
337 |
Time |
N |
|
| 06 |
623 |
Time Code |
N |
|
N1-
Code List Source R0203 P0304
| 01 |
98 |
Entity Identifier Code |
R |
|
|
0F |
| 02 |
93 |
Name |
R |
|
| 03 |
66 |
Identification Code Qualifier |
N |
|
| 04 |
67 |
Identification Code |
N |
|
| 05 |
706 |
Entity Relationship Code |
N |
|
| 06 |
98 |
Entity Identifier Code |
N |
|
HL-
Code List Header
| 01 |
628 |
Hierarchical ID Number |
R |
|
|
1 |
| 02 |
734 |
Hierarchical Parent ID Number |
N |
|
| 03 |
735 |
Hierarchical Level Code |
R |
|
|
I |
| 04 |
736 |
Hierarchical Child Code |
N |
|
SPI-
Code List Value and Definition P0203
| 01 |
786 |
Security Level Code |
R |
|
|
00 |
| 02 |
128 |
Reference Identification Qualifier |
R |
|
|
ZZ |
| 03 |
127 |
Reference Identification |
R |
|
| 04 |
790 |
Entity Title |
R |
|
| 05 |
791 |
Entity Purpose |
N |
|
| 06 |
792 |
Entity Status Code |
N |
|
| 07 |
353 |
Transaction Set Purpose Code |
N |
|
| 08 |
755 |
Report Type Code |
N |
|
| 09 |
786 |
Security Level Code |
N |
|
| 10 |
559 |
Agency Qualifier Code |
N |
|
| 11 |
822 |
Source Subqualifier |
N |
|
| 12 |
554 |
Assigned Number |
N |
|
| 13 |
1322 |
Certification Type Code |
N |
|
| 14 |
1401 |
Proposal Data Detail Identifier Code |
N |
|
| 15 |
1005 |
Heirarchal Structure Code |
N |
|
MSG-
Additional Text C0302
| 01 |
933 |
Free-Form Text Message |
R |
|
| 02 |
934 |
Printer Carriage Control Code |
N |
|
| 03 |
1470 |
Number |
N |
|
SE-
Transaction Set Trailer
| 01 |
96 |
Transaction Segment Count |
R |
|
| 02 |
329 |
Transaction Set Control Number |
R |
|
GE-
Functional Group Trailer
| 01 |
97 |
Number of Transaction Sets Included |
R |
|
| 02 |
28 |
Group Control Number |
R |
|
TA1-
Interchange Acknowledgement
| 01 |
I12 |
Interchange Control Number |
R |
|
| 02 |
I08 |
Interchange Date |
R |
|
| 03 |
I09 |
Interchange Time |
R |
|
| 04 |
I17 |
Interchange Acknowledgement Code |
R |
|
|
A E R |
| 05 |
I18 |
Interchange Note Code |
R |
|
|
000 001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 |
IEA-
Interchange Control Trailer
| 01 |
I16 |
Number of Included Functional Groups |
R |
|
| 02 |
I12 |
Interchange Control Number |
R |
|