United Nations Directories
for Electronic Data Interchange for
Administration, Commerce and Transport



 UN/EDIFACT

Message Type : MEDRUC Version : D Release : 13A Contr. Agency: UN Revision : 3 Date : 2013-10-08 SOURCE: TBG10 Healthcare CONTENTS Medical resource usage and cost message 0. INTRODUCTION 1. SCOPE 1.1 Functional definition 1.2 Field of application 1.3 Principles 2. REFERENCES 3. TERMS AND DEFINITIONS 3.1 Standard terms and definitions 4. MESSAGE DEFINITION 4.1 Segment clarification 4.2 Segment index (alphabetical sequence by tag) 4.3 Message structure 4.3.1 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 --------------------------------------------------------------------------- 0. INTRODUCTION This specification provides the definition of the Medical resource usage and cost message (MEDRUC) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport. 1. SCOPE 1.1 Functional definition The MEDRUC message is sent from a party providing medical and related administrative services to a funding institution, allowing evaluation of the medical activity and justification for reimbursement. It can also be sent from a funding institution to another party in order to advise which reimbursements have been made. The MEDRUC message can carry either initial specifications of used resources and costs, or modifications to specifications given in a previous message. Typically, the MEDRUC message can be used between a healthcare service provider or an insurance company and another insurance company as well as between an insurance company and a healthcare service provider. 1.2 Field of application The Medical resource usage and cost 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. Particularly, MEDRUC can be applied for all types of healthcare service providers, funding institutions and healthcare systems. 1.3 Principles The MEDRUC message has a hierarchical structure: - One message can carry one or more reimbursement claims. - Each reimbursement claim concerns medical services provided to one or several patients. - Each medical service gives information about service provided including amounts and price information (unit, prices, quantities, rates) as well as medical justification for the services provided (clinical information concerning diseases or interventions) and administrative justification for services provided according to insurance coverage. - Each medical service can consist of none, one or many detailed medical activities. - Each detailed medical activity can contain the same information elements as for a medical service. Additional information can be attached to each level of the hierarchical structure using an internal reference mechanism. This information may include: - medical, administrative and financial parties involved. - relevant insurance contracts and corresponding rights. - description of patient or healthcare service provider transportation. 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. 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. 00010 UNH, Message header A service segment starting and uniquely identifying a message. The message type code for the Medical resource usage and cost message is MEDRUC. Note: Medical resource usage and cost messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 MEDRUC 0052 D 0054 13A 0051 UN 00020 BGM, Beginning of message A segment for unique identification of the message and specification of its function. 00030 DTM, Date/time/period A segment identifying the date/time of message generation and/or other date/times concerning the whole message. 00040 RFF, Reference A segment specifying references to other related message(s) or batch(es), e.g. a previous message. 00050 FTX, Free text A segment giving free text information, in coded or clear form, for specifying information about the whole message. 00060 CUX, Currencies A segment specifying the currency in which all the monetary amounts are expressed in the message. 00070 CNT, Control total A segment specifying aggregate information concerning the whole message, e.g. number of claims, number of parties, number of patients, etc. 00080 Segment group 1: MOA-TAX A group of segments giving total amounts for the whole reimbursement message, and the relevant tax information if any. 00090 MOA, Monetary amount A segment specifying total amounts for the whole reimbursement message. 00100 TAX, Duty/tax/fee details A segment specifying the tax type if relevant. 00110 Segment group 2: PNA-SEQ-ADR-CTA-COM-RFF-REL-NAT-LAN-SPR-EMP-QUA- DTM-STS-RCS-PDI-FII Parties Segment Group. A group of segments giving information about involved financial, administrative and medical parties such as requester, payee, insurance organisations, insured family and service providers, or their representatives. 00120 PNA, Party identification A segment specifying the identity number and name of a party. 00130 SEQ, Sequence details A segment allocating a sequence number to the individual party allowing each party to be referenced from within the message. 00140 ADR, Address A segment specifying address(es) of the party. 00150 CTA, Contact information A segment identifying a person or department to whom contacts should be directed and their function. 00160 COM, Communication contact A segment giving communication type and number of the party. 00170 RFF, Reference A segment specifying alternative identification numbers of the party. This segment also facilitates reference to another party if the current party is related to another party such as a department in a hospital, a physician in a department, etc. 00180 REL, Relationship A segment specifying the relationship with another party. 00190 NAT, Nationality A segment specifying the nationalities of the party. 00200 LAN, Language A segment specifying the language used by the party. 00210 SPR, Organisation classification details A segment specifying the type and (medical) speciality of an organisation. 00220 EMP, Employment details A segment specifying the type and (medical) speciality of a person as well as his/her position within an organisation. 00230 QUA, Qualification A segment specifying the professional (medical) qualifications of the party. 00240 DTM, Date/time/period A segment specifying validity dates or any other date related to the party. 00250 STS, Status A segment specifying the status of involvement for the party (former, previous, current, next). 00260 RCS, Requirements and conditions A segment specifying administrative conditions of a party, such as the type of location from which a healthcare professional operates, (e.g. town, countryside, mountain area), identifier for agreement on reimbursement mode and tariff, or other statutory information. 00270 PDI, Person demographic information A segment specifying demographic information such as sex, marital status, and other demographic information. 00280 FII, Financial institution information A segment identifying an account number and a financial institution related to the party. 00290 Segment group 3: AGR-SEQ-RFF-DTM-SG4 Contracts Segment Group. A group of segments related to the whole message, specifying contracts between insured parties or between patients and insurance institutions, and detailing insurance coverage. 00300 AGR, Agreement identification A segment identifying the type of the insurance contract. 00310 SEQ, Sequence details A segment allocating a sequence number to the individual contract allowing each contract to be referenced from within the message. 00320 RFF, Reference A segment specifying certificate numbers and other references related to the contract. This segment is also used to hold a reference to administrative parties in the Parties Segment Group where the related insurance organisation or institution is identified. 00330 DTM, Date/time/period A segment specifying dates, times and periods related to the contract such as period of validity and period of specific coverage. 00340 Segment group 4: ICD-FTX A group of segments specifying detailed information about rights and insurance coverage. 00350 ICD, Insurance cover description A segment identifying the insurance scheme or product covering the patient. 00360 FTX, Free text A segment with free text information, in coded or clear form, illustrating or justifying a particular term of the insurance scheme or product, specified in the ICD segment. 00370 Segment group 5: DOC-DTM-SG6 External documents Segment Group. A group of segments giving the identification of external documents the message is referring to (e.g. forms, regulation texts, etc.). 00380 DOC, Document/message details A segment specifying the type and the name of a document. 00390 DTM, Date/time/period A segment specifying dates related to the document. (e.g. issuing date, validity date, etc.). 00400 Segment group 6: PNA-ADR-STS-RCS A group of segments providing information about parties related to the document, such as signatories, sender and receivers. 00410 PNA, Party identification A segment identifying the party. 00420 ADR, Address A segment specifying the address of the party. 00430 STS, Status A segment specifying the involvement status of the party (former, previous, current, next). 00440 RCS, Requirements and conditions A segment specifying administrative conditions of a party such as the social sector it belongs to. 00450 Segment group 7: FCA-GEI-RFF-DTM-FTX-AGR-DOC-SG8-SG9-SG10-SG11 This segment group provides information about a reimbursement claim: identification of patient(s), and the healthcare services provided to the patient(s). The reimbursement claim specified in this segment group may be related to any party specified in the Parties Segment Group, any insurance coverage as specified in the Contracts Segment Group or any transport activity as specified in the Transports Segment Group. 00460 FCA, Financial charges allocation A segment specifying whether reimbursement is due to the patient, to the healthcare service provider, or to a combination of both. 00470 GEI, Processing information A segment specifying the service type of the actual reimbursement claim, i.e. whether this is a new reimbursement claim, modification of a previous reimbursement claim, cancellation of a previous reimbursement claim or a complete replacement of a previous reimbursement claim. 00480 RFF, Reference A segment specifying certificate numbers and other references related to the reimbursement claim. This segment may also be used to hold the reference to administrative, financial, and medical parties of the Parties Segment Group, insurance contracts of the Contract Segment Group and transport activities of the Transports Segment Group. 00490 DTM, Date/time/period A segment specifying dates, times and periods related to the reimbursement claim. 00500 FTX, Free text A segment with free text information, in coded or clear form, for specifying information about the reimbursement claim. 00510 AGR, Agreement identification A segment identifying the type of the insurance contract related to the reimbursement claim. 00520 DOC, Document/message details A segment specifying documents the reimbursement claim is referring to. This segment may also be used to hold a document reference of the external documents Segment Group. 00530 Segment group 8: MOA-TAX To specify total amounts, and the relevant duty/tax/fee information about the current reimbursement claim. 00540 MOA, Monetary amount A segment specifying total amounts such as total amount to pay. 00550 TAX, Duty/tax/fee details A segment specifying relevant tax information. 00560 Segment group 9: RCS-FTX This segment group provides information about required administrative conditions concerning the reimbursement claim, such as risk identification (e.g. illness, maternity, accident, industrial accident). 00570 RCS, Requirements and conditions A segment specifying requirements and conditions concerning the reimbursement claim. 00580 FTX, Free text A segment with free text information, in coded or clear form, illustrating or justifying a particular condition specified in the RCS segment. 00590 Segment group 10: PNA-RFF-ADR-COM-DTM-PDI-RSL-NAT-LAN-HAN-REL This segment group identifies the patient(s) to whom the medical services of this actual reimbursement claim have been provided and information about any related person, or other name or identity of the patient. This segment group may also be used to specify name and identity of any other party related to the actual reimbursement claim, and involved in the medical or administrative process provided to the patient(s). In this case, only the PNA segment is used. 00600 PNA, Party identification A segment identifying the patient, related person, or party identity number and name. 00610 RFF, Reference A segment specifying the identification numbers of the person or other identification references such as card number. This segment may also be used to keep the reference to administrative, financial, and medical parties of the Parties Segment Group, and insurance contracts of the Contracts Segment Group. 00620 ADR, Address A segment specifying the details of the patient and related person(s) place of residence, or any other address or location related to the person, such as place of birth. 00630 COM, Communication contact A segment providing a telecommunication number for the person. 00640 DTM, Date/time/period A segment specifying relevant dates/times for the person such as date of birth, date of death or date identification card was issued. 00650 PDI, Person demographic information A segment specifying demographic information such as sex, marital status, and other demographic information. 00660 RSL, Result A segment specifying the result of a clinical examination, such as the height or weight of the patient. 00670 NAT, Nationality A segment specifying the nationality of a person. 00680 LAN, Language A segment specifying the language used by the person. 00690 HAN, Handling instructions A segment specifying confidentiality constraints on person data. 00700 REL, Relationship A segment specifying the relationship between a related person and the patient. This relation can be an organ donor- receiver relationship, a mother-child relationship or any other family relationship. 00710 Segment group 11: PRC-GEI-STS-IMD-CIN-PNA-DTM-RFF-FTX-QTY-PCD- SG12-SG13-SG14-SG15 A group of segments describing a medical activity. A medical activity can be a collection of several detailed medical activities which are all related to the same medical treatment. The medical activity specified in this segment group may also be related to any party specified in the Parties Segment Group, any insurance coverage description as specified in the Contracts Segment Group or to any transport activity as specified in the Transports Segment Group. 00720 PRC, Process identification A segment specifying the type of medical activity provided such as hospitalisation or outpatient treatment. 00730 GEI, Processing information A segment specifying the service type for the medical activity: new activity, modification of a previous activity, cancellation of a previous activity or replacement of a previous activity. 00740 STS, Status A segment specifying the activity status regarding its achievement (e.g. started, in progress, terminated) and/or payment (e.g. received, granted, paid). 00750 IMD, Item description A segment identifying the actual medical activity, and allowing several alternative coding schemes depending on separately agreed criteria. 00760 CIN, Clinical information A segment justifying the medical activity provided in terms of diagnosis or clinical observation. 00770 PNA, Party identification A segment specifying the identity number and name of any medical or administrative party related to the current activity, such as treatment provider or prescriber, diagnosis originator, etc. 00780 DTM, Date/time/period A segment specifying dates, times and periods related to the current medical activity such as date performed, date of prescription, date of sickness and date of medical authorisation. 00790 RFF, Reference To specify a reference related to a treatment such as identification number of prescription or medical authorisation number. This segment may also be used to hold the reference to administrative, financial, and medical parties of the Parties Segment Group, insurance contracts of the Contracts Segment Group and transports of the Transports Segment Group. 00800 FTX, Free text A segment with free text information, in coded or clear form, specifying information about the current medical activity. 00810 QTY, Quantity A segment providing quantities related to the medical activity such as number of units of service as identified in the IMD segment. If the service type of this medical activity is a modification then variations from the original quantities are given here. 00820 PCD, Percentage details A segment specifying percentage used to calculate a share of a reimbursement. This information is useful when a party has already paid a certain amount, or more generally when several recipients are identified in the business scenario (e.g. 75% of a visit will be paid to the general practitioner and 25% to the patient). 00830 Segment group 12: PAS-LOC-DTM-RFF A group of segments specifying healthcare administrative information about the patient. 00840 PAS, Attendance A segment specifying patient administrative information such as administrative status concerning current hospital stay or outpatient visit or ward stay related to the patient. 00850 LOC, Place/location identification A segment specifying the physical location of patient care in terms of ward, room, bed, etc. 00860 DTM, Date/time/period A segment specifying admission and/or discharge date and time or start and/or end date and time of a ward stay. 00870 RFF, Reference This segment holds the reference of a healthcare party for specifying healthcare administrative information such as hospital, department, etc. where patient is admitted, located, etc. 00880 Segment group 13: MOA-TAX To specify total amounts, and the relevant duty/tax/fee information about the current medical activity. 00890 MOA, Monetary amount A segment specifying total amounts such as amount of fees. 00900 TAX, Duty/tax/fee details A segment specifying relevant tax information. 00910 Segment group 14: RCS-FTX This segment group provides information about required medical and administrative conditions concerning the current medical activity. 00920 RCS, Requirements and conditions A segment specifying requirements and conditions about the current medical activity. 00930 FTX, Free text A segment with free text information, in coded or clear form, illustrating or justifying a particular condition specified in the RCS segment. 00940 Segment group 15: CLI-GEI-IMD-CIN-PNA-DTM-RFF-FTX-QTY-PCD- PAC-SG16-SG17-SG18 A group of segments describing a detailed medical activity. The detailed medical activity specified in this segment group may also be related to any party specified in the Parties Segment Group, any insurance coverage description as specified in the Contracts Segment Group or to any transport activity as specified in the Transports Segment Group. 00950 CLI, Clinical intervention A segment specifying a clinical intervention. 00960 GEI, Processing information A segment specifying the service type of the current detailed medical activity, i.e. whether this is a new detailed medical activity, modification of a previous detailed medical activity, cancellation of a previous detailed medical activity or a complete replacement of a previous detailed medical activity. 00970 IMD, Item description A segment identifying the current detailed medical activity and allowing several alternative coding schemes depending on separately agreed criteria. 00980 CIN, Clinical information A segment specifying the reason for applying the current detailed medical activity in terms of diagnosis or clinical observation. 00990 PNA, Party identification A segment specifying the identity number and name of any medical or administrative party related to the current activity, such as activity provider or prescriber, diagnosis originator, etc. 01000 DTM, Date/time/period A segment specifying dates, times and periods related to the current medical activity such as date performed, date of prescription, date of sickness and date of medical authorisation. 01010 RFF, Reference To specify the reference related to a detailed medical activity such as identification number of prescription and medical authorisation number. This segment may also be used to hold the reference to administrative, financial, and medical parties of the Parties Segment Group, insurance contracts of the Contracts Segment Group, and transports of the Transports Segment Group. 01020 FTX, Free text A segment with free text information, in coded or clear form, specifying information about the current detailed medical activity. 01030 QTY, Quantity A segment specifying quantities related to the detailed medical activity such as number of units of service as identified in the IMD segment. If the service type of this detailed medical activity is a modification then variations from the original quantities are given here. 01040 PCD, Percentage details A segment specifying percentage used to calculate a share of a reimbursement. This information is useful when a party has already paid a certain amount, or more generally when several recipients are identified in the business scenario (e.g. 75% of a visit will be paid to the general practitioner and 25% to the patient). 01050 PAC, Package A segment specifying package and number of physical units for drugs or any other materials. 01060 Segment group 16: MOA-TAX To specify total amounts, and the relevant duty/tax/fee information about the detailed medical activity. 01070 MOA, Monetary amount A segment specifying total amounts such as amount of fees. 01080 TAX, Duty/tax/fee details A segment specifying relevant tax information. 01090 Segment group 17: RCS-FTX This segment group provides information about required administrative conditions about the reimbursement claim, such as risk identification (e.g. illness, maternity, accident, industrial accident). 01100 RCS, Requirements and conditions A segment specifying requirements and conditions concerning the current detailed medical activity. 01110 FTX, Free text A segment with free text information, in coded or clear form, illustrating or justifying a particular condition specified in the RCS segment. 01120 Segment group 18: EQD-SEQ A group of segments providing information about the equipment used to provide the current detailed medical activity. 01130 EQD, Equipment details A segment identifying the equipment used. 01140 SEQ, Sequence details A segment specifying the sequential number of the activity performed on the equipment. 01150 Segment group 19: TMD-SEQ-GEI-FTX-SG20 Transports Segment Group. A group of segments specifying a transport activity related to the provision of a medical service. A transport activity comprises of several transport phases, each transport phase can be made up of several detailed transport activities. 01160 TMD, Transport movement details A segment specifying journey trip such as a journey from a hospital to a patient home. 01170 SEQ, Sequence details A segment allocating a sequence number to the transport activity, allowing each transport activity to be referenced from within the message. 01180 GEI, Processing information A segment specifying the service type of the transport activity: new transport activity, modification of a previous transport activity, cancellation of a previous transport activity or replacement for a previous transport activity. 01190 FTX, Free text A segment with free text information, in coded or clear form, specifying information about the whole transport activity. 01200 Segment group 20: TDT-GEI-IMD-PNA-RFF-FTX-CIN-QTY-SG21-SG22-SG23 A group of segments specifying one transport phase. A new phase can result from vehicle changes, crew changes, different stages, different numbers of people transported, different rates, etc. The transport activity specified in this segment group may also be related to any party specified in the Parties Segment Group such as transport service provider. 01210 TDT, Transport information A segment identifying the transport service provider, the kind of transportation used, and the vehicle. 01220 GEI, Processing information A segment specifying the service type of the actual transport phase: new transport phase, modification of a previous reported transport phase, cancellation of a previous reported transport phase and replacement for a previous reported transport phase. 01230 IMD, Item description A segment identifying the current transport activity and allowing several alternative coding schemes depending on separately agreed criteria. 01240 PNA, Party identification A segment identifying the party transported and the transport service provider, such as a driver. 01250 RFF, Reference A segment specifying references concerning the actual transport phase such as authorisation number. This segment may also be used to hold the reference to administrative, financial, and medical parties of the Parties Segment Group, and insurance contracts of Contracts Segment Group. 01260 FTX, Free text A segment with free text information, in coded or clear form, specifying information about the current transport phase. 01270 CIN, Clinical information A segment specifying the reason for the current transport phase in terms of diagnosis or clinical observation. 01280 QTY, Quantity A segment specifying quantities related to the transport phase, such as number of people transported. 01290 Segment group 21: ADR-DTM A group of segments specifying the transport legs and relevant dates and times. 01300 ADR, Address A segment specifying the address details of the transport phase such as location of departure and arrival. 01310 DTM, Date/time/period A segment specifying relevant dates and times for the transport phase such as date/time of departure, arrival and elapsed time. 01320 Segment group 22: TSR-FTX This segment group provides information about special circumstances affecting the transport phase. 01330 TSR, Transport service requirements A segment specifying special circumstances affecting the current transport phase. 01340 FTX, Free text A segment with free text information, in coded or clear form, illustrating or justifying a particular circumstance specified in the TSR segment. 01350 Segment group 23: TCC-GEI-IMD-DTM-RFF-FTX-QTY-PCD-SG24-SG25 A group of segments providing information about each transport phase specifying the transport components to be used for financial calculation. 01360 TCC, Charge/rate calculations A segment specifying charges for a transport component. 01370 GEI, Processing information A segment specifying the service type of the actual transport component, i.e. whether this is a new transport component, modification of a previous transport component, cancellation of a previous transport component or a complete replacement of a previous transport component. 01380 IMD, Item description A segment identifying the current transport component such as night trip, day trip, toll gate and highway. 01390 DTM, Date/time/period A segment specifying dates and times concerning the current transport component. 01400 RFF, Reference To specify references of a transport component. 01410 FTX, Free text A segment with free text information, in coded or clear form, illustrating or justifying the current transport component. 01420 QTY, Quantity A segment specifying quantities related to the transport component such as number of km. 01430 PCD, Percentage details A segment specifying percentage used to calculate a share of a reimbursement. This information is useful when a party has already paid a certain amount, or more generally when several recipients are identified in the business scenario (e.g. 75% of a transport will be paid to the transport service provider and 25% to the patient). 01440 Segment group 24: MOA-TAX To specify total amounts and the relevant duty/tax/fee information. 01450 MOA, Monetary amount A segment specifying total amounts such as amount of fees. 01460 TAX, Duty/tax/fee details A segment specifying relevant tax information. 01470 Segment group 25: TSR-FTX This segment group provides information about special circumstances affecting the current transport component. 01480 TSR, Transport service requirements A segment specifying special circumstances affecting the current transport component. 01490 FTX, Free text A segment with free text information, in coded or clear form, illustrating or justifying a particular circumstance specified in the TSR segment. 01500 Segment group 26: AUT-DTM A group of segments providing an authentication result for the message. This segment group can also be used for authentication results of message sender or receiver. 01510 AUT, Authentication result A segment specifying the result of an authentication procedure. 01520 DTM, Date/time/period A segment specifying dates and times of an authentication result. 01530 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 AUT Authentication result BGM Beginning of message CIN Clinical information CLI Clinical intervention CNT Control total COM Communication contact CTA Contact information CUX Currencies DOC Document/message details DTM Date/time/period EMP Employment details EQD Equipment details FCA Financial charges allocation FII Financial institution information FTX Free text GEI Processing information HAN Handling instructions ICD Insurance cover description IMD Item description LAN Language LOC Place/location identification MOA Monetary amount NAT Nationality PAC Package PAS Attendance PCD Percentage details PDI Person demographic information PNA Party identification PRC Process identification QTY Quantity QUA Qualification RCS Requirements and conditions REL Relationship RFF Reference RSL Result SEQ Sequence details SPR Organisation classification details STS Status TAX Duty/tax/fee details TCC Charge/rate calculations TDT Transport information TMD Transport movement details TSR Transport service requirements UNH Message header UNT Message trailer

4.3 Message structure 4.3.1 Segment table Pos Tag Name S R 00010 UNH Message header M 1 00020 BGM Beginning of message M 1 00030 DTM Date/time/period C 9 00040 RFF Reference C 9 00050 FTX Free text C 9 00060 CUX Currencies C 1 00070 CNT Control total C 9 00080 ---- Segment group 1 ------------------ C 9----------------+ 00090 MOA Monetary amount M 1 | 00100 TAX Duty/tax/fee details C 1----------------+ 00110 ---- Segment group 2 ------------------ C 999--------------+ 00120 PNA Party identification M 1 | 00130 SEQ Sequence details C 1 | 00140 ADR Address C 9 | 00150 CTA Contact information C 9 | 00160 COM Communication contact C 9 | 00170 RFF Reference C 99 | 00180 REL Relationship C 9 | 00190 NAT Nationality C 9 | 00200 LAN Language C 9 | 00210 SPR Organisation classification details C 1 | 00220 EMP Employment details C 9 | 00230 QUA Qualification C 9 | 00240 DTM Date/time/period C 99 | 00250 STS Status C 1 | 00260 RCS Requirements and conditions C 99 | 00270 PDI Person demographic information C 1 | 00280 FII Financial institution information C 9----------------+ 00290 ---- Segment group 3 ------------------ C 999--------------+ 00300 AGR Agreement identification M 1 | 00310 SEQ Sequence details C 1 | 00320 RFF Reference C 99 | 00330 DTM Date/time/period C 99 | | 00340 ---- Segment group 4 ------------------ C 99--------------+| 00350 ICD Insurance cover description M 1 || 00360 FTX Free text C 9---------------++ 00370 ---- Segment group 5 ------------------ C 99---------------+ 00380 DOC Document/message details M 1 | 00390 DTM Date/time/period C 9 | | 00400 ---- Segment group 6 ------------------ C 9---------------+| 00410 PNA Party identification M 1 || 00420 ADR Address C 9 || 00430 STS Status C 1 || 00440 RCS Requirements and conditions C 9---------------++ 00450 ---- Segment group 7 ------------------ C 999--------------+ 00460 FCA Financial charges allocation M 1 | 00470 GEI Processing information C 9 | 00480 RFF Reference C 99 | 00490 DTM Date/time/period C 99 | 00500 FTX Free text C 99 | 00510 AGR Agreement identification C 99 | 00520 DOC Document/message details C 9 | | 00530 ---- Segment group 8 ------------------ C 99--------------+| 00540 MOA Monetary amount M 1 || 00550 TAX Duty/tax/fee details C 1---------------+| | 00560 ---- Segment group 9 ------------------ C 99--------------+| 00570 RCS Requirements and conditions M 1 || 00580 FTX Free text C 9---------------+| | 00590 ---- Segment group 10 ------------------ C 999-------------+| 00600 PNA Party identification M 1 || 00610 RFF Reference C 99 || 00620 ADR Address C 9 || 00630 COM Communication contact C 9 || 00640 DTM Date/time/period C 99 || 00650 PDI Person demographic information C 1 || 00660 RSL Result C 9 || 00670 NAT Nationality C 9 || 00680 LAN Language C 9 || 00690 HAN Handling instructions C 9 || 00700 REL Relationship C 1---------------+| | 00710 ---- Segment group 11 ------------------ C 999-------------+| 00720 PRC Process identification M 1 || 00730 GEI Processing information C 1 || 00740 STS Status C 9 || 00750 IMD Item description C 9 || 00760 CIN Clinical information C 99 || 00770 PNA Party identification C 99 || 00780 DTM Date/time/period C 99 || 00790 RFF Reference C 99 || 00800 FTX Free text C 99 || 00810 QTY Quantity C 99 || 00820 PCD Percentage details C 99 || || 00830 ---- Segment group 12 ------------------ C 99-------------+|| 00840 PAS Attendance M 1 ||| 00850 LOC Place/location identification C 9 ||| 00860 DTM Date/time/period C 9 ||| 00870 RFF Reference C 9--------------+|| || 00880 ---- Segment group 13 ------------------ C 99-------------+|| 00890 MOA Monetary amount M 1 ||| 00900 TAX Duty/tax/fee details C 1--------------+|| || 00910 ---- Segment group 14 ------------------ C 99-------------+|| 00920 RCS Requirements and conditions M 1 ||| 00930 FTX Free text C 9--------------+|| || 00940 ---- Segment group 15 ------------------ C 999------------+|| 00950 CLI Clinical intervention M 1 ||| 00960 GEI Processing information C 1 ||| 00970 IMD Item description C 9 ||| 00980 CIN Clinical information C 99 ||| 00990 PNA Party identification C 99 ||| 01000 DTM Date/time/period C 99 ||| 01010 RFF Reference C 99 ||| 01020 FTX Free text C 99 ||| 01030 QTY Quantity C 99 ||| 01040 PCD Percentage details C 99 ||| 01050 PAC Package C 9 ||| ||| 01060 ---- Segment group 16 ------------------ C 99------------+||| 01070 MOA Monetary amount M 1 |||| 01080 TAX Duty/tax/fee details C 1-------------+||| ||| 01090 ---- Segment group 17 ------------------ C 99------------+||| 01100 RCS Requirements and conditions M 1 |||| 01110 FTX Free text C 9-------------+||| ||| 01120 ---- Segment group 18 ------------------ C 99------------+||| 01130 EQD Equipment details M 1 |||| 01140 SEQ Sequence details C 1-------------++++ 01150 ---- Segment group 19 ------------------ C 999--------------+ 01160 TMD Transport movement details M 1 | 01170 SEQ Sequence details C 1 | 01180 GEI Processing information C 1 | 01190 FTX Free text C 99 | | 01200 ---- Segment group 20 ------------------ C 999-------------+| 01210 TDT Transport information M 1 || 01220 GEI Processing information C 1 || 01230 IMD Item description C 9 || 01240 PNA Party identification C 99 || 01250 RFF Reference C 99 || 01260 FTX Free text C 99 || 01270 CIN Clinical information C 99 || 01280 QTY Quantity C 99 || || 01290 ---- Segment group 21 ------------------ C 99-------------+|| 01300 ADR Address M 1 ||| 01310 DTM Date/time/period C 9--------------+|| || 01320 ---- Segment group 22 ------------------ C 99-------------+|| 01330 TSR Transport service requirements M 1 ||| 01340 FTX Free text C 9--------------+|| || 01350 ---- Segment group 23 ------------------ C 999------------+|| 01360 TCC Charge/rate calculations M 1 ||| 01370 GEI Processing information C 1 ||| 01380 IMD Item description C 9 ||| 01390 DTM Date/time/period C 99 ||| 01400 RFF Reference C 99 ||| 01410 FTX Free text C 99 ||| 01420 QTY Quantity C 99 ||| 01430 PCD Percentage details C 99 ||| ||| 01440 ---- Segment group 24 ------------------ C 99------------+||| 01450 MOA Monetary amount M 1 |||| 01460 TAX Duty/tax/fee details C 1-------------+||| ||| 01470 ---- Segment group 25 ------------------ C 99------------+||| 01480 TSR Transport service requirements M 1 |||| 01490 FTX Free text C 9-------------++++ 01500 ---- Segment group 26 ------------------ C 9----------------+ 01510 AUT Authentication result M 1 | 01520 DTM Date/time/period C 9----------------+ 01530 UNT Message trailer M 1

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