X12 - 850 PURCHASE ORDER SPECIFICATION

93
X12 - 850 PURCHASE ORDER SPECIFICATION Version: 4010 Company: GHX Created: 12-Feb-2019

Transcript of X12 - 850 PURCHASE ORDER SPECIFICATION

X12 - 850 PURCHASE ORDER

SPECIFICATION

Version: 4010

Company: GHX Created: 12-Feb-2019

1/30/2019 Purchase Order - 850

X12_4010_850.ecs Ver 2.0 i

Table of Contents

850 Purchase Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

ISA Interchange Control Header . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

GS Functional Group Header . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

ST Transaction Set Header . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

BEG Beginning Segment for Purchase Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

CUR Currency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

REF Reference Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PER Administrative Communications Contact . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

FOB F.O.B. Related Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

ITD Terms of Sale/Deferred Terms of Sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

DTM Date/Time Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

TXI Tax Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N9 Loop Reference Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N9 Reference Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

DTM Date/Time Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

MSG Message Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N1 Loop Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N1 Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N2 Additional Name Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N3 Address Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N4 Geographic Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

REF Reference Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PER Administrative Communications Contact . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PO1 Loop Baseline Item Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PO1 Baseline Item Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

CN1 Contract Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PID Loop Product/Item Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PID Product/Item Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PO4 Item Physical Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

REF Reference Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PER Administrative Communications Contact . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

SDQ Destination Quantity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

DTM Date/Time Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

TD5 Carrier Details (Routing Sequence/Transit Time) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

MSG Message Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

TXI Tax Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

SCH Loop Line Item Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

SCH Line Item Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N9 Loop Reference Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

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N9 Reference Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

MSG Message Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N1 Loop Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N1 Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N2 Additional Name Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N3 Address Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

N4 Geographic Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

REF Reference Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

PER Administrative Communications Contact . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

CTT Loop Transaction Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

CTT Transaction Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

AMT Monetary Amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

SE Transaction Set Trailer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

GE Functional Group Trailer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

IEA Interchange Control Trailer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <PH>

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850 Purchase Order

Functional Group=POPurpose: This Draft Standard for Trial Use contains the format and establishes the data contents of the Purchase

Order Transaction Set (850) for use within the context of an Electronic Data Interchange (EDI) environment. The

transaction set can be used to provide for customary and established business and industry practice relative to theplacement of purchase orders for goods and services. This transaction set should not be used to convey purchase

order changes or purchase order acknowledgment information.

Not Defined:

Pos Id Segment Name Req Max Use Repeat Notes Usage

ISA Interchange Control Header M 1 Must use

GS Functional Group Header M 1 Must use

Heading:

Pos Id Segment Name Req Max Use Repeat Notes Usage

010 ST Transaction Set Header M 1 Used

020 BEG Beginning Segment forPurchase Order

M 1 Used

040 CUR Currency O 1 Used

050 REF Reference Identification O >1 Used

060 PER AdministrativeCommunications Contact

O 3 Used

080 FOB F.O.B. Related Instructions O >1 Used

130 ITD Terms of Sale/DeferredTerms of Sale

O >1 Used

150 DTM Date/Time Reference O 10 Used

285 TXI Tax Information O >1 N1/285 Used

LOOP ID - N9 1000 LOOP ID - N9 1000

295 N9 Reference Identification M 1 Must use

297 DTM Date/Time Reference O >1 Used

300 MSG Message Text O 1000 Used

LOOP ID - N1 200 LOOP ID - N1 200

310 N1 Name M 1 Must use

320 N2 Additional NameInformation

O 2 Used

330 N3 Address Information O 2 Used

340 N4 Geographic Location O >1 Used

350 REF Reference Identification O 12 Used

360 PER AdministrativeCommunications Contact

O >1 Used

Detail:

Pos Id Segment Name Req Max Use Repeat Notes Usage

LOOP ID - PO1 100000 N2/010L LOOP ID - PO1 100000 N2/010L

010 PO1 Baseline Item Data M 1 N2/010 Must use

025 CN1 Contract Information O 1 Used

LOOP ID - PID 1000 LOOP ID - PID 1000

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Pos Id Segment Name Req Max Use Repeat Notes Usage

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050 PID Product/Item Description M 1 Must use

090 PO4 Item Physical Details O >1 Used

100 REF Reference Identification O >1 Used

110 PER AdministrativeCommunications Contact

O 3 Used

190 SDQ Destination Quantity O 500 Used

210 DTM Date/Time Reference O 10 Used

250 TD5 Carrier Details (RoutingSequence/Transit Time)

O 12 Used

289 MSG Message Text O >1 Used

291 TXI Tax Information O >1 Used

LOOP ID - SCH 200 N2/295L LOOP ID - SCH 200 N2/295L

295 SCH Line Item Schedule M 1 N2/295 Must use

LOOP ID - N9 1000 LOOP ID - N9 1000

330 N9 Reference Identification M 1 Must use

340 MSG Message Text O 1000 Used

LOOP ID - N1 200 N2/350L LOOP ID - N1 200 N2/350L

350 N1 Name M 1 Must use

360 N2 Additional NameInformation

O 2 Used

370 N3 Address Information O 2 Used

380 N4 Geographic Location O 1 Used

390 REF Reference Identification O 12 N2/390 Used

400 PER AdministrativeCommunications Contact

O 3 N2/400 Used

Summary:

Pos Id Segment Name Req Max Use Repeat Notes Usage

LOOP ID - CTT 1 N3/010L LOOP ID - CTT 1 N3/010L

010 CTT Transaction Totals M 1 N3/010 Must use

020 AMT Monetary Amount O 1 N3/020 Used

030 SE Transaction Set Trailer O 1 Used

Not Defined:

Pos Id Segment Name Req Max Use Repeat Notes Usage

GE Functional Group Trailer M 1 Must use

IEA Interchange Control Trailer M 1 Must use

Notes:

1/285 This Section is mapped to generic Tax loop in OAG so all the different tax types are supported.

2/010L PO102 is required.

2/010 PO102 is required.

2/295L The SCH segment is used to specify various quantities of items ordered that are to be scheduled. Whenthis segment is used the unit of measurement code (SCH02) should always be identical to the unit ofmeasurement code in the associated PO1 segment (PO103) and the sum of values of quantity (SCH01)should always equal the quantity ordered (PO102) in the PO1 segment.

2/295 The SCH segment is used to specify various quantities of items ordered that are to be scheduled. When

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this segment is used the unit of measurement code (SCH02) should always be identical to the unit ofmeasurement code in the associated PO1 segment (PO103) and the sum of values of quantity (SCH01)should always equal the quantity ordered (PO102) in the PO1 segment.

2/350L ST: crosscheck

2/390 Only supported for N101 qualifier of type ZZ.

2/400 Only supported for N101 qualifier of type ZZ

3/010L The number of line items (CTT01) is the accumulation of the number of PO1 segments. If used, hash total(CTT02) is the sum of the value of quantities ordered (PO102) for each PO1 segment.

3/010 The number of line items (CTT01) is the accumulation of the number of PO1 segments. If used, hash total(CTT02) is the sum of the value of quantities ordered (PO102) for each PO1 segment.

3/020 If AMT is used in the summary area, then AMT01 will = TT and AMT02 will indicate total transactionamount as calculated by the sender.

GHX Standard Guideline:GHX Standard Guideline:

GHX Recommends the usage of the following information.

Delimiters:

Record Delimiter: ~Field Delimiter: ^Sub Element Delimiter |

Identifying the Partners:

Provider to GHX:ISA05: 01 (DUNS Number)ISA06: Provider DUNS NumberISA07: 01 (DUNS Number)ISA08: 124879334 (GHX DUNS Number)

GS02: Provider DUNS NumberGS03: Supplier DUNS Number

GHX to Supplier:ISA05: 01 (DUNS Number)ISA06: 124879334 (GHX DUNS Number)ISA07: 01 (DUNS Number)ISA08: Supplier DUNS NumberGS02: Provider DUNS NumberGS03: Supplier DUNS Number

N1ST04 : HINS / GLN Number to identify the provider ShipTo Account Number.

Part Numbers:VC - Required to identify the vendor catalog number.IN - to identify the buyers internal part number.

UOM:ANSI X12 supported values.

Line Number:Unique Line Number should be sent in PO101 field.

Expected Price:Buyer expected price should be sent in PO104 field.

All the GHXcellence marked fields should be sent.

GHX Recommends the usage of the following information.

Delimiters:

Record Delimiter: ~Field Delimiter: ^Sub Element Delimiter |

Identifying the Partners:

Provider to GHX:ISA05: 01 (DUNS Number)ISA06: Provider DUNS NumberISA07: 01 (DUNS Number)ISA08: 124879334 (GHX DUNS Number)

GS02: Provider DUNS NumberGS03: Supplier DUNS Number

GHX to Supplier:ISA05: 01 (DUNS Number)ISA06: 124879334 (GHX DUNS Number)ISA07: 01 (DUNS Number)ISA08: Supplier DUNS NumberGS02: Provider DUNS NumberGS03: Supplier DUNS Number

N1ST04 : HINS / GLN Number to identify the provider ShipTo Account Number.

Part Numbers:VC - Required to identify the vendor catalog number.IN - to identify the buyers internal part number.

UOM:ANSI X12 supported values.

Line Number:Unique Line Number should be sent in PO101 field.

Expected Price:Buyer expected price should be sent in PO104 field.

All the GHXcellence marked fields should be sent.

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ISA Interchange Control HeaderPos: Max: 1

Not Defined - Mandatory

Loop: N/A Elements: 16

User Option (Usage): Must use

Purpose: To start and identify an interchange of zero or more functional groups and interchange-related control

segments

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

ISA01 I01 Authorization Information Qualifier

Description: Code identifying the type of

information in the Authorization

Information

M ID 2/2 Must use

CodeList Summary (Total Codes: 7, Included: 7)

Code Name

00 No Authorization Information Present (No Meaningful Information in I02)

01 UCS Communications ID

02 EDX Communications ID

03 Additional Data Identification

04 Rail Communications ID

05 Department of Defense (DoD) Communication Identifier

06 United States Federal Government Communication Identifier

ISA02 I02 Authorization Information

Description: Information used for

additional identification or authorization of

the interchange sender or the data in theinterchange; the type of information is set

by the Authorization Information Qualifier(I01)

M AN 10/10 Must use

ISA03 I03 Security Information Qualifier

Description: Code identifying the type of

information in the Security Information

M ID 2/2 Must use

CodeList Summary (Total Codes: 2, Included: 2)

Code Name

00 No Security Information Present (No Meaningful Information in I04)

01 Password

ISA04 I04 Security Information

Description: This is used for identifying

the security information about theinterchange sender or the data in the

interchange; the type of information is setby the Security Information Qualifier (I03)

M AN 10/10 Must use

ISA05 I05 Interchange ID Qualifier

Description: Code indicating the

system/method of code structure used to

M ID 2/2 Must use

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designate the sender or receiver ID

element being qualified

CodeList Summary (Total Codes: 41, Included: 41)

Code Name

01 Duns (Dun & Bradstreet)

02 SCAC (Standard Carrier Alpha Code)

03 FMC (Federal Maritime Commission)

04 IATA (International Air Transport Association)

07 Global Location Number (GLN)

08 UCC EDI Communications ID (Comm ID)

09 X.121 (CCITT)

10 Department of Defense (DoD) Activity Address Code

11 DEA (Drug Enforcement Administration)

12 Phone (Telephone Companies)

13 UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes theArea Code and Telephone Number of a Modem; it Does Not Include Punctuation,Blanks or Access Code)

14 Duns Plus Suffix

15 Petroleum Accountants Society of Canada Company Code

16 Duns Number With 4-Character Suffix

17 American Bankers Association (ABA) Transit Routing Number (Including CheckDigit, 9 Digit)

18 Association of American Railroads (AAR) Standard Distribution Code

19 EDI Council of Australia (EDICA) Communications ID Number (COMM ID)

20 Health Industry Number (HIN)

21 Integrated Postsecondary Education Data System, or (IPEDS)

22 Federal Interagency Commission on Education, or FICE

23 National Center for Education Statistics Common Core of Data 12-Digit Number forPre-K-Grade 12 Institutes, or NCES

24 The College Board's Admission Testing Program 4-Digit Code of PostsecondaryInstitutes, or ATP

25 ACT, Inc. 4-Digit Code of Postsecondary Institutions.

26 Statistics of Canada List of Postsecondary Institutions

27 Carrier Identification Number as assigned by Health Care Financing Administration(HCFA)

28 Fiscal Intermediary Identification Number as assigned by Health Care FinancingAdministration (HCFA)

29 Medicare Provider and Supplier Identification Number as assigned by Health CareFinancing Administration (HCFA)

30 U.S. Federal Tax Identification Number

31 Jurisdiction Identification Number Plus 4 as assigned by the InternationalAssociation of Industrial Accident Boards and Commissions (IAIABC)

32 U.S. Federal Employer Identification Number (FEIN)

33 National Association of Insurance Commissioners Company Code (NAIC)

34 Medicaid Provider and Supplier Identification Number as assigned by individualState Medicaid Agencies in conjunction with Health Care Financing Administration(HCFA)

35 Statistics Canada Canadian College Student Information System Institution Codes

36 Statistics Canada University Student Information System Institution Codes

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37 Society of Property Information Compilers and Analysts

38 The College Board and ACT, Inc. 6-Digit Code List of Secondary Institutions

AM Association Mexicana del Codigo de Producto (AMECOP) Communication ID

NR National Retail Merchants Association (NRMA) - Assigned

SA User Identification Number as assigned by the Safety and the Fitness ElectronicRecords (SAFER) System

SN Standard Address Number

ZZ Mutually Defined

ISA06 I06 Interchange Sender ID

Description: Identification code

published by the sender for other partiesto use as the receiver ID to route data to

them; the sender always codes this valuein the sender ID element

M AN 15/15 Must use

ISA07 I05 Interchange ID Qualifier

Description: Code indicating the

system/method of code structure used todesignate the sender or receiver ID

element being qualified

M ID 2/2 Must use

CodeList Summary (Total Codes: 41, Included: 41)

Code Name

01 Duns (Dun & Bradstreet)

02 SCAC (Standard Carrier Alpha Code)

03 FMC (Federal Maritime Commission)

04 IATA (International Air Transport Association)

07 Global Location Number (GLN)

08 UCC EDI Communications ID (Comm ID)

09 X.121 (CCITT)

10 Department of Defense (DoD) Activity Address Code

11 DEA (Drug Enforcement Administration)

12 Phone (Telephone Companies)

13 UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes theArea Code and Telephone Number of a Modem; it Does Not Include Punctuation,Blanks or Access Code)

14 Duns Plus Suffix

15 Petroleum Accountants Society of Canada Company Code

16 Duns Number With 4-Character Suffix

17 American Bankers Association (ABA) Transit Routing Number (Including CheckDigit, 9 Digit)

18 Association of American Railroads (AAR) Standard Distribution Code

19 EDI Council of Australia (EDICA) Communications ID Number (COMM ID)

20 Health Industry Number (HIN)

21 Integrated Postsecondary Education Data System, or (IPEDS)

22 Federal Interagency Commission on Education, or FICE

23 National Center for Education Statistics Common Core of Data 12-Digit Number forPre-K-Grade 12 Institutes, or NCES

24 The College Board's Admission Testing Program 4-Digit Code of PostsecondaryInstitutes, or ATP

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25 ACT, Inc. 4-Digit Code of Postsecondary Institutions.

26 Statistics of Canada List of Postsecondary Institutions

27 Carrier Identification Number as assigned by Health Care Financing Administration(HCFA)

28 Fiscal Intermediary Identification Number as assigned by Health Care FinancingAdministration (HCFA)

29 Medicare Provider and Supplier Identification Number as assigned by Health CareFinancing Administration (HCFA)

30 U.S. Federal Tax Identification Number

31 Jurisdiction Identification Number Plus 4 as assigned by the InternationalAssociation of Industrial Accident Boards and Commissions (IAIABC)

32 U.S. Federal Employer Identification Number (FEIN)

33 National Association of Insurance Commissioners Company Code (NAIC)

34 Medicaid Provider and Supplier Identification Number as assigned by individualState Medicaid Agencies in conjunction with Health Care Financing Administration(HCFA)

35 Statistics Canada Canadian College Student Information System Institution Codes

36 Statistics Canada University Student Information System Institution Codes

37 Society of Property Information Compilers and Analysts

38 The College Board and ACT, Inc. 6-Digit Code List of Secondary Institutions

AM Association Mexicana del Codigo de Producto (AMECOP) Communication ID

NR National Retail Merchants Association (NRMA) - Assigned

SA User Identification Number as assigned by the Safety and the Fitness ElectronicRecords (SAFER) System

SN Standard Address Number

ZZ Mutually Defined

ISA08 I07 Interchange Receiver ID

Description: Identification code

published by the receiver of the data;When sending, it is used by the sender as

their sending ID, thus other partiessending to them will use this as a

receiving ID to route data to them

M AN 15/15 Must use

ISA09 I08 Interchange Date

Description: Date of the interchange

M DT 6/6 Must use

ISA10 I09 Interchange Time

Description: Time of the interchange

M TM 4/4 Must use

ISA11 I65 Repetition Separator

Description: Type is not applicable; the

repetition separator is a delimiter and not

a data element; this field provides thedelimiter used to separate repeated

occurrences of a simple data element or acomposite data structure; this value must

be different than the data elementseparator, component element separator,

and the segment terminator

M 1/1 Must use

ISA12 I11 Interchange Control Version Number M ID 5/5 Must use

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Description: Code specifying the version

number of the interchange control

segments

CodeList Summary (Total Codes: 18, Included: 1)

Code Name

00401 Standards Approved for Publication by ASC X12 Procedures Review Boardthrough October 1997

ISA13 I12 Interchange Control Number

Description: A control number assigned

by the interchange sender

M N0 9/9 Must use

ISA14 I13 Acknowledgment Requested

Description: Code indicating sender's

request for an interchange

acknowledgment

M ID 1/1 Must use

CodeList Summary (Total Codes: 2, Included: 2)

Code Name

0 No Interchange Acknowledgment Requested

1 Interchange Acknowledgment Requested (TA1)

ISA15 I14 Interchange Usage Indicator

Description: Code indicating whether

data enclosed by this interchangeenvelope is test, production or information

M ID 1/1 Must use

CodeList Summary (Total Codes: 3, Included: 3)

Code Name

I Information

P Production Data

T Test Data

ISA16 I15 Component Element Separator

Description: Type is not applicable; the

component element separator is a

delimiter and not a data element; this fieldprovides the delimiter used to separate

component data elements within acomposite data structure; this value mustbe different than the data element

separator and the segment terminator

M 1/1 Must use

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GS Functional Group HeaderPos: Max: 1

Not Defined - Mandatory

Loop: N/A Elements: 8

User Option (Usage): Must use

Purpose: To indicate the beginning of a functional group and to provide control information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

GS01 479 Functional Identifier Code

Description: Code identifying a group of

application related transaction sets

M ID 2/2 Must use

CodeList Summary (Total Codes: 262, Included: 1)

Code Name

PO Purchase Order (850)

GS02 142 Application Sender's Code

Description: Code identifying party

sending transmission; codes agreed to bytrading partners

M AN 2/15 Must use

GS03 124 Application Receiver's Code

Description: Code identifying party

receiving transmission; codes agreed toby trading partners

M AN 2/15 Must use

GS04 373 Date

Description: Date expressed as

CCYYMMDD where CC represents thefirst two digits of the calendar year

M DT 8/8 Must use

GS05 337 Time

Description: Time expressed in 24-hour

clock time as follows: HHMM, orHHMMSS, or HHMMSSD, or

HHMMSSDD, where H = hours (00-23), M= minutes (00-59), S = integer seconds

(00-59) and DD = decimal seconds;decimal seconds are expressed as

follows: D = tenths (0-9) and DD =hundredths (00-99)

M TM 4/8 Must use

GS06 28 Group Control Number

Description: Assigned number originated

and maintained by the sender

M N0 1/9 Must use

GS07 455 Responsible Agency Code

Description: Code identifying the issuer

of the standard; this code is used in

conjunction with Data Element 480

M ID 1/2 Must use

CodeList Summary (Total Codes: 2, Included: 2)

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Code Name

T Transportation Data Coordinating Committee (TDCC)

X Accredited Standards Committee X12

GS08 480 Version / Release / Industry Identifier

Code

Description: Code indicating the version,

release, subrelease, and industryidentifier of the EDI standard being used,

including the GS and GE segments; ifcode in DE455 in GS segment is X, then

in DE 480 positions 1-3 are the versionnumber; positions 4-6 are the release and

subrelease, level of the version; andpositions 7-12 are the industry or trade

association identifiers (optionally assignedby user); if code in DE455 in GS segment

is T, then other formats are allowed

M AN 1/12 Must use

CodeList Summary (Total Codes: 49, Included: 1)

Code Name

004010 Standards Approved for Publication by ASC X12 Procedures Review Boardthrough October 1997

Semantics:

1. GS04 is the group date.

2. GS05 is the group time.

3. The data interchange control number GS06 in this header must be identical to the same data element in theassociated functional group trailer, GE02.

Comments:

1. A functional group of related transaction sets, within the scope of X12 standards, consists of a collection ofsimilar transaction sets enclosed by a functional group header and a functional group trailer.

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ST Transaction Set HeaderPos: 010 Max: 1

Heading - Mandatory

Loop: N/A Elements: 2

User Option (Usage): Used

Purpose: To indicate the start of a transaction set and to assign a control number

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

ST01 143 Transaction Set Identifier Code

Description: Code uniquely identifying a

Transaction Set

M ID 3/3 Used

CodeList Summary (Total Codes: 298, Included: 1)

Code Name

850 Purchase Order

ST02 329 Transaction Set Control Number

Description: Identifying control number

that must be unique within the transactionset functional group assigned by the

originator for a transaction set

M AN 4/9 Used

Semantics:

1. The transaction set identifier (ST01) used by the translation routines of the interchange partners to select theappropriate transaction set definition (e.g., 810 selects the Invoice Transaction Set).

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BEG Beginning Segment forPurchase Order

Pos: 020 Max: 1

Heading - Mandatory

Loop: N/A Elements: 6

User Option (Usage): Used

Purpose: To indicate the beginning of the Purchase Order Transaction Set and transmit identifying numbers and

dates

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

BEG01 353 Transaction Set Purpose Code

Description: Code identifying purpose of

transaction set

GHX Standard Guideline: All Values are

supported for EDI to EDI transactions.

GHX Standard Guideline: All Values are

supported for EDI to EDI transactions.

All valid standard codes are used.

(Total Codes: 65)

M ID 2/2 Used

BEG02 92 Purchase Order Type Code

Description: Code specifying the type of

Purchase Order

GHX Standard Guideline: All Values are

supported for EDI to EDI Transactions.

GHX Standard Guideline: All Values are

supported for EDI to EDI Transactions.

M ID 2/2 Used

CodeList Summary (Total Codes: 69, Included: 69)

Code Name

AB Assortment Against Blanket

AC AOG (Aircraft on Ground) Critical

AO AOG (Aircraft on Ground) Service

BD Bidding

BE Blanket Order/Estimated Quantities (Not firm Commitment)

BH Bill and Hold

BK Blanket Order (Quantity Firm)

BL Bailment

BQ Budgetary Quote

BY Buying

CA Contract Award Notification

CC Change to Contract

CF Confirmation

CN Consigned Order

CO Catalog Order

CP Change to Purchase Order

GHX Standard Guideline:GHX Standard Guideline:

CP is used to indicate the origin of this PO is FAX.CP is used to indicate the origin of this PO is FAX.

CR Change to Release

DR Direct Ship

DS Dropship

EO Emergency Order

FH Fabricate and Hold

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Code Name

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IN Information Copy

JL Job Lot

KA Agreement

KB Blanket Purchase Agreement

KC Contract

KD Basic Agreement

KE Basic Ordering Agreement

KG Grant

KI Indefinite Delivery Indefinite Quantity

KN Purchase Order

KO Close Out

KP Authority to Proceed

KQ Indefinite Delivery Definite Quantity

KR Requirements

KS Letter Contract

KT Task Order

LB Lease (Blanket Agreement)

LS Lease

NE New Order

NO Not for Sale

NP New Product Introduction

NS New Store Opening

OS Special Order

PR Promotion

RA Release Against Assortment

RC Retailer Pre-commitment

RE Reorder

RL Release or Delivery Order

RN Renewal Order

RO Rush Order

GHX Standard Guideline:GHX Standard Guideline:

Expedited PO Ordering.Expedited PO Ordering.

RR Repair and Return

RT Rental

RU Record Update Service

RW Resume Work Order

SA Stand-alone Order

SO Shipped Order

SP Sample

SS Supply or Service Order

ST Standing Order

SW Stop Work

TC Toll Conversion Order

TM Time & Materials

TR Termination

UD Unit Down

UE Unit Exchange

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Code Name

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US Urgent Service Request

WO Warranty Order

ZZ Mutually Defined

BEG03 324 Purchase Order Number

Description: Identifying number for

Purchase Order assigned by the

orderer/purchaser

M AN 1/22 Used

BEG04 328 Release Number

Description: Number identifying a

release against a Purchase Order

previously placed by the parties involvedin the transaction

O AN 1/30 Used

BEG05 373 Date

Description: Date expressed as

CCYYMMDD

M DT 8/8 Used

BEG06 367 Contract Number

Description: Contract number

O AN 1/30 Used

Semantics:

1. BEG05 is the date assigned by the purchaser to purchase order.

GHX Standard Guideline:GHX Standard Guideline:

GHXcellence:

EDI suppliers must accept the Release Number from the BEG04 data element of the 850 EDI transaction.

GHXcellence:

EDI suppliers must accept the Release Number from the BEG04 data element of the 850 EDI transaction.

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CUR CurrencyPos: 040 Max: 1

Heading - Optional

Loop: N/A Elements: 3

User Option (Usage): Used

Purpose: To specify the currency (dollars, pounds, francs, etc.) used in a transaction

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

CUR01 98 Entity Identifier Code

Description: Code identifying an

organizational entity, a physical location,property or an individual

GHX Standard Guideline: All Values are

supported for EDI to EDI transactions.

GHX Standard Guideline: All Values are

supported for EDI to EDI transactions.

All valid standard codes are used.

(Total Codes: 1312)

M ID 2/3 Used

CUR02 100 Currency Code

Description: Code (Standard ISO) for

country in whose currency the charges

are specified

M ID 3/3 Used

CUR03 280 Exchange Rate

Description: Value to be used as a

multiplier conversion factor to convert

monetary value from one currency toanother

O R 4/10 Used

Syntax Rules:

1. C0807 - If CUR08 is present, then CUR07 is required.

2. C0907 - If CUR09 is present, then CUR07 is required.

3. C1110 - If CUR11 is present, then CUR10 is required.

4. C1210 - If CUR12 is present, then CUR10 is required.

5. C1413 - If CUR14 is present, then CUR13 is required.

6. C1513 - If CUR15 is present, then CUR13 is required.

7. C1716 - If CUR17 is present, then CUR16 is required.

8. C1816 - If CUR18 is present, then CUR16 is required.

9. C2019 - If CUR20 is present, then CUR19 is required.

10. C2119 - If CUR21 is present, then CUR19 is required.

11. L101112 - If CUR10 is present, then at least one of CUR11 or CUR12 is required.

12. L131415 - If CUR13 is present, then at least one of CUR14 or CUR15 is required.

13. L161718 - If CUR16 is present, then at least one of CUR17 or CUR18 is required.

14. L192021 - If CUR19 is present, then at least one of CUR20 or CUR21 is required.

Comments:

1. See Figures Appendix for examples detailing the use of the CUR segment.

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REF Reference IdentificationPos: 050 Max: >1

Heading - Optional

Loop: N/A Elements: 3

User Option (Usage): Used

Purpose: To specify identifying information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

REF01 128 Reference Identification Qualifier

Description: Code qualifying the

Reference Identification

M ID 2/3 Used

CodeList Summary (Total Codes: 1503, Included: 25)

Code Name

19 Division Identifier

79 Cost Account

BO Bin Location Number

BY Repair Category Number

CA Cost Allocation Reference

CO Customer Order Number

CR Customer Reference Number

CT Contract Number

DP Department Number

DV Diversion Authority Number

GC Government Contract Number

IV Seller's Invoice Number

L1 Letters or Notes

LT Lot Number

LU Location Number

OP Original Purchase Order

OQ Order Number

GHX Standard Guideline:GHX Standard Guideline:

Used for GHX Order Number given to each Order Submission in GHXml.GHX uses 'OQ', Order Number, for the GHX-generated Order NumberUsed for GHX Order Number given to each Order Submission in GHXml.GHX uses 'OQ', Order Number, for the GHX-generated Order Number

PO Purchase Order Number

Q1 Quote Number

RE Release Number

RQ Purchase Requisition Number

SI Shipper's Identifying Number for Shipment (SID)

VN Vendor Order Number

VR Vendor ID Number

ZZ Mutually Defined

REF02 127 Reference Identification

Description: Reference information as

defined for a particular Transaction Set or

as specified by the ReferenceIdentification Qualifier

C AN 1/30 Used

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Ref Id Element Name Req Type Min/Max Usage

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REF03 352 Description

Description: A free-form description to

clarify the related data elements and theircontent

GHX Standard Guideline: Supported

only when REF01 = "CA" or "L1"

GHX Standard Guideline: Supported

only when REF01 = "CA" or "L1"

X AN 1/80 Used

Syntax Rules:

1. R0203 - At least one of REF02 or REF03 is required.

Semantics:

1. REF04 contains data relating to the value cited in REF02.

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PER AdministrativeCommunications Contact

Pos: 060 Max: 3

Heading - Optional

Loop: N/A Elements: 8

User Option (Usage): Used

Purpose: To identify a person or office to whom administrative communications should be directed

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

PER01 366 Contact Function Code

Description: Code identifying the major

duty or responsibility of the person or

group named

M ID 2/2 Used

CodeList Summary (Total Codes: 230, Included: 13)

Code Name

AD Accounting Department

AR Accounts Receivable Department

BD Buyer Name or Department

BI Bill Inquiry Contact

CN General Contact

CR Customer Relations

IC Information Contact

NT Notification Contact

OC Order Contact

OD Order Department

RQ Requestor

SR Sales Representative or Department

ZZ Mutually Defined

PER02 93 Name

Description: Free-form name

O AN 1/60 Used

PER03 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 36, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER04 364 Communication Number

Description: Complete communications

number including country or area code

when applicable

X AN 1/80 Used

PER05 365 Communication Number Qualifier X ID 2/2 Used

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Description: Code identifying the type of

communication number

CodeList Summary (Total Codes: 36, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER06 364 Communication Number

Description: Complete communications

number including country or area codewhen applicable

X AN 1/80 Used

PER07 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 36, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER08 364 Communication Number

Description: Complete communications

number including country or area codewhen applicable

X AN 1/80 Used

Syntax Rules:

1. P0304 - If either PER03 or PER04 is present, then the other is required.

2. P0506 - If either PER05 or PER06 is present, then the other is required.

3. P0708 - If either PER07 or PER08 is present, then the other is required.

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FOB F.O.B. Related InstructionsPos: 080 Max: >1

Heading - Optional

Loop: N/A Elements: 3

User Option (Usage): Used

Purpose: To specify transportation instructions relating to shipment

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

FOB01 146 Shipment Method of Payment

Description: Code identifying payment

terms for transportation charges

GHX Standard Guideline: Used in

Expedited PO Ordering.

GHX Standard Guideline: Used in

Expedited PO Ordering.

All valid standard codes are used.

(Total Codes: 28)

M ID 2/2 Used

FOB02 309 Location Qualifier

Description: Code identifying type of

location

All valid standard codes are used.

(Total Codes: 172)

X ID 1/2 Used

FOB03 352 Description

Description: A free-form description to

clarify the related data elements and their

content

X AN 1/80 Used

Syntax Rules:

1. C0302 - If FOB03 is present, then FOB02 is required.

2. C0405 - If FOB04 is present, then FOB05 is required.

3. C0706 - If FOB07 is present, then FOB06 is required.

4. C0809 - If FOB08 is present, then FOB09 is required.

Semantics:

1. FOB01 indicates which party will pay the carrier.

2. FOB02 is the code specifying transportation responsibility location.

3. FOB06 is the code specifying the title passage location.

4. FOB08 is the code specifying the point at which the risk of loss transfers. This may be different than thelocation specified in FOB02/FOB03 and FOB06/FOB07.

GHX Standard Guideline:GHX Standard Guideline:

FUTURE Release.FUTURE Release.

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ITD Terms of Sale/Deferred Termsof Sale

Pos: 130 Max: >1

Heading - Optional

Loop: N/A Elements: 12

User Option (Usage): Used

Purpose: To specify terms of sale

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

ITD01 336 Terms Type Code

Description: Code identifying type of

payment terms

All valid standard codes are used.

(Total Codes: 65)

O ID 2/2 Used

ITD02 333 Terms Basis Date Code

Description: Code identifying the

beginning of the terms period

All valid standard codes are used.

(Total Codes: 17)

O ID 1/2 Used

ITD03 338 Terms Discount Percent

Description: Terms discount percentage,

expressed as a percent, available to the

purchaser if an invoice is paid on orbefore the Terms Discount Due Date

X R 1/6 Used

ITD04 370 Terms Discount Due Date

Description: Date payment is due if

discount is to be earned expressed informat CCYYMMDD

X DT 8/8 Used

ITD05 351 Terms Discount Days Due

Description: Number of days in the terms

discount period by which payment is dueif terms discount is earned

X N0 1/3 Used

ITD06 446 Terms Net Due Date

Description: Date when total invoice

amount becomes due expressed in formatCCYYMMDD

O DT 8/8 Used

ITD07 386 Terms Net Days

Description: Number of days until total

invoice amount is due (discount notapplicable)

O N0 1/3 Used

ITD08 362 Terms Discount Amount

Description: Total amount of terms

discount

X N2 1/10 Used

ITD09 388 Terms Deferred Due Date X DT 8/8 Used

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Description: Date deferred payment or

percent of invoice payable is due

expressed in format CCYYMMDD

ITD10 389 Deferred Amount Due

Description: Deferred amount due for

payment

X N2 1/10 Used

ITD12 352 Description

Description: A free-form description to

clarify the related data elements and theircontent

O AN 1/80 Used

ITD13 765 Day of Month

Description: The numeric value of the

day of the month between 1 and themaximum day of the month being

referenced

GHX Standard Guideline: FUTURE

Release

GHX Standard Guideline: FUTURE

Release

X N0 1/2 Used

Syntax Rules:

1. L091011 - If ITD09 is present, then at least one of ITD10 or ITD11 is required.

2. L03040513 - If ITD03 is present, then at least one of ITD04, ITD05 or ITD13 is required.

3. L08040513 - If ITD08 is present, then at least one of ITD04, ITD05 or ITD13 is required.

Semantics:

1. ITD15 is the percentage applied to a base amount used to determine a late payment charge.

Comments:

1. If the code in ITD01 is "04", then ITD07 or ITD09 is required and either ITD10 or ITD11 is required; if the codein ITD01 is "05", then ITD06 or ITD07 is required.

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DTM Date/Time ReferencePos: 150 Max: 10

Heading - Optional

Loop: N/A Elements: 3

User Option (Usage): Used

Purpose: To specify pertinent dates and times

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

DTM01 374 Date/Time Qualifier

Description: Code specifying type of date

or time, or both date and time

M ID 3/3 Used

CodeList Summary (Total Codes: 1112, Included: 6)

Code Name

002 Delivery Requested

004 Purchase Order

009 Process

010 Requested Ship

097 Transaction Creation

ZZZ Mutually Defined

DTM02 373 Date

Description: Date expressed as

CCYYMMDD

X DT 8/8 Used

DTM03 337 Time

Description: Time expressed in 24-hour

clock time as follows: HHMM, orHHMMSS, or HHMMSSD, or

HHMMSSDD, where H = hours (00-23), M= minutes (00-59), S = integer seconds

(00-59) and DD = decimal seconds;decimal seconds are expressed as

follows: D = tenths (0-9) and DD =hundredths (00-99)

X TM 4/8 Used

Syntax Rules:

1. C0403 - If DTM04 is present, then DTM03 is required.

2. P0506 - If either DTM05 or DTM06 is present, then the other is required.

3. R020305 - At least one of DTM02, DTM03 or DTM05 is required.

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TXI Tax InformationPos: 285 Max: >1

Heading - Optional

Loop: N/A Elements: 10

User Option (Usage): Used

Purpose: To specify tax information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

TXI01 963 Tax Type Code

Description: Code specifying the type of

tax

M ID 2/2 Used

CodeList Summary (Total Codes: 74, Included: 8)

Code Name

CP County/Parish Sales Tax

CS City Sales Tax

CT County Tax

LS State and Local Sales Tax

LT Local Sales Tax (All Applicable Sales Taxes by Taxing Authority Below the StateLevel)

ST State Sales Tax

TX All Taxes

ZZ Mutually Defined

TXI02 782 Monetary Amount

Description: Monetary amount

X R 1/18 Used

TXI03 954 Percent

Description: Percentage expressed as a

decimal

X R 1/10 Used

TXI04 955 Tax Jurisdiction Code Qualifier

Description: Code identifying the source

of the data used in tax jurisdiction code

GHX Standard Guideline: All Qualifiers

are supported

GHX Standard Guideline: All Qualifiers

are supported

All valid standard codes are used.

(Total Codes: 3)

X ID 2/2 Used

TXI05 956 Tax Jurisdiction Code

Description: Code identifying the taxing

jurisdiction

X AN 1/10 Used

TXI06 441 Tax Exempt Code

Description: Code identifying exemption

status from sales and use tax

GHX Standard Guideline: All Qualifiers

are supported

GHX Standard Guideline: All Qualifiers

are supported

All valid standard codes are used.

(Total Codes: 34)

X ID 1/1 Used

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Ref Id Element Name Req Type Min/Max Usage

X12_4010_850.ecs Ver 2.0 25

TXI07 662 Relationship Code

Description: Code indicating the

relationship between entities

GHX Standard Guideline: All Qualifiers

are supported

GHX Standard Guideline: All Qualifiers

are supported

All valid standard codes are used.

(Total Codes: 5)

O ID 1/1 Used

TXI08 828 Dollar Basis For Percent

Description: Dollar basis to be used in

the percent calculation of the allowance,charge or tax

X R 1/9 Used

TXI09 325 Tax Identification Number

Description: Number assigned to a

purchaser (buyer, orderer) by a taxingjurisdiction (state, county, etc.); often

called a tax exemption number orcertificate number

O AN 1/20 Used

TXI10 350 Assigned Identification

Description: Alphanumeric characters

assigned for differentiation within atransaction set

O AN 1/20 Used

Syntax Rules:

1. C0803 - If TXI08 is present, then TXI03 is required.

2. P0405 - If either TXI04 or TXI05 is present, then the other is required.

3. R020306 - At least one of TXI02, TXI03 or TXI06 is required.

Semantics:

1. TXI02 is the monetary amount of the tax.

2. TXI03 is the tax percent expressed as a decimal.

3. TXI07 is a code indicating the relationship of the price or amount to the associated segment.

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Loop Reference IdentificationPos: 295 Repeat: 1000

Optional

Loop: N9 Elements: N/A

User Option (Usage): Used

Purpose: To transmit identifying information as specified by the Reference Identification Qualifier

Loop Summary:

Pos Id Segment Name Req Max Use Repeat Usage

295 N9 Reference Identification M 1 Must use

297 DTM Date/Time Reference O >1 Used

300 MSG Message Text O 1000 Used

GHX Standard Guideline:GHX Standard Guideline:

N9 with Qualifier "PSM" is used to convey the P-Card Information

N9 with L1 or ZZ is used for Header Level Comments

N9 with Qualifier "PSM" is used to convey the P-Card Information

N9 with L1 or ZZ is used for Header Level Comments

1/30/2019 Purchase Order - 850

X12_4010_850.ecs Ver 2.0 27

N9 Reference IdentificationPos: 295 Max: 1

Heading - Mandatory

Loop: N9 Elements: 5

User Option (Usage): Must use

Purpose: To transmit identifying information as specified by the Reference Identification Qualifier

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N901 128 Reference Identification Qualifier

Description: Code qualifying the

Reference Identification

All valid standard codes are used.

(Total Codes: 1503)

M ID 2/3 Used

N902 127 Reference Identification

Description: Reference information as

defined for a particular Transaction Set or

as specified by the ReferenceIdentification Qualifier

X AN 1/30 Used

N903 369 Free-form Description

Description: Free-form descriptive text

X AN 1/45 Used

N904 373 Date

Description: Date expressed as

CCYYMMDD

O DT 8/8 Used

N905 337 Time

Description: Time expressed in 24-hour

clock time as follows: HHMM, orHHMMSS, or HHMMSSD, orHHMMSSDD, where H = hours (00-23), M

= minutes (00-59), S = integer seconds(00-59) and DD = decimal seconds;

decimal seconds are expressed asfollows: D = tenths (0-9) and DD =

hundredths (00-99)

X TM 4/8 Used

Syntax Rules:

1. C0605 - If N906 is present, then N905 is required.

2. R0203 - At least one of N902 or N903 is required.

Semantics:

1. N906 reflects the time zone which the time reflects.

2. N907 contains data relating to the value cited in N902.

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DTM Date/Time ReferencePos: 297 Max: >1

Heading - Optional

Loop: N9 Elements: 1

User Option (Usage): Used

Purpose: To specify pertinent dates and times

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

DTM06 1251 Date Time Period

Description: Expression of a date, a

time, or range of dates, times or datesand times

X AN 1/35 Used

Syntax Rules:

1. C0403 - If DTM04 is present, then DTM03 is required.

2. P0506 - If either DTM05 or DTM06 is present, then the other is required.

3. R020305 - At least one of DTM02, DTM03 or DTM05 is required.

GHX Standard Guideline:GHX Standard Guideline:

This is used only for P-Card.This is used only for P-Card.

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MSG Message TextPos: 300 Max: 1000

Heading - Optional

Loop: N9 Elements: 1

User Option (Usage): Used

Purpose: To provide a free-form format that allows the transmission of text information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

MSG01 933 Free-Form Message Text

Description: Free-form message text

M AN 1/264 Used

Syntax Rules:

1. C0302 - If MSG03 is present, then MSG02 is required.

Semantics:

1. MSG03 is the number of lines to advance before printing.

Comments:

1. MSG02 is not related to the specific characteristics of a printer, but identifies top of page, advance a line, etc.

2. If MSG02 is "AA - Advance the specified number of lines before print" then MSG03 is required.

GHX Standard Guideline:GHX Standard Guideline:

Header Level Comments go here.

CreditCard holder name is sent here when N901 = "PSM"

Header Level Comments go here.

CreditCard holder name is sent here when N901 = "PSM"

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Loop NamePos: 310 Repeat: 200

Optional

Loop: N1 Elements: N/A

User Option (Usage): Used

Purpose: To identify a party by type of organization, name, and code

Loop Summary:

Pos Id Segment Name Req Max Use Repeat Usage

310 N1 Name M 1 Must use

320 N2 Additional Name Information O 2 Used

330 N3 Address Information O 2 Used

340 N4 Geographic Location O >1 Used

350 REF Reference Identification O 12 Used

360 PER Administrative Communications Contact O >1 Used

GHX Standard Guideline:GHX Standard Guideline:

GHXcellence:

This Segment is used to send different types of addresses in the transaction like BillTo, ShipTo, Buyer, Supplieretc..

ShipTo should be sent in the transaction with the correct acount number information

GHXcellence:

This Segment is used to send different types of addresses in the transaction like BillTo, ShipTo, Buyer, Supplieretc..

ShipTo should be sent in the transaction with the correct acount number information

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N1 NamePos: 310 Max: 1

Heading - Mandatory

Loop: N1 Elements: 4

User Option (Usage): Must use

Purpose: To identify a party by type of organization, name, and code

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N101 98 Entity Identifier Code

Description: Code identifying an

organizational entity, a physical location,property or an individual

M ID 2/3 Used

CodeList Summary (Total Codes: 1312, Included: 19)

Code Name

BG Buying Group

BT Bill-to-Party

BY Buying Party (Purchaser)

CD Consignee (To Receive Mail and Small Parcels)

DA Delivery Address

DB Distributor Branch

MA Party for whom Item is Ultimately Intended

MF Manufacturer of Goods

PO Party to Receive Invoice for Goods or Services

PR Payer

RI Remit To

SE Selling Party

SF Ship From

SN Store

SO Sold To If Different From Bill To

ST Ship To

SU Supplier/Manufacturer

VN Vendor

WH Warehouse

N102 93 Name

Description: Free-form name

X AN 1/60 Used

N103 66 Identification Code Qualifier

Description: Code designating the

system/method of code structure used for

Identification Code (67)

X ID 1/2 Used

CodeList Summary (Total Codes: 216, Included: 12)

Code Name

1 D-U-N-S Number, Dun & Bradstreet

6 Plant Code

GHX Standard Guideline:GHX Standard Guideline:

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 32

Only supported for N1MF, N1SE, N1SU, N1VN, N1DA and N1POOnly supported for N1MF, N1SE, N1SU, N1VN, N1DA and N1PO

8 UCC/EAN Global Product Identification Prefix

GHX Standard Guideline:GHX Standard Guideline:

Only supported for N1DA and N1POOnly supported for N1DA and N1PO

9 D-U-N-S+4, D-U-N-S Number with Four Character Suffix

11 Drug Enforcement Administration (DEA)

21 Health Industry Number (HIN)

91 Assigned by Seller or Seller's Agent

92 Assigned by Buyer or Buyer's Agent

94 Code assigned by the organization that is the ultimate destination of the transactionset

GHX Standard Guideline:GHX Standard Guideline:

Only supported for the following N101 qualifiers: DB, PR, MA, RI, SF, SN, ST, WH,DA, POOnly supported for the following N101 qualifiers: DB, PR, MA, RI, SF, SN, ST, WH,DA, PO

FI Federal Taxpayer's Identification Number

GHX Standard Guideline:GHX Standard Guideline:

Only supported for N1DA and N1POOnly supported for N1DA and N1PO

UL UCC/EAN Location Code

ZZ Mutually Defined

N104 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

Syntax Rules:

1. P0304 - If either N103 or N104 is present, then the other is required.

2. R0203 - At least one of N102 or N103 is required.

Comments:

1. This segment, used alone, provides the most efficient method of providing organizational identification. Toobtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transactionprocessing party.

2. N105 and N106 further define the type of entity in N101.

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N2 Additional Name InformationPos: 320 Max: 2

Heading - Optional

Loop: N1 Elements: 2

User Option (Usage): Used

Purpose: To specify additional names or those longer than 35 characters in length

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N201 93 Name

Description: Free-form name

M AN 1/60 Used

N202 93 Name

Description: Free-form name

O AN 1/60 Used

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X12_4010_850.ecs Ver 2.0 34

N3 Address InformationPos: 330 Max: 2

Heading - Optional

Loop: N1 Elements: 2

User Option (Usage): Used

Purpose: To specify the location of the named party

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N301 166 Address Information

Description: Address information

M AN 1/55 Used

N302 166 Address Information

Description: Address information

O AN 1/55 Used

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N4 Geographic LocationPos: 340 Max: >1

Heading - Optional

Loop: N1 Elements: 4

User Option (Usage): Used

Purpose: To specify the geographic place of the named party

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N401 19 City Name

Description: Free-form text for city name

O AN 2/30 Used

N402 156 State or Province Code

Description: Code (Standard

State/Province) as defined by appropriategovernment agency

O ID 2/2 Used

N403 116 Postal Code

Description: Code defining international

postal zone code excluding punctuationand blanks (zip code for United States)

O ID 3/15 Used

N404 26 Country Code

Description: Code identifying the country

O ID 2/3 Used

Syntax Rules:

1. C0605 - If N406 is present, then N405 is required.

Comments:

1. A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.

2. N402 is required only if city name (N401) is in the U.S. or Canada.

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REF Reference IdentificationPos: 350 Max: 12

Heading - Optional

Loop: N1 Elements: 2

User Option (Usage): Used

Purpose: To specify identifying information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

REF01 128 Reference Identification Qualifier

Description: Code qualifying the

Reference Identification

M ID 2/3 Used

CodeList Summary (Total Codes: 1503, Included: 3)

Code Name

1W Member Identification Number

CR Customer Reference Number

DP Department Number

REF02 127 Reference Identification

Description: Reference information as

defined for a particular Transaction Set oras specified by the Reference

Identification Qualifier

X AN 1/30 Used

Syntax Rules:

1. R0203 - At least one of REF02 or REF03 is required.

Semantics:

1. REF04 contains data relating to the value cited in REF02.

GHX Standard Guideline:GHX Standard Guideline:

REF Segment used only for N1 qualifiers BY, SE, SF, ST.REF Segment used only for N1 qualifiers BY, SE, SF, ST.

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PER AdministrativeCommunications Contact

Pos: 360 Max: >1

Heading - Optional

Loop: N1 Elements: 8

User Option (Usage): Used

Purpose: To identify a person or office to whom administrative communications should be directed

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

PER01 366 Contact Function Code

Description: Code identifying the major

duty or responsibility of the person or

group named

M ID 2/2 Used

CodeList Summary (Total Codes: 230, Included: 8)

Code Name

AD Accounting Department

AR Accounts Receivable Department

BD Buyer Name or Department

BI Bill Inquiry Contact

CR Customer Relations

OC Order Contact

SR Sales Representative or Department

ZZ Mutually Defined

PER02 93 Name

Description: Free-form name

O AN 1/60 Used

PER03 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 36, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER04 364 Communication Number

Description: Complete communications

number including country or area codewhen applicable

X AN 1/80 Used

PER05 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 36, Included: 4)

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Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER06 364 Communication Number

Description: Complete communications

number including country or area code

when applicable

X AN 1/80 Used

PER07 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 36, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER08 364 Communication Number

Description: Complete communications

number including country or area code

when applicable

X AN 1/80 Used

Syntax Rules:

1. P0304 - If either PER03 or PER04 is present, then the other is required.

2. P0506 - If either PER05 or PER06 is present, then the other is required.

3. P0708 - If either PER07 or PER08 is present, then the other is required.

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Loop Baseline Item DataPos: 010 Repeat:

100000

Mandatory

Loop: PO1 Elements: N/A

User Option (Usage): Used

Purpose: To specify basic and most frequently used line item data

Loop Summary:

Pos Id Segment Name Req Max Use Repeat Usage

010 PO1 Baseline Item Data M 1 Must use

025 CN1 Contract Information O 1 Used

050 Loop PID O 1000 Used

090 PO4 Item Physical Details O >1 Used

100 REF Reference Identification O >1 Used

110 PER Administrative Communications Contact O 3 Used

190 SDQ Destination Quantity O 500 Used

210 DTM Date/Time Reference O 10 Used

250 TD5 Carrier Details (Routing Sequence/TransitTime)

O 12 Used

289 MSG Message Text O >1 Used

291 TXI Tax Information O >1 Used

295 Loop SCH O 200 Used

330 Loop N9 O 1000 Used

350 Loop N1 O 200 Used

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PO1 Baseline Item DataPos: 010 Max: 1

Detail - Mandatory

Loop: PO1 Elements: 25

User Option (Usage): Must use

Purpose: To specify basic and most frequently used line item data

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

PO101 350 Assigned Identification

Description: Alphanumeric characters

assigned for differentiation within atransaction set

O AN 1/20 Used

PO102 330 Quantity Ordered

Description: Quantity ordered

X R 1/15 Used

PO103 355 Unit or Basis for Measurement Code

Description: Code specifying the units in

which a value is being expressed, ormanner in which a measurement has

been taken

All valid standard codes are used.

(Total Codes: 794)

X ID 2/2 Used

PO104 212 Unit Price

Description: Price per unit of product,

service, commodity, etc.

X R 1/17 Used

PO105 639 Basis of Unit Price Code

Description: Code identifying the type of

unit price for an item

GHX Standard Guideline: All Codes are

supported from EDI to EDI transactions.

GHX Standard Guideline: All Codes are

supported from EDI to EDI transactions.

X ID 2/2 Used

CodeList Summary (Total Codes: 91, Included: 91)

Code Name

AA Bill

AB Pay

AP Advise Price

AW Average Wholesale Price

BD Before Discount

BR Broker

BW Biweekly Price per Unit

CA Catalog

CP Current Price (Subject to Change)

CR Carnet

CT Contract

DI Distributor

DP Daily Price per Unit

DR Dealer

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 41

DS Discount

EC Estimated Credit

EH Shift Differential

ES Estimated

FB Fabrication Cost

FO Formula

FX Fixed Price

HF Per 100 Feet

HP Price per Hundred

HT Price Per 100,000

KA Price with Government Furnished Property

KP Escalated Price

KR In Stock

LC Catalog Price per Hundred

LD Catalog Price per Dozen

LE Catalog Price per Each

LM Catalog Price per Thousand

LR Previous Catalog Price

ME Midterm Endorsement Price per Unit

ML Price per Milliliter

NC No Charge

NE Not to Exceed

NQ No Quote

NS Not Separately Priced

NT Net

PA Price per Troy Ounce

PB Annual Price Per Unit

PD Price per Dozen

PE Price per Each

PF Price Per Foot

PG Price per Gram

PK Price per Kilogram

PL Price per Liter

PM Monthly Price Per Unit

PN Price per Ten

PO Price per Ounce

PP Price per Pound

PQ Posted

PR Promotion

PS Price Per Thousand Square Foot

PT Price per Ton

PU Quarterly Price per Unit

PV Provisional Price

PY Price per Yard

QE Quoted Price per Each

QH Quoted Price per Hundred

QR Previous Quoted Price

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 42

QS Quoted Price per Thousand

QT Quoted

RC Retail Price per Hundred

RD Retail Price per Dozen

RE Retail Price per Each

RM Retail Price per Thousand

RS Resale Price

RT Retail

SA Semi Annual Price per Unit

SC Submitted Contract

SM Semi Monthly Price per Unit

SR Suggested Retail

ST Standard

SW Submitted Wholesale

TB To be negotiated.

TC Contract Price per Hundred

TD Contract Price per Dozen

TE Contract Price per Each

TF Per 1000 Feet

TM Contract Price per Thousand

TP Price per Thousand

TT Price Per 10,000

UM Price per Unit of Measure

VQ Verbal Quote

WC Wholesale Price per Hundred

WD Wholesale Price per Dozen

WE Wholesale Price per Each

WH Wholesale

WI Weekly Price per Unit

WM Wholesale Price per Thousand

PO106 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive number

used in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 30)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

CG Commodity Grouping

CR Contract Number

DD Distributor

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 43

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO107 234 Product/Service ID

Description: Identifying number for a

product or service

GHX Standard Guideline: GHX strongly

recommends the use of the

vendor/seller's item number to positively

identify the item or part number.

GHX Standard Guideline: GHX strongly

recommends the use of the

vendor/seller's item number to positively

identify the item or part number.

Any of these codes are valid for PO106,PO108, PO110, PO112, PO114, PO116,PO118, PO120, PO122, PO124

Any of these codes are valid for PO106,PO108, PO110, PO112, PO114, PO116,PO118, PO120, PO122, PO124

X AN 1/48 Used

PO108 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive number

used in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 44

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO109 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

PO110 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive numberused in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 45

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO111 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

PO112 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive numberused in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 46

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO113 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

PO114 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive numberused in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 47

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO115 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

PO116 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive numberused in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 48

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO117 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

PO118 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive numberused in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 49

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO119 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

PO120 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive numberused in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 50

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO121 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

PO122 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive numberused in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 51

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO123 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

PO124 235 Product/Service ID Qualifier

Description: Code identifying the

type/source of the descriptive numberused in Product/Service ID (234)

X ID 2/2 Used

CodeList Summary (Total Codes: 477, Included: 29)

Code Name

BP Buyer's Part Number

BS Bill Subgroup Code

CB Buyer's Catalog Number

1/30/2019 Purchase Order - 850

Code Name

X12_4010_850.ecs Ver 2.0 52

CG Commodity Grouping

CR Contract Number

DV Location Code

EN European Article Number (EAN) (2-5-5-1)

HI HIBC (Health Care Industry Bar Code)

IN Buyer's Item Number

LT Lot Number

GHX Standard Guideline:GHX Standard Guideline:

Add for Consignment supportAdd for Consignment support

MF Manufacturer

MG Manufacturer's Part Number

MP Mortgage Product Code

N1 National Drug Code in 4-4-2 Format

N2 National Drug Code in 5-3-2 Format

N3 National Drug Code in 5-4-1 Format

N4 National Drug Code in 5-4-2 Format

ND National Drug Code (NDC)

RA Return Code

RN Release Number

RR Replacement Product Number

SN Serial Number

UK U.P.C./EAN Shipping Container Code (1-2-5-5-1)

UP U.P.C. Consumer Package Code (1-5-5-1)

VC Vendor's (Seller's) Catalog Number

VN Vendor's (Seller's) Item Number

VO Vendor's Order Number

VP Vendor's (Seller's) Part Number

ZZ Mutually Defined

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

This is used for Consignment Orders Only.ZZ with Value BO = BillOnlyZZ with Value BR = BillReplaceZZ with Value RO = ReplaceOnlyZZ with Value WO = WasteOnly

PO125 234 Product/Service ID

Description: Identifying number for a

product or service

X AN 1/48 Used

Syntax Rules:

1. C0302 - If PO103 is present, then PO102 is required.

2. C0504 - If PO105 is present, then PO104 is required.

3. P0607 - If either PO106 or PO107 is present, then the other is required.

4. P0809 - If either PO108 or PO109 is present, then the other is required.

5. P1011 - If either PO110 or PO111 is present, then the other is required.

6. P1213 - If either PO112 or PO113 is present, then the other is required.

7. P1415 - If either PO114 or PO115 is present, then the other is required.

8. P1617 - If either PO116 or PO117 is present, then the other is required.

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9. P1819 - If either PO118 or PO119 is present, then the other is required.

10. P2021 - If either PO120 or PO121 is present, then the other is required.

11. P2223 - If either PO122 or PO123 is present, then the other is required.

12. P2425 - If either PO124 or PO125 is present, then the other is required.

Comments:

1. See the Data Element Dictionary for a complete list of IDs.

2. PO101 is the line item identification.

3. PO106 through PO125 provide for ten different product/service IDs per each item. For example: Case, Color,Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

GHX Standard Guideline:GHX Standard Guideline:

Elements 06/07, 08/09, ..., 24/25 are qualifier/value pairs.The valid qualifiers are defined in 06 only. 08, 10, ..., 24 should refer to 06 for valid qualifiers.Elements 06/07, 08/09, ..., 24/25 are qualifier/value pairs.The valid qualifiers are defined in 06 only. 08, 10, ..., 24 should refer to 06 for valid qualifiers.

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CN1 Contract InformationPos: 025 Max: 1

Detail - Optional

Loop: PO1 Elements: 2

User Option (Usage): Used

Purpose: To specify basic data about the contract or contract line item

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

CN101 1166 Contract Type Code

Description: Code identifying a contract

type

M ID 2/2 Used

CodeList Summary (Total Codes: 50, Included: 2)

Code Name

DI Distributor

ZZ Mutually Defined

CN104 127 Reference Identification

Description: Reference information as

defined for a particular Transaction Set oras specified by the Reference

Identification Qualifier

O AN 1/30 Used

Semantics:

1. CN102 is the contract amount.

2. CN103 is the allowance or charge percent.

3. CN104 is the contract code.

4. CN106 is an additional identifying number for the contract.

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Loop Product/Item DescriptionPos: 050 Repeat: 1000

Optional

Loop: PID Elements: N/A

User Option (Usage): Used

Purpose: To describe a product or process in coded or free-form format

Loop Summary:

Pos Id Segment Name Req Max Use Repeat Usage

050 PID Product/Item Description M 1 Must use

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PID Product/Item DescriptionPos: 050 Max: 1

Detail - Mandatory

Loop: PID Elements: 2

User Option (Usage): Must use

Purpose: To describe a product or process in coded or free-form format

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

PID01 349 Item Description Type

Description: Code indicating the format

of a description

M ID 1/1 Used

CodeList Summary (Total Codes: 3, Included: 1)

Code Name

F Free-form

PID05 352 Description

Description: A free-form description to

clarify the related data elements and theircontent

X AN 1/80 Used

Syntax Rules:

1. C0403 - If PID04 is present, then PID03 is required.

2. C0703 - If PID07 is present, then PID03 is required.

3. C0804 - If PID08 is present, then PID04 is required.

4. C0905 - If PID09 is present, then PID05 is required.

5. R0405 - At least one of PID04 or PID05 is required.

Semantics:

1. Use PID03 to indicate the organization that publishes the code list being referred to.

2. PID04 should be used for industry-specific product description codes.

3. PID08 describes the physical characteristics of the product identified in PID04. A "Y" indicates that thespecified attribute applies to this item; an "N" indicates it does not apply. Any other value is indeterminate.

4. PID09 is used to identify the language being used in PID05.

Comments:

1. If PID01 equals "F", then PID05 is used. If PID01 equals "S", then PID04 is used. If PID01 equals "X", thenboth PID04 and PID05 are used.

2. Use PID06 when necessary to refer to the product surface or layer being described in the segment.

3. PID07 specifies the individual code list of the agency specified in PID03.

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PO4 Item Physical DetailsPos: 090 Max: >1

Detail - Optional

Loop: PO1 Elements: 1

User Option (Usage): Used

Purpose: To specify the physical qualities, packaging, weights, and dimensions relating to the item

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

PO401 356 Pack

Description: The number of inner

containers, or number of eaches if thereare no inner containers, per outer

container

O N0 1/6 Used

Syntax Rules:

1. C0506 - If PO405 is present, then PO406 is required.

2. C1013 - If PO410 is present, then PO413 is required.

3. C1113 - If PO411 is present, then PO413 is required.

4. C1213 - If PO412 is present, then PO413 is required.

5. C1716 - If PO417 is present, then PO416 is required.

6. C1804 - If PO418 is present, then PO404 is required.

7. P0203 - If either PO402 or PO403 is present, then the other is required.

8. P0607 - If either PO406 or PO407 is present, then the other is required.

9. P0809 - If either PO408 or PO409 is present, then the other is required.

10. L13101112 - If PO413 is present, then at least one of PO410, PO411 or PO412 is required.

Semantics:

1. PO415 is used to indicate the relative layer of this package or range of packages within the layers ofpackaging. Relative Position 1 (value R1) is the innermost package.

2. PO416 is the package identifier or the beginning package identifier in a range of identifiers.

3. PO417 is the ending package identifier in a range of identifiers.

4. PO418 is the number of packages in this layer.

Comments:

1. PO403 - The "Unit or Basis for Measure Code" in this segment position is for purposes of defining the pack(PO401) /size (PO402) measure which indicates the quantity in the inner pack unit. For example: If the cartoncontains 24 12-Ounce packages, it would be described as follows: Data element 356 = "24"; Data element357 = "12"; Data element 355 = "OZ".

2. PO413 defines the unit of measure for PO410, PO411, and PO412.

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REF Reference IdentificationPos: 100 Max: >1

Detail - Optional

Loop: PO1 Elements: 2

User Option (Usage): Used

Purpose: To specify identifying information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

REF01 128 Reference Identification Qualifier

Description: Code qualifying the

Reference Identification

M ID 2/3 Used

CodeList Summary (Total Codes: 1503, Included: 23)

Code Name

19 Division Identifier

79 Cost Account

83 Extended (or Exhibit) Line Item Number (ELIN)

BO Bin Location Number

CA Cost Allocation Reference

CR Customer Reference Number

CT Contract Number

DP Department Number

DV Diversion Authority Number

EA Medical Record Identification Number

GHX Standard Guideline:GHX Standard Guideline:

Used for Consignment OrdersUsed for Consignment Orders

EJ Patient Account Number

GHX Standard Guideline:GHX Standard Guideline:

Used for Consignment OrdersUsed for Consignment Orders

GC Government Contract Number

IV Seller's Invoice Number

L1 Letters or Notes

LT Lot Number

LU Location Number

OP Original Purchase Order

RE Release Number

RQ Purchase Requisition Number

SE Serial Number

SI Shipper's Identifying Number for Shipment (SID)

VN Vendor Order Number

ZZ Mutually Defined

REF02 127 Reference Identification

Description: Reference information as

defined for a particular Transaction Set oras specified by the Reference

Identification Qualifier

X AN 1/30 Used

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Syntax Rules:

1. R0203 - At least one of REF02 or REF03 is required.

Semantics:

1. REF04 contains data relating to the value cited in REF02.

GHX Standard Guideline:GHX Standard Guideline:

REF qualifiers EA, EJ, LT, SE are used as part of Consignment ordering.

REF Qualifiers 4F and CN are used for Expedited Ordering.

REF qualifiers EA, EJ, LT, SE are used as part of Consignment ordering.

REF Qualifiers 4F and CN are used for Expedited Ordering.

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PER AdministrativeCommunications Contact

Pos: 110 Max: 3

Detail - Optional

Loop: PO1 Elements: 8

User Option (Usage): Used

Purpose: To identify a person or office to whom administrative communications should be directed

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

PER01 366 Contact Function Code

Description: Code identifying the major

duty or responsibility of the person or

group named

M ID 2/2 Used

CodeList Summary (Total Codes: 230, Included: 10)

Code Name

1F Physician

GHX Standard Guideline:GHX Standard Guideline:

Used for Consignment Ordering. Note: PER03, PER04, PER05, PER06, PER07and PER08 are not supported if PER01 is set to 1F.Used for Consignment Ordering. Note: PER03, PER04, PER05, PER06, PER07and PER08 are not supported if PER01 is set to 1F.

AD Accounting Department

AR Accounts Receivable Department

BD Buyer Name or Department

BI Bill Inquiry Contact

CR Customer Relations

OC Order Contact

PZ Patient

GHX Standard Guideline:GHX Standard Guideline:

Used for Consignment Ordering. Note: PER03, PER04, PER05, PER06, PER07and PER08 are not supported if PER01 is set to 1F.Used for Consignment Ordering. Note: PER03, PER04, PER05, PER06, PER07and PER08 are not supported if PER01 is set to 1F.

SR Sales Representative or Department

ZZ Mutually Defined

PER02 93 Name

Description: Free-form name

O AN 1/60 Used

PER03 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 41, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER04 364 Communication Number

Description: Complete communications

X AN 1/80 Used

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Ref Id Element Name Req Type Min/Max Usage

X12_4010_850.ecs Ver 2.0 61

number including country or area code

when applicable

PER05 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 41, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER06 364 Communication Number

Description: Complete communications

number including country or area code

when applicable

X AN 1/80 Used

PER07 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 41, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER08 364 Communication Number

Description: Complete communications

number including country or area code

when applicable

X AN 1/80 Used

Syntax Rules:

1. P0304 - If either PER03 or PER04 is present, then the other is required.

2. P0506 - If either PER05 or PER06 is present, then the other is required.

3. P0708 - If either PER07 or PER08 is present, then the other is required.

GHX Standard Guideline:GHX Standard Guideline:

PER Qualifiers "PZ" and "1F" is used for Consignment Ordering.PER Qualifiers "PZ" and "1F" is used for Consignment Ordering.

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SDQ Destination QuantityPos: 190 Max: 500

Detail - Optional

Loop: PO1 Elements: 23

User Option (Usage): Used

Purpose: To specify destination and quantity detail

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

SDQ01 355 Unit or Basis for Measurement Code

Description: Code specifying the units in

which a value is being expressed, ormanner in which a measurement has

been taken

All valid standard codes are used.

(Total Codes: 794)

M ID 2/2 Used

SDQ02 66 Identification Code Qualifier

Description: Code designating the

system/method of code structure used for

Identification Code (67)

All valid standard codes are used.

(Total Codes: 215)

O ID 1/2 Used

SDQ03 67 Identification Code

Description: Code identifying a party or

other code

M AN 2/80 Used

SDQ04 380 Quantity

Description: Numeric value of quantity

M R 1/15 Used

SDQ05 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ06 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

SDQ07 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ08 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

SDQ09 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ10 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

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SDQ11 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ12 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

SDQ13 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ14 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

SDQ15 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ16 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

SDQ17 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ18 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

SDQ19 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ20 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

SDQ21 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

SDQ22 380 Quantity

Description: Numeric value of quantity

X R 1/15 Used

SDQ23 310 Location Identifier

Description: Code which identifies a

specific location

O AN 1/30 Used

Syntax Rules:

1. P0506 - If either SDQ05 or SDQ06 is present, then the other is required.

2. P0708 - If either SDQ07 or SDQ08 is present, then the other is required.

3. P0910 - If either SDQ09 or SDQ10 is present, then the other is required.

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4. P1112 - If either SDQ11 or SDQ12 is present, then the other is required.

5. P1314 - If either SDQ13 or SDQ14 is present, then the other is required.

6. P1516 - If either SDQ15 or SDQ16 is present, then the other is required.

7. P1718 - If either SDQ17 or SDQ18 is present, then the other is required.

8. P1920 - If either SDQ19 or SDQ20 is present, then the other is required.

9. P2122 - If either SDQ21 or SDQ22 is present, then the other is required.

Semantics:

1. SDQ23 identifies the area within the location identified in SDQ03, SDQ05, SDQ07, SDQ09, SDQ11, SDQ13,SDQ15, SDQ17, SDQ19, and SDQ21.

Comments:

1. SDQ02 is used only if different than previously defined in the transaction set.

2. SDQ03 is the store number.

3. SDQ23 may be used to identify areas within a store, e.g., front room, back room, selling outpost, end aisledisplay, etc. The value is agreed to by trading partners or industry conventions.

GHX Standard Guideline:GHX Standard Guideline:

This segment is used to send the Desktop Delivery Information.This segment is used to send the Desktop Delivery Information.

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DTM Date/Time ReferencePos: 210 Max: 10

Detail - Optional

Loop: PO1 Elements: 3

User Option (Usage): Used

Purpose: To specify pertinent dates and times

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

DTM01 374 Date/Time Qualifier

Description: Code specifying type of date

or time, or both date and time

M ID 3/3 Used

CodeList Summary (Total Codes: 1112, Included: 5)

Code Name

002 Delivery Requested

010 Requested Ship

456 Surgery

GHX Standard Guideline:GHX Standard Guideline:

This is used for Consignment Orders.This is used for Consignment Orders.

AAG Due Date

ZZZ Mutually Defined

DTM02 373 Date

Description: Date expressed as

CCYYMMDD

X DT 8/8 Used

DTM03 337 Time

Description: Time expressed in 24-hour

clock time as follows: HHMM, or

HHMMSS, or HHMMSSD, orHHMMSSDD, where H = hours (00-23), M

= minutes (00-59), S = integer seconds(00-59) and DD = decimal seconds;

decimal seconds are expressed asfollows: D = tenths (0-9) and DD =

hundredths (00-99)

X TM 4/8 Used

Syntax Rules:

1. C0403 - If DTM04 is present, then DTM03 is required.

2. P0506 - If either DTM05 or DTM06 is present, then the other is required.

3. R020305 - At least one of DTM02, DTM03 or DTM05 is required.

GHX Standard Guideline:GHX Standard Guideline:

DTM Qualifier "456" is used for Consignment Ordering.DTM Qualifier "456" is used for Consignment Ordering.

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TD5 Carrier Details (RoutingSequence/Transit Time)

Pos: 250 Max: 12

Detail - Optional

Loop: PO1 Elements: 6

User Option (Usage): Used

Purpose: To specify the carrier and sequence of routing and provide transit time information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

TD502 66 Identification Code Qualifier

Description: Code designating the

system/method of code structure used for

Identification Code (67)

GHX Standard Guideline: Used in

Expedited PO Ordering.

GHX Standard Guideline: Used in

Expedited PO Ordering.

X ID 1/2 Used

CodeList Summary (Total Codes: 215, Included: 1)

Code Name

2 Standard Carrier Alpha Code (SCAC)

TD503 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

TD505 387 Routing

Description: Free-form description of the

routing or requested routing for shipment,

or the originating carrier's identity

X AN 1/35 Used

TD512 284 Service Level Code

Description: Code indicating the level of

transportation service or the billing service

offered by the transportation carrier

All valid standard codes are used.

(Total Codes: 66)

X ID 2/2 Used

TD513 284 Service Level Code

Description: Code indicating the level of

transportation service or the billing service

offered by the transportation carrier

All valid standard codes are used.

(Total Codes: 66)

X ID 2/2 Used

TD514 284 Service Level Code

Description: Code indicating the level of

transportation service or the billing service

offered by the transportation carrier

All valid standard codes are used.

(Total Codes: 66)

X ID 2/2 Used

Syntax Rules:

1. C0203 - If TD502 is present, then TD503 is required.

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2. C0708 - If TD507 is present, then TD508 is required.

3. C1011 - If TD510 is present, then TD511 is required.

4. C1312 - If TD513 is present, then TD512 is required.

5. C1413 - If TD514 is present, then TD513 is required.

6. C1512 - If TD515 is present, then TD512 is required.

7. R0204050612 - At least one of TD502, TD504, TD505, TD506 or TD512 is required.

Semantics:

1. TD515 is the country where the service is to be performed.

Comments:

1. When specifying a routing sequence to be used for the shipment movement in lieu of specifying each carrierwithin the movement, use TD502 to identify the party responsible for defining the routing sequence, and useTD503 to identify the actual routing sequence, specified by the party identified in TD502.

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MSG Message TextPos: 289 Max: >1

Detail - Optional

Loop: PO1 Elements: 1

User Option (Usage): Used

Purpose: To provide a free-form format that allows the transmission of text information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

MSG01 933 Free-Form Message Text

Description: Free-form message text

M AN 1/264 Used

Syntax Rules:

1. C0302 - If MSG03 is present, then MSG02 is required.

Semantics:

1. MSG03 is the number of lines to advance before printing.

Comments:

1. MSG02 is not related to the specific characteristics of a printer, but identifies top of page, advance a line, etc.

2. If MSG02 is "AA - Advance the specified number of lines before print" then MSG03 is required.

GHX Standard Guideline:GHX Standard Guideline:

Deprecated. Use N9|MSG Segment.

Used in GEIS maps only.

Deprecated. Use N9|MSG Segment.

Used in GEIS maps only.

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TXI Tax InformationPos: 291 Max: >1

Detail - Optional

Loop: PO1 Elements: 2

User Option (Usage): Used

Purpose: To specify tax information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

TXI01 963 Tax Type Code

Description: Code specifying the type of

tax

M ID 2/2 Used

CodeList Summary (Total Codes: 74, Included: 9)

Code Name

CP County/Parish Sales Tax

CS City Sales Tax

CT County Tax

FD Federal Tax

LS State and Local Sales Tax

LT Local Sales Tax (All Applicable Sales Taxes by Taxing Authority Below the StateLevel)

ST State Sales Tax

TX All Taxes

ZZ Mutually Defined

TXI02 782 Monetary Amount

Description: Monetary amount

X R 1/18 Used

Syntax Rules:

1. C0803 - If TXI08 is present, then TXI03 is required.

2. P0405 - If either TXI04 or TXI05 is present, then the other is required.

3. R020306 - At least one of TXI02, TXI03 or TXI06 is required.

Semantics:

1. TXI02 is the monetary amount of the tax.

2. TXI03 is the tax percent expressed as a decimal.

3. TXI07 is a code indicating the relationship of the price or amount to the associated segment.

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Loop Line Item SchedulePos: 295 Repeat: 200

Optional

Loop: SCH Elements: N/A

User Option (Usage): Used

Purpose: To specify the data for scheduling a specific line-item

Loop Summary:

Pos Id Segment Name Req Max Use Repeat Usage

295 SCH Line Item Schedule M 1 Must use

GHX Standard Guideline:GHX Standard Guideline:

Supported in EDI to EDI MapsSupported in EDI to EDI Maps

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SCH Line Item SchedulePos: 295 Max: 1

Detail - Mandatory

Loop: SCH Elements: 10

User Option (Usage): Must use

Purpose: To specify the data for scheduling a specific line-item

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

SCH01 380 Quantity

Description: Numeric value of quantity

M R 1/15 Used

SCH02 355 Unit or Basis for Measurement Code

Description: Code specifying the units in

which a value is being expressed, ormanner in which a measurement has

been taken

All valid standard codes are used.

(Total Codes: 794)

M ID 2/2 Used

SCH03 98 Entity Identifier Code

Description: Code identifying an

organizational entity, a physical location,

property or an individual

All valid standard codes are used.

(Total Codes: 1312)

X ID 2/3 Used

SCH04 93 Name

Description: Free-form name

X AN 1/60 Used

SCH05 374 Date/Time Qualifier

Description: Code specifying type of date

or time, or both date and time

M ID 3/3 Used

CodeList Summary (Total Codes: 1112, Included: 7)

Code Name

002 Delivery Requested

004 Purchase Order

010 Requested Ship

017 Estimated Delivery

021 Charge Back

068 Current Schedule Ship

079 Promised for Shipment

SCH06 373 Date

Description: Date expressed as

CCYYMMDD

M DT 8/8 Used

SCH08 374 Date/Time Qualifier

Description: Code specifying type of date

or time, or both date and time

X ID 3/3 Used

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CodeList Summary (Total Codes: 1111, Included: 8)

Code Name

002 Delivery Requested

004 Purchase Order

010 Requested Ship

011 Shipped

017 Estimated Delivery

021 Charge Back

068 Current Schedule Ship

079 Promised for Shipment

SCH09 373 Date

Description: Date expressed as

CCYYMMDD

X DT 8/8 Used

SCH11 326 Request Reference Number

Description: Reference number or RFQ

number to use to identify a particular

transaction set and query (additionalreference number or description which

can be used with contract number)

O AN 1/45 Used

SCH12 350 Assigned Identification

Description: Alphanumeric characters

assigned for differentiation within a

transaction set

O AN 1/20 Used

Syntax Rules:

1. C0304 - If SCH03 is present, then SCH04 is required.

2. C0908 - If SCH09 is present, then SCH08 is required.

3. C1008 - If SCH10 is present, then SCH08 is required.

4. L080910 - If SCH08 is present, then at least one of SCH09 or SCH10 is required.

Semantics:

1. SCH12 is the schedule identification.

Comments:

1. SCH05 specifies the interpretation to be used for SCH06 and SCH07.

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Loop Reference IdentificationPos: 330 Repeat: 1000

Optional

Loop: N9 Elements: N/A

User Option (Usage): Used

Purpose: To transmit identifying information as specified by the Reference Identification Qualifier

Loop Summary:

Pos Id Segment Name Req Max Use Repeat Usage

330 N9 Reference Identification M 1 Must use

340 MSG Message Text O 1000 Used

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N9 Reference IdentificationPos: 330 Max: 1

Detail - Mandatory

Loop: N9 Elements: 3

User Option (Usage): Must use

Purpose: To transmit identifying information as specified by the Reference Identification Qualifier

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N901 128 Reference Identification Qualifier

Description: Code qualifying the

Reference Identification

All valid standard codes are used.

(Total Codes: 1503)

M ID 2/3 Used

N902 127 Reference Identification

Description: Reference information as

defined for a particular Transaction Set or

as specified by the ReferenceIdentification Qualifier

X AN 1/30 Used

N903 369 Free-form Description

Description: Free-form descriptive text

X AN 1/45 Used

Syntax Rules:

1. C0605 - If N906 is present, then N905 is required.

2. R0203 - At least one of N902 or N903 is required.

Semantics:

1. N906 reflects the time zone which the time reflects.

2. N907 contains data relating to the value cited in N902.

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MSG Message TextPos: 340 Max: 1000

Detail - Optional

Loop: N9 Elements: 1

User Option (Usage): Used

Purpose: To provide a free-form format that allows the transmission of text information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

MSG01 933 Free-Form Message Text

Description: Free-form message text

GHX Standard Guideline: Line Level

Comments

GHX Standard Guideline: Line Level

Comments

M AN 1/264 Used

Syntax Rules:

1. C0302 - If MSG03 is present, then MSG02 is required.

Semantics:

1. MSG03 is the number of lines to advance before printing.

Comments:

1. MSG02 is not related to the specific characteristics of a printer, but identifies top of page, advance a line, etc.

2. If MSG02 is "AA - Advance the specified number of lines before print" then MSG03 is required.

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Loop NamePos: 350 Repeat: 200

Optional

Loop: N1 Elements: N/A

User Option (Usage): Used

Purpose: To identify a party by type of organization, name, and code

Loop Summary:

Pos Id Segment Name Req Max Use Repeat Usage

350 N1 Name M 1 Must use

360 N2 Additional Name Information O 2 Used

370 N3 Address Information O 2 Used

380 N4 Geographic Location O 1 Used

390 REF Reference Identification O 12 Used

400 PER Administrative Communications Contact O 3 Used

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N1 NamePos: 350 Max: 1

Detail - Mandatory

Loop: N1 Elements: 4

User Option (Usage): Must use

Purpose: To identify a party by type of organization, name, and code

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N101 98 Entity Identifier Code

Description: Code identifying an

organizational entity, a physical location,property or an individual

M ID 2/3 Used

CodeList Summary (Total Codes: 1312, Included: 13)

Code Name

BT Bill-to-Party

BY Buying Party (Purchaser)

DB Distributor Branch

MA Party for whom Item is Ultimately Intended

MF Manufacturer of Goods

RI Remit To

SE Selling Party

SF Ship From

SN Store

ST Ship To

SU Supplier/Manufacturer

VN Vendor

ZZ Mutually Defined

N102 93 Name

Description: Free-form name

X AN 1/60 Used

N103 66 Identification Code Qualifier

Description: Code designating the

system/method of code structure used forIdentification Code (67)

X ID 1/2 Used

CodeList Summary (Total Codes: 215, Included: 9)

Code Name

1 D-U-N-S Number, Dun & Bradstreet

9 D-U-N-S+4, D-U-N-S Number with Four Character Suffix

GHX Standard Guideline:GHX Standard Guideline:

Only supported for N101 qualifier of type BTOnly supported for N101 qualifier of type BT

11 Drug Enforcement Administration (DEA)

21 Health Industry Number (HIN)

91 Assigned by Seller or Seller's Agent

92 Assigned by Buyer or Buyer's Agent

94 Code assigned by the organization that is the ultimate destination of the transactionset

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GHX Standard Guideline:GHX Standard Guideline:

Supported only for N101 qualifer of ST.Supported only for N101 qualifer of ST.

UL UCC/EAN Location Code

ZZ Mutually Defined

N104 67 Identification Code

Description: Code identifying a party or

other code

X AN 2/80 Used

Syntax Rules:

1. P0304 - If either N103 or N104 is present, then the other is required.

2. R0203 - At least one of N102 or N103 is required.

Comments:

1. This segment, used alone, provides the most efficient method of providing organizational identification. Toobtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transactionprocessing party.

2. N105 and N106 further define the type of entity in N101.

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N2 Additional Name InformationPos: 360 Max: 2

Detail - Optional

Loop: N1 Elements: 2

User Option (Usage): Used

Purpose: To specify additional names or those longer than 35 characters in length

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N201 93 Name

Description: Free-form name

M AN 1/60 Used

N202 93 Name

Description: Free-form name

O AN 1/60 Used

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N3 Address InformationPos: 370 Max: 2

Detail - Optional

Loop: N1 Elements: 2

User Option (Usage): Used

Purpose: To specify the location of the named party

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N301 166 Address Information

Description: Address information

M AN 1/55 Used

N302 166 Address Information

Description: Address information

O AN 1/55 Used

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N4 Geographic LocationPos: 380 Max: 1

Detail - Optional

Loop: N1 Elements: 4

User Option (Usage): Used

Purpose: To specify the geographic place of the named party

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

N401 19 City Name

Description: Free-form text for city name

O AN 2/30 Used

N402 156 State or Province Code

Description: Code (Standard

State/Province) as defined by appropriategovernment agency

O ID 2/2 Used

N403 116 Postal Code

Description: Code defining international

postal zone code excluding punctuationand blanks (zip code for United States)

O ID 3/15 Used

N404 26 Country Code

Description: Code identifying the country

O ID 2/3 Used

Syntax Rules:

1. C0605 - If N406 is present, then N405 is required.

Comments:

1. A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.

2. N402 is required only if city name (N401) is in the U.S. or Canada.

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REF Reference IdentificationPos: 390 Max: 12

Detail - Optional

Loop: N1 Elements: 2

User Option (Usage): Used

Purpose: To specify identifying information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

REF01 128 Reference Identification Qualifier

Description: Code qualifying the

Reference Identification

M ID 2/3 Used

CodeList Summary (Total Codes: 1503, Included: 3)

Code Name

1W Member Identification Number

CR Customer Reference Number

DP Department Number

REF02 127 Reference Identification

Description: Reference information as

defined for a particular Transaction Set oras specified by the Reference

Identification Qualifier

X AN 1/30 Used

Syntax Rules:

1. R0203 - At least one of REF02 or REF03 is required.

Semantics:

1. REF04 contains data relating to the value cited in REF02.

GHX Standard Guideline:GHX Standard Guideline:

REF is currently supported only under N1 Loop with ZZ Qualifier.

FUTURE Release - Will be expanded across all N1 Segments.

xCBL does not support this.

REF is currently supported only under N1 Loop with ZZ Qualifier.

FUTURE Release - Will be expanded across all N1 Segments.

xCBL does not support this.

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PER AdministrativeCommunications Contact

Pos: 400 Max: 3

Detail - Optional

Loop: N1 Elements: 9

User Option (Usage): Used

Purpose: To identify a person or office to whom administrative communications should be directed

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

PER01 366 Contact Function Code

Description: Code identifying the major

duty or responsibility of the person or

group named

M ID 2/2 Used

CodeList Summary (Total Codes: 230, Included: 8)

Code Name

AD Accounting Department

AR Accounts Receivable Department

BD Buyer Name or Department

BI Bill Inquiry Contact

CR Customer Relations

OC Order Contact

SR Sales Representative or Department

ZZ Mutually Defined

PER02 93 Name

Description: Free-form name

O AN 1/60 Used

PER03 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 40, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER04 364 Communication Number

Description: Complete communications

number including country or area codewhen applicable

X AN 1/80 Used

PER05 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 40, Included: 4)

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Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER06 364 Communication Number

Description: Complete communications

number including country or area code

when applicable

X AN 1/80 Used

PER07 365 Communication Number Qualifier

Description: Code identifying the type of

communication number

X ID 2/2 Used

CodeList Summary (Total Codes: 40, Included: 4)

Code Name

EM Electronic Mail

FX Facsimile

TE Telephone

UR Uniform Resource Locator (URL)

PER08 364 Communication Number

Description: Complete communications

number including country or area code

when applicable

X AN 1/80 Used

PER09 443 Contact Inquiry Reference

Description: Additional reference number

or description to clarify a contact number

O AN 1/20 Used

Syntax Rules:

1. P0304 - If either PER03 or PER04 is present, then the other is required.

2. P0506 - If either PER05 or PER06 is present, then the other is required.

3. P0708 - If either PER07 or PER08 is present, then the other is required.

GHX Standard Guideline:GHX Standard Guideline:

PER is currently supported only under N1 Loop with ZZ Qualifier.

FUTURE Release - Will be expanded across all N1 Segments.

PER is currently supported only under N1 Loop with ZZ Qualifier.

FUTURE Release - Will be expanded across all N1 Segments.

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Loop Transaction TotalsPos: 010 Repeat: 1

Optional

Loop: CTT Elements: N/A

User Option (Usage): Used

Purpose: To transmit a hash total for a specific element in the transaction set

Loop Summary:

Pos Id Segment Name Req Max Use Repeat Usage

010 CTT Transaction Totals M 1 Must use

020 AMT Monetary Amount O 1 Used

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CTT Transaction TotalsPos: 010 Max: 1

Summary - Mandatory

Loop: CTT Elements: 2

User Option (Usage): Must use

Purpose: To transmit a hash total for a specific element in the transaction set

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

CTT01 354 Number of Line Items

Description: Total number of line items in

the transaction set

M N0 1/6 Used

CTT02 347 Hash Total

Description: Sum of values of the

specified data element. All values in the

data element will be summed withoutregard to decimal points (explicit or

implicit) or signs. Truncation will occur onthe left most digits if the sum is greater

than the maximum size of the hash totalof the data element. Example: -.0018

First occurrence of value being hashed. .18 Second occurrence of value being

hashed. 1.8 Third occurrence of valuebeing hashed. 18.01 Fourth occurrence of

value being hashed. --------- 1855 Hashtotal prior to truncation. 855 Hash total

after truncation to three-digit field.

O R 1/10 Used

Syntax Rules:

1. P0304 - If either CTT03 or CTT04 is present, then the other is required.

2. P0506 - If either CTT05 or CTT06 is present, then the other is required.

Comments:

1. This segment is intended to provide hash totals to validate transaction completeness and correctness.

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AMT Monetary AmountPos: 020 Max: 1

Summary - Optional

Loop: CTT Elements: 2

User Option (Usage): Used

Purpose: To indicate the total monetary amount

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

AMT01 522 Amount Qualifier Code

Description: Code to qualify amount

M ID 1/3 Used

CodeList Summary (Total Codes: 1473, Included: 1)

Code Name

1 Line Item Total

AMT02 782 Monetary Amount

Description: Monetary amount

M R 1/18 Used

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SE Transaction Set TrailerPos: 030 Max: 1

Summary - Optional

Loop: N/A Elements: 2

User Option (Usage): Used

Purpose: To indicate the end of the transaction set and provide the count of the transmitted segments (including the

beginning (ST) and ending (SE) segments)

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

SE01 96 Number of Included Segments

Description: Total number of segments

included in a transaction set including ST

and SE segments

M N0 1/10 Used

SE02 329 Transaction Set Control Number

Description: Identifying control number

that must be unique within the transaction

set functional group assigned by theoriginator for a transaction set

M AN 4/9 Used

Comments:

1. SE is the last segment of each transaction set.

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GE Functional Group TrailerPos: Max: 1

Not Defined - Mandatory

Loop: N/A Elements: 2

User Option (Usage): Must use

Purpose: To indicate the end of a functional group and to provide control information

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

GE01 97 Number of Transaction Sets Included

Description: Total number of transaction

sets included in the functional group orinterchange (transmission) group

terminated by the trailer containing thisdata element

M N0 1/6 Must use

GE02 28 Group Control Number

Description: Assigned number originated

and maintained by the sender

M N0 1/9 Must use

Semantics:

1. The data interchange control number GE02 in this trailer must be identical to the same data element in theassociated functional group header, GS06.

Comments:

1. The use of identical data interchange control numbers in the associated functional group header and trailer isdesigned to maximize functional group integrity. The control number is the same as that used in thecorresponding header.

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IEA Interchange Control TrailerPos: Max: 1

Not Defined - Mandatory

Loop: N/A Elements: 2

User Option (Usage): Must use

Purpose: To define the end of an interchange of zero or more functional groups and interchange-related control

segments

Element Summary:

Ref Id Element Name Req Type Min/Max Usage

IEA01 I16 Number of Included Functional Groups

Description: A count of the number of

functional groups included in an

interchange

M N0 1/5 Must use

IEA02 I12 Interchange Control Number

Description: A control number assigned

by the interchange sender

M N0 9/9 Must use