Segment
X12 EDI Release 00504
To specify the status of individual teeth
Elements
  • DN201127Reference Identification
    AN
    M必须(Mandatory)
    Min 1 / Max 80

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

  • DN2021368Tooth Status Code
    ID
    O可选(Optional)

    Code specifying the status of the tooth

    Codes (4)
  • DN203380Quantity
    R
    O可选(Optional)
    Min 1 / Max 15

    Numeric value of quantity

  • DN2041250Date Time Period Format Qualifier
    ID
    O可选(Optional)

    Code indicating the date format, time format, or date and time format

    Codes (42)
  • DN2051251Date Time Period
    AN
    O可选(Optional)
    Min 1 / Max 35

    Expression of a date, a time, or range of dates, times or dates and times

  • DN2061270Code List Qualifier Code
    ID
    M必须(Mandatory)

    Code identifying a specific industry code list

    Codes (971)