500Medical Event Reporting

This X12 Transaction Set contains the format and establishes the data contents of the Medical Event Reporting Transaction Set (500) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to make voluntary, mandatory, baseline, annual and semi-annual reports on medication and medical device adverse effects and product problems.

  • ST
    Transaction Set Header
    M必须(Mandatory)
    Repeat 1

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

  • BGN
    Beginning Segment
    M必须(Mandatory)
    Repeat 1

    To indicate the beginning of a transaction set

  • NM1Loop1Individual or Organizational Name LOOPO可选(Optional)Repeat > 1
    NM1N2N3N4REFPERDTMQTYTRNLMLoop1
    • NM1
      Individual or Organizational Name
      M必须(Mandatory)
      Repeat 1

      To supply the full name of an individual or organizational entity

    • N2
      Additional Name Information
      O可选(Optional)
      Repeat 2

      To specify additional names

    • N3
      Party Location
      O可选(Optional)
      Repeat 2

      To specify the location of the named party

    • N4
      Geographic Location
      O可选(Optional)
      Repeat 1

      To specify the geographic place of the named party

    • REF
      Reference Information
      O可选(Optional)
      Repeat > 1

      To specify identifying information

    • PER
      Administrative Communications Contact
      O可选(Optional)
      Repeat > 1

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

    • DTM
      Date/Time Reference
      O可选(Optional)
      Repeat > 1

      To specify pertinent dates and times

    • QTY
      Quantity Information
      O可选(Optional)
      Repeat > 1

      To specify quantity information

    • TRN
      Trace
      O可选(Optional)
      Repeat > 1

      To uniquely identify a transaction to an application

    • LMLoop1Code Source Information LOOPO可选(Optional)Repeat > 1
      LMLQ
      • LM
        Code Source Information
        M必须(Mandatory)
        Repeat 1

        To transmit standard code list identification information

      • LQ
        Industry Code Identification
        M必须(Mandatory)
        Repeat > 1

        To identify standard industry codes

  • HLLoop1Hierarchical Level LOOPO可选(Optional)Repeat > 1
    HLLMLoop2LINLoop1NM1Loop2
    • HL
      Hierarchical Level
      M必须(Mandatory)
      Repeat 1

      To identify dependencies among and the content of hierarchically related groups of data segments

    • LMLoop2Code Source Information LOOPO可选(Optional)Repeat > 1
      LMLQLoop1
      • LM
        Code Source Information
        M必须(Mandatory)
        Repeat 1

        To transmit standard code list identification information

      • LQLoop1Industry Code Identification LOOPM必须(Mandatory)Repeat > 1
        LQDTMREFQTYMTX
        • LQ
          Industry Code Identification
          M必须(Mandatory)
          Repeat 1

          To identify standard industry codes

        • DTM
          Date/Time Reference
          O可选(Optional)
          Repeat > 1

          To specify pertinent dates and times

        • REF
          Reference Information
          O可选(Optional)
          Repeat > 1

          To specify identifying information

        • QTY
          Quantity Information
          O可选(Optional)
          Repeat > 1

          To specify quantity information

        • MTX
          Text
          O可选(Optional)
          Repeat > 1

          To specify textual data

    • LINLoop1Item Identification LOOPO可选(Optional)Repeat > 1
      LINPIDQTYDTMREFMEATRNMTX
      • LIN
        Item Identification
        M必须(Mandatory)
        Repeat 1

        To specify basic item identification data

      • PID
        Product/Item Description
        O可选(Optional)
        Repeat > 1

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

      • QTY
        Quantity Information
        O可选(Optional)
        Repeat > 1

        To specify quantity information

      • DTM
        Date/Time Reference
        O可选(Optional)
        Repeat > 1

        To specify pertinent dates and times

      • REF
        Reference Information
        O可选(Optional)
        Repeat > 1

        To specify identifying information

      • MEA
        Measurements
        O可选(Optional)
        Repeat > 1

        To specify physical measurements or counts, including dimensions, tolerances, variances, and weights (See Figures Appendix for example of use of C001)

      • TRN
        Trace
        O可选(Optional)
        Repeat > 1

        To uniquely identify a transaction to an application

      • MTX
        Text
        O可选(Optional)
        Repeat > 1

        To specify textual data

    • NM1Loop2Individual or Organizational Name LOOPO可选(Optional)Repeat > 1
      NM1N2N3N4REFPERDTMDMGMEAPWKTRNQTYLoop1PIDLoop1MTXLoop1
      • NM1
        Individual or Organizational Name
        M必须(Mandatory)
        Repeat 1

        To supply the full name of an individual or organizational entity

      • N2
        Additional Name Information
        O可选(Optional)
        Repeat 2

        To specify additional names

      • N3
        Party Location
        O可选(Optional)
        Repeat 2

        To specify the location of the named party

      • N4
        Geographic Location
        O可选(Optional)
        Repeat 1

        To specify the geographic place of the named party

      • REF
        Reference Information
        O可选(Optional)
        Repeat > 1

        To specify identifying information

      • PER
        Administrative Communications Contact
        O可选(Optional)
        Repeat > 1

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

      • DTM
        Date/Time Reference
        O可选(Optional)
        Repeat > 1

        To specify pertinent dates and times

      • DMG
        Demographic Information
        O可选(Optional)
        Repeat > 1

        To supply demographic information

      • MEA
        Measurements
        O可选(Optional)
        Repeat > 1

        To specify physical measurements or counts, including dimensions, tolerances, variances, and weights (See Figures Appendix for example of use of C001)

      • PWK
        Paperwork
        O可选(Optional)
        Repeat > 1

        To identify the type or transmission or both of paperwork or supporting information

      • TRN
        Trace
        O可选(Optional)
        Repeat > 1

        To uniquely identify a transaction to an application

      • QTYLoop1Quantity Information LOOPO可选(Optional)Repeat > 1
        QTYLMLoop3
        • QTY
          Quantity Information
          M必须(Mandatory)
          Repeat 1

          To specify quantity information

        • LMLoop3Code Source Information LOOPO可选(Optional)Repeat > 1
          LMLQ
          • LM
            Code Source Information
            M必须(Mandatory)
            Repeat 1

            To transmit standard code list identification information

          • LQ
            Industry Code Identification
            M必须(Mandatory)
            Repeat > 1

            To identify standard industry codes

      • PIDLoop1Product/Item Description LOOPO可选(Optional)Repeat > 1
        PIDDTMQTY
        • PID
          Product/Item Description
          M必须(Mandatory)
          Repeat 1

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

        • DTM
          Date/Time Reference
          O可选(Optional)
          Repeat > 1

          To specify pertinent dates and times

        • QTY
          Quantity Information
          O可选(Optional)
          Repeat > 1

          To specify quantity information

      • MTXLoop1Text LOOPO可选(Optional)Repeat > 1
        MTXDTM
        • MTX
          Text
          M必须(Mandatory)
          Repeat 1

          To specify textual data

        • DTM
          Date/Time Reference
          O可选(Optional)
          Repeat > 1

          To specify pertinent dates and times

  • CTT
    Transaction Totals
    O可选(Optional)
    Repeat 1

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

  • SE
    Transaction Set Trailer
    M必须(Mandatory)
    Repeat 1

    To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

Segment
X12 EDI Release 00603
To indicate the start of a transaction set and to assign a control number
Elements
  • ST01143Transaction Set Identifier Code
    ID
    M必须(Mandatory)
    Min 3 / Max 3

    Code identifying a Transaction Set

    Codes (320)
  • ST02329Transaction Set Control Number
    AN
    M必须(Mandatory)
    Min 4 / Max 9

    Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

  • ST031705Implementation Convention Preference
    AN
    O可选(Optional)
    Min 1 / Max 9

    Reference assigned to identify Implementation Convention