To specify the action that was taken or is to be taken in response to a service request
| Position | Element | Name | Type | Min/Max | Repeat | |
|---|---|---|---|---|---|---|
| 1 | 350 | Assigned Identification | Opt | Alphanumeric | 1/20 | AtMax 1 |
| 2 | 235 | Product/Service ID Qualifier | Rel | ID | 2/2 | AtMax 1 |
| 3 | 234 | Product/Service ID | Rel | Alphanumeric | 1/80 | AtMax 1 |
| 4 | 235 | Product/Service ID Qualifier | Rel | ID | 2/2 | AtMax 1 |
| 5 | 234 | Product/Service ID | Rel | Alphanumeric | 1/80 | AtMax 1 |
| 6 | 559 | Agency Qualifier Code | Rel | ID | 2/2 | AtMax 1 |
| 7 | 822 | Source Subqualifier | Opt | Alphanumeric | 1/15 | AtMax 1 |
| 8 | 1226 | Repair Action Code | Rel | Alphanumeric | 1/4 | AtMax 1 |
| 9 | 352 | Description | Opt | Alphanumeric | 1/80 | AtMax 1 |
| 10 | 559 | Agency Qualifier Code | Rel | ID | 2/2 | AtMax 1 |
| 11 | 822 | Source Subqualifier | Opt | Alphanumeric | 1/15 | AtMax 1 |
| 12 | 1227 | Repair Complexity Code | Rel | Alphanumeric | 1/3 | AtMax 1 |
| 13 | 235 | Product/Service ID Qualifier | Rel | ID | 2/2 | AtMax 1 |
| 14 | 234 | Product/Service ID | Rel | Alphanumeric | 1/80 | AtMax 1 |
| 15 | 1226 | Repair Action Code | Rel | Alphanumeric | 1/4 | AtMax 1 |
| 16 | 352 | Description | Rel | Alphanumeric | 1/80 | AtMax 1 |
| 17 | 559 | Agency Qualifier Code | Rel | ID | 2/2 | AtMax 1 |
| 18 | 822 | Source Subqualifier | Opt | Alphanumeric | 1/15 | AtMax 1 |
| 19 | 127 | Reference Identification | Rel | Alphanumeric | 1/80 | AtMax 1 |
| 20 | 553 | Authorization Identification | Opt | Alphanumeric | 1/4 | AtMax 1 |