EDI Dictionary
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X12 Release 6040
X12 Release
4010
4020
4030
4040
4050
4060
5010
5020
5030
5040
5050
6010
6020
6030
6040
6050
7010
7020
7030
7040
7050
7060
8010
Transaction Sets
Segments
Elements
EDI-Dictionary
6040
DRA
DRA
Drug Authorization
Batch
To specify a drug for which authorization is being requested
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
352
Description
Mandatory
Alphanumeric
1/80
2
2
1322
Certification Type Code
Mandatory
ID
1/1
1
C003
Composite Medical Procedure Identifier
Opt
2
4
355
Unit or Basis for Measurement Code
Rel
ID
2/2
1
5
380
Quantity
Rel
Decimal
1/15
1
6
933
Free-form Message Text
Opt
Alphanumeric
1/264
1
7
1073
Yes/No Condition or Response Code
Opt
ID
1/1
1
8
1073
Yes/No Condition or Response Code
Rel
ID
1/1
1
9
374
Date/Time Qualifier
Rel
ID
3/3
1
10
373
Date
Rel
Date
8/8
1
11
933
Free-form Message Text
Opt
Alphanumeric
1/264
999
12
380
Quantity
Opt
Decimal
1/15
1
C060
Question and Answer
Opt
999
14
1330
Dosage Form Code
Opt
ID
2/2
1
15
933
Free-form Message Text
Opt
Alphanumeric
1/264
999
Element Details
ID
352
Name
Description
Length
Min 1 / Max 80
Position
1
Requirement
Mandatory
