EDI 194 Grant Or Assistance Application

This X12 Transaction Set contains the format and establishes the data contents of the Grant or Assistance Application Transaction Set (194) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used by organizations submitting applications for grants, cooperative agreements, and other assistance. These applications will typically include project, budget, personnel, descriptive, and other related data.

Segments

Position

Segment

Name

Max use

100

Transaction Set Header

Mandatory

AtMax 1

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

200

BGN

Beginning Segment

Mandatory

AtMax 1

To indicate the beginning of a transaction set

300

DTM

Date/Time Reference

Opt

GT 1

To specify pertinent dates and times

400

LDT

Lead Time

Opt

GT 1

To specify lead time for availability of products and services

500

PWK

Paperwork

Opt

GT 1

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

LOOP

Opt

GT 1

600

Extended Reference Information

Opt

AtMax 1

To transmit identifying information as specified by the Reference Identification Qualifier

700

L11

Business Instructions and Reference Number

Opt

GT 1

To specify instructions in this business relationship or a reference number

800

MTX

Text

Opt

GT 1

To specify textual data

NM1

LOOP

Opt

GT 1

900

NM1

Individual or Organizational Name

Opt

AtMax 1

To supply the full name of an individual or organizational entity

1000

Additional Name Information

Opt

AtMax 2

To specify additional names

1100

Party Location

Opt

AtMax 2

To specify the location of the named party

1200

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

1300

Extended Reference Information

Opt

GT 1

To transmit identifying information as specified by the Reference Identification Qualifier

1400

PER

Administrative Communications Contact

Opt

GT 1

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

LOOP

Mandatory

GT 1

100

Hierarchical Level

Mandatory

AtMax 1

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

200

QTY

Quantity Information

Opt

GT 1

To specify quantity information

300

AMT

Monetary Amount Information

Opt

GT 1

To indicate the total monetary amount

500

DTM

Date/Time Reference

Opt

GT 1

To specify pertinent dates and times

600

PAM

Period Amount

Opt

GT 1

To indicate a quantity, and/or amount for an identified period

700

HSD

Health Care Services Delivery

Opt

GT 1

To specify the delivery pattern of health care services

800

NX1

Property or Entity Identification

Opt

GT 1

To define the attributes of a property or an entity

900

YNQ

Yes/No Question

Opt

GT 1

To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition

LOOP

Opt

GT 1

1000

Extended Reference Information

Opt

AtMax 1

To transmit identifying information as specified by the Reference Identification Qualifier

1050

L11

Business Instructions and Reference Number

Opt

GT 1

To specify instructions in this business relationship or a reference number

1100

MTX

Text

Opt

GT 1

To specify textual data

INX

LOOP

Opt

GT 1

1200

INX

Index Detail

Opt

AtMax 1

To specify an index

1300

File Information

Mandatory

GT 1

To transmit a fixed-format record or matrix contents

PO1

LOOP

Opt

GT 1

1400

PO1

Baseline Item Data

Opt

AtMax 1

To specify basic and most frequently used line item data

1600

MTX

Text

Opt

GT 1

To specify textual data

PPL

LOOP

Opt

GT 1

1700

PPL

Price Support Data

Opt

AtMax 1

To provide information about pricing support

1800

REF

Reference Information

Opt

GT 1

To specify identifying information

LOOP

Opt

GT 1

1900

Pricing Data

Opt

AtMax 1

To describe the pricing basic input detail

2000

PDD

Pricing Data Detail

Opt

GT 1

To provide the rates, direct input, and pricing factors for each element of work, cross-referenced to an applicable request or submission

LOOP

Opt

GT 1

2100

Proposal Cost Logic

Opt

AtMax 1

To describe the cost logic used when pricing a particular aspect of a proposal

2200

REF

Reference Information

Opt

GT 1

To specify identifying information

2300

AMT

Monetary Amount Information

Opt

AtMax 1

To indicate the total monetary amount

2400

PCT

Percent Amounts

Opt

AtMax 1

To qualify percent amounts and supply percent amounts

2500

QTY

Quantity Information

Opt

AtMax 1

To specify quantity information

2600

NTE

Note/Special Instruction

Opt

GT 1

To transmit information in a free-form format, if necessary, for comment or special instruction

LOOP

Opt

GT 1

2700

Pricing Data

Opt

AtMax 1

To describe the pricing basic input detail

2800

SPI

Specification Identifier

Opt

AtMax 1

To provide a description of the included specification or technical data items

2900

REF

Reference Information

Opt

GT 1

To specify identifying information

3000

PDD

Pricing Data Detail

Opt

GT 1

To provide the rates, direct input, and pricing factors for each element of work, cross-referenced to an applicable request or submission

3100

MTX

Text

Opt

GT 1

To specify textual data

3200

DTM

Date/Time Reference

Opt

AtMax 10

To specify pertinent dates and times

LOOP

Opt

GT 1

3300

Transaction Set Line Number

Opt

AtMax 1

To reference a line number in a transaction set

3400

NM1

Individual or Organizational Name

Opt

AtMax 1

To supply the full name of an individual or organizational entity

3500

Additional Name Information

Opt

AtMax 2

To specify additional names

3600

Party Location

Opt

AtMax 2

To specify the location of the named party

3700

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

3750

PER

Administrative Communications Contact

Opt

GT 1

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

3800

DMG

Demographic Information

Opt

GT 1

To supply demographic information

3900

EMS

Employment Position

Opt

AtMax 1

To describe employment position

LOOP

Opt

GT 1

4000

Extended Reference Information

Opt

AtMax 1

To transmit identifying information as specified by the Reference Identification Qualifier

4050

L11

Business Instructions and Reference Number

Opt

GT 1

To specify instructions in this business relationship or a reference number

4100

MTX

Text

Opt

GT 1

To specify textual data

DEG

LOOP

Opt

GT 1

4200

DEG

Degree Record

Opt

AtMax 1

To provide information about an educational institution's academic award

4300

FOS

Field of Study

Opt

GT 1

To provide information about a course or field of study associated with an academic program

4400

Party Identification

Opt

GT 1

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

LOOP

Opt

GT 1

4500

Administrative Message

Opt

AtMax 1

To transmit information in a free-form format for comment or special instruction

4600

Extended Reference Information

Opt

GT 1

To transmit identifying information as specified by the Reference Identification Qualifier

4700

NM1

Individual or Organizational Name

Opt

GT 1

To supply the full name of an individual or organizational entity

4800

Transaction Set Trailer

Mandatory

AtMax 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)

Elements

Position	Element	Name	Requirement	Type	Min/Max	Repeat

1	143	Transaction Set Identifier Code	Mandatory	ID	3/3	1

2	329	Transaction Set Control Number	Mandatory	Alphanumeric	4/9	1

3	1705	Implementation Convention Reference	Opt	Alphanumeric	1/35	1

EDI Dictionary

EDI 194 Grant Or Assistance Application

Segments

Elements