EDI 868 Electronic Form Structure

This X12 Transaction Set contains the format and establishes the data contents of the Electronic Form Structure Transaction Set (868) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide a structure for transfer of EDI standards, or portions thereof, in an electronic form. These EDI standards include but are not limited to: ANSI X12 standards, approved ASC X12 Transaction Sets, UN/EDIFACT standard messages, and industry EDI conventions and guidelines. It is intended to provide users with the following:The ability to send and receive EDI standards data which can be used to update application or translation software.The ability to exchange data maintenance information with trading partners about transaction sets, segments, composite data structures, elements and codes that will be used for EDI transmissions.The ability to transmit complete or partial EDI standards or conventions.

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

E01

Electronic Form Main Heading

Mandatory

AtMax 1

To provide the information related to all of the values for this instance of the electronic form of the X12 standards

300

DMI

Data Maintenance Information

Opt

AtMax 100

To provide information related to the data maintenance request number in the electronic form of the X12 standards

400

E03

Interchange Order of Segments

Opt

AtMax 100

To provide information related to the interchange order table of the control segments for the electronic form of the X12 standards

450

MSG

Message Text

Opt

AtMax 1000

To provide a free-form format that allows the transmission of text information

E10

LOOP

Opt

AtMax 1000

500

E10

Transaction Set Grouping

Opt

AtMax 1

To provide information grouping of transaction sets by transaction ID and functional ID for the electronic form of the X12 standards

550

E13

Segment Order in Transaction Set

Opt

AtMax 1000

To provide the list of segments in a transaction set for the electronic form of the X12 standards

E20

LOOP

Opt

AtMax 1000

800

E20

Segment Header Information

Opt

AtMax 1

To provide for grouping the data elements by segment ID value for the electronic form of the X12 standards

900

E22

Data Element Relationships in a Segment or Composite

Opt

AtMax 100

To provide the detail information for the data element relationships in a segment or composite for the electronic form of the X12 standards

1000

E24

Data Element Sequence in a Segment or Composite

Opt

AtMax 100

To provide the detail information related to the sequence of the data elements in a segment or composite for the electronic form of the X12 standards

E41

LOOP

Opt

AtMax 2000

1060

E41

Composite Header Information

Opt

AtMax 1

To provide for grouping the data elements by composite ID value for the electronic form of the X12 standards

1120

E22

Data Element Relationships in a Segment or Composite

Opt

AtMax 100

To provide the detail information for the data element relationships in a segment or composite for the electronic form of the X12 standards

1180

E24

Data Element Sequence in a Segment or Composite

Opt

AtMax 100

To provide the detail information related to the sequence of the data elements in a segment or composite for the electronic form of the X12 standards

E30

LOOP

Opt

AtMax 2000

1200

E30

Data Element Attributes

Opt

AtMax 1

To provide the data element attributes for the electronic form of the X12 standards

1300

DAI

Appendix Information

Opt

AtMax 10

To provide appendix information for the electronic form of the X12 standards

1350

QTY

Quantity Information

Opt

AtMax 1

To specify quantity information

E34

LOOP

Opt

AtMax 100000

1400

E34

Code List Values for a Data Element

Opt

AtMax 1

To provide the code list values of a data element for the electronic form of the X12 standards

1500

DDI

Explanation

Opt

AtMax 20

To provide description information related to the electronic form of the X12 standards

1600

DAI

Appendix Information

Opt

AtMax 5

To provide appendix information for the electronic form of the X12 standards

E40

LOOP

Opt

AtMax 10000

1700

E40

EDI Standards Note Reference

Opt

AtMax 1

To transmit information relative to comments and notes within the X12 standards

1800

DMI

Data Maintenance Information

Opt

AtMax 100

To provide information related to the data maintenance request number in the electronic form of the X12 standards

1900

DDI

Explanation

Opt

AtMax 1000

To provide description information related to the electronic form of the X12 standards

2000

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 868 Electronic Form Structure

Segments

Elements