No
Seg
St
Max. Occ.
                                               
 
M
9
 
A group of segments identifying individual service groups, and the monetary amounts for each service group included in the total payment. If necessary, the amounts for each individual service group may be calculated in an agreed currency.
 
M
99
 
A group of segments specifying dates when payments were deducted from the payroll.
 
C
1
 
A segment group to avoid segment collision.
 
C
999999
 
A group of segments providing the details of individual pay deductions made on behalf of each employee (service group member) for payment to a service group. Either complete details, or only changes from a standard amount may be specified. For changes, either the actual amount remitted for an employee or the variation from the previous standard may be provided. Variations may be of a temporary or permanent type.
20
M
1
 
To specify the name/address and their related function, either by C082 only and/or unstructured by C058 or structured by C080 thru 3207.
Business Term
DE
EDIFACT
Format
St
*
Description
 
3035
Party function code qualifier
an..3
M
 
  
Payer
  
Socially insured person
 
C082
PARTY IDENTIFICATION DETAILS
 
A
   
 
3039
Party identifier
an..35
M
   
 
1131
Code list identification code
an..17
O
*
  
Social security identification
  
Citizen identification
  
Service relation number (GS1 Temporary Code)
 
3055
Code list responsible agency code
an..3
D
 
  
GS1
Code value 9 will be used only when an GS1 code is used in DE 1131.
 
C058
NAME AND ADDRESS
 
O
 
This composite may only be used to fulfill the requirements of directive 2003/58/EC, article 4.
 
3124
Name and address description
an..35
M
   
 
3124
Name and address description
an..35
O
   
 
3124
Name and address description
an..35
O
   
 
3124
Name and address description
an..35
O
   
 
3124
Name and address description
an..35
O
   
 
C080
PARTY NAME
 
D
   
 
3036
Party name
an..35
M
 
Party name in clear text.
 
3036
Party name
an..35
O
   
 
3036
Party name
an..35
O
   
 
3036
Party name
an..35
O
   
 
3036
Party name
an..35
O
   
 
3045
Party name format code
an..3
O
   
 
C059
STREET
 
D
   
 
3042
Street and number or post office box identifier
an..35
M
 
Building Name/Number and Street Name
 
3042
Street and number or post office box identifier
an..35
O
   
 
3042
Street and number or post office box identifier
an..35
O
   
 
3042
Street and number or post office box identifier
an..35
O
   
 
3164
City name
an..35
D
 
City/Town name, clear text
 
C819
COUNTRY SUB-ENTITY DETAILS
 
D
   
 
3229
Country sub-entity name code
an..9
O
   
 
1131
Code list identification code
an..17
O
   
 
3055
Code list responsible agency code
an..3
O
   
 
3228
Country sub-entity name
an..70
O
 
County/State, clear text.
 
3251
Postal identification code
an..17
D
 
Postal code
 
3207
Country name code
an..3
D
 
ISO 3166 two alpha code
This segment is used to identify the employees for whom payments are made by payroll deduction.
To identify patients under the care of a hospital, it is recommended to use code SRN (GS1 Service Relation Number) in DE 1131.
In many countries citizen identification schemes exist e.g., national identity number (code 174 in DE 1131), social security number (code 166 in DE 1131), which are suitable for the identification of patients NOT under the care of a hospital, i.e., patients receiving phamaceuticals, specialist treatment (e.g., physiotherapy).
Example:
Dependency Notes:
The following composites and data elements are only used when a coded name and address can not be used. The affected composites and data elements are as follows;
C080  -  C059  -  3164  -  C819  -  3251  -  3207
           
Example:
NAD+OY+X:166:9+X::::X+X:X:X:X:X:1+X:X:X:X+X+X:23:2:X+X+AD'
Example:
NAD+PR+5422331123459++R. FLOREZ'
                                                   
                                                   
Max. Occ. = Maximum Occurrence, St = Status, * = Restricted Codes
Status: M=Mandatory, R=Required, O=Optional, C=Conditional, D=Dependent, A=Advised, N=Not used