500 - Medical Event Reporting

FUNCTIONAL GROUP=MM

This X12 Transaction Set contains the format and establishes the data contents of the Medical Event Reporting Transaction Set (500) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to make voluntary, mandatory, baseline, annual and semi-annual reports on medication and medical device adverse effects and product problems.

SCHEMA

ST

Segment	Name	Position
ST	Transaction Set Header	0100
BGN	Beginning Segment	0200

NM1

Segment	Name	Position
NM1	Individual or Organizational Name	0300
N2	Additional Name Information	0400
N3	Party Location	0500
N4	Geographic Location	0600
REF	Reference Information	0700
PER	Administrative Communications Contact	0800
DTM	Date/Time Reference	0900
QTY	Quantity Information	1000
TRN	Trace	1100

LM

Segment	Name	Position
LM	Code Source Information	1200
LQ	Industry Code Identification	1300

HL

Segment	Name	Position
HL	Hierarchical Level	0100

LM

Segment	Name	Position
LM	Code Source Information	0200

LQ

Segment	Name	Position
LQ	Industry Code Identification	0300
DTM	Date/Time Reference	0400
REF	Reference Information	0500
QTY	Quantity Information	0600
MTX	Text	0700

LIN

Segment	Name	Position
LIN	Item Identification	0800
PID	Product/Item Description	0900
QTY	Quantity Information	1000
DTM	Date/Time Reference	1100
REF	Reference Information	1200
MEA	Measurements	1300
TRN	Trace	1400
MTX	Text	1500

NM1

Segment	Name	Position
NM1	Individual or Organizational Name	1600
N2	Additional Name Information	1700
N3	Party Location	1800
N4	Geographic Location	1900
REF	Reference Information	2000
PER	Administrative Communications Contact	2100
DTM	Date/Time Reference	2200
DMG	Demographic Information	2300
MEA	Measurements	2400
PWK	Paperwork	2500
TRN	Trace	2600

QTY

Segment	Name	Position
QTY	Quantity Information	2700

LM

Segment	Name	Position
LM	Code Source Information	2800
LQ	Industry Code Identification	2900

PID

Segment	Name	Position
PID	Product/Item Description	3000
DTM	Date/Time Reference	3100
QTY	Quantity Information	3200

MTX

Segment	Name	Position
MTX	Text	3300
DTM	Date/Time Reference	3400
CTT	Transaction Totals	3500
SE	Transaction Set Trailer	3600

COMMENTS

Notes
1/0300	The NM1 loop carries information about the party transmitting the report.
2/0100	The HL loop divides a report into sections such as event, patient, device, medication, reporter, user facility, distributor and manufacturer.
2/0200	The LM loop provides report data in coded form.
2/0800	The LIN loop provides product device or medication specific information.
2/1600	The NM1 loop carries party or organization reporting information.
2/3500	CTT01 is the number of occurrences of the HL segment.

rev 04/12/2024