G11 Coupon Reporting Specifications

To specify coupon reporting requirements

Position
Element
Name
Type
Requirement
Min
Max
Repeat
G11-01
Reporting Structure Identifier
String (AN)
Mandatory
1
3
1
Reporting structure identification
G11-02
Category
String (AN)
Mandatory
1
6
1
An alphanumeric identifier to represent the category to which the item belongs
G1102 through G1106 are mutually defined reporting categories.
G11-03
Category
String (AN)
Optional
1
6
1
An alphanumeric identifier to represent the category to which the item belongs
G11-04
Category
String (AN)
Optional
1
6
1
An alphanumeric identifier to represent the category to which the item belongs
G11-05
Category
String (AN)
Optional
1
6
1
An alphanumeric identifier to represent the category to which the item belongs
G11-06
Category
String (AN)
Optional
1
6
1
An alphanumeric identifier to represent the category to which the item belongs
G11-07
Reference Identification Qualifier
Identifier (ID)
Conditional
2
3
1
Code qualifying the Reference Identification
P0708: If either G11-07 or G11-08 is present, then the other is required
G11-08
Reference Identification
String (AN)
Conditional
1
80
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
G11-09
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
1
Code indicating a Yes or No condition or response
When G1109 contains code N, the categories identified in G1102 through G1106 are to be excluded for reporting purposes.
G11-10
Free-form Description
String (AN)
Optional
1
45
1
Free-form descriptive text
G1110 describes categories in G1102 through G1106.

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