MEDRUC Medical resource usage and cost
MEDRUC Medical resource usage and cost
D11 Healthcare (SWG)
The MEDRUC message is sent from a party providing medical and related administrative services to a funding institution, allowing evaluation of the medical activity and justification for reimbursement. It can also be sent from a funding institution to another party in order to advise which reimbursements have been made.
Position
Segment
Name
Max Use
0010
Mandatory
Max 1
To head, identify and specify a message.
0020
Mandatory
Max 1
To indicate the type and function of a message and to transmit the identifying number.
0030
Conditional
Max 9
To specify date, and/or time, or period.
0040
Conditional
Max 9
To specify a reference.
0050
Conditional
Max 9
To provide free form or coded text information.
0060
Conditional
Max 1
To specify currencies used in the transaction and relevant details for the rate of exchange.
0070
Conditional
Max 9
To provide control total.
Segment group 1
Mandatory
Repeat 9
0090
Mandatory
Max 1
To specify a monetary amount.
0100
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 2
Mandatory
Repeat 999
0120
Mandatory
Max 1
To specify information necessary to establish the identity of a party.
0130
Conditional
Max 1
To provide details relating to the sequence.
0140
Conditional
Max 9
To specify an address.
0150
Conditional
Max 9
To identify a person or a department to whom communication should be directed.
0160
Conditional
Max 9
To identify a communication number of a department or a person to whom communication should be directed.
0170
Conditional
Max 99
To specify a reference.
0180
Conditional
Max 9
To identify relationships between objects.
0190
Conditional
Max 9
To specify a nationality.
0200
Conditional
Max 9
To specify a language.
0210
Conditional
Max 1
To provide classification details relating to the activities of an organisation.
0220
Conditional
Max 9
To specify employment details.
0230
Conditional
Max 9
To specify the qualification of a person.
0240
Conditional
Max 99
To specify date, and/or time, or period.
0250
Conditional
Max 1
To specify the status of an object or service, including its category and the reason(s) for the status.
0260
Conditional
Max 99
To specify sector/subject requirements and conditions.
0270
Conditional
Max 1
To specify items of person demographic information.
0280
Conditional
Max 9
To identify an account and a related financial institution.
Segment group 3
Mandatory
Repeat 999
0300
Mandatory
Max 1
To specify the agreement details.
0310
Conditional
Max 1
To provide details relating to the sequence.
0320
Conditional
Max 99
To specify a reference.
0330
Conditional
Max 99
To specify date, and/or time, or period.
Segment group 4
Mandatory
Repeat 99
0350
Mandatory
Max 1
To describe the insurance cover.
0360
Conditional
Max 9
To provide free form or coded text information.
Segment group 5
Mandatory
Repeat 99
0380
Mandatory
Max 1
To identify documents and details directly related to it.
0390
Conditional
Max 9
To specify date, and/or time, or period.
Segment group 6
Mandatory
Repeat 9
0410
Mandatory
Max 1
To specify information necessary to establish the identity of a party.
0420
Conditional
Max 9
To specify an address.
0430
Conditional
Max 1
To specify the status of an object or service, including its category and the reason(s) for the status.
0440
Conditional
Max 9
To specify sector/subject requirements and conditions.
Segment group 7
Mandatory
Repeat 999
0460
Mandatory
Max 1
Description of allocation of charges.
0470
Conditional
Max 9
To transmit a processing indicator.
0480
Conditional
Max 99
To specify a reference.
0490
Conditional
Max 99
To specify date, and/or time, or period.
0500
Conditional
Max 99
To provide free form or coded text information.
0510
Conditional
Max 99
To specify the agreement details.
0520
Conditional
Max 9
To identify documents and details directly related to it.
Segment group 8
Mandatory
Repeat 99
0540
Mandatory
Max 1
To specify a monetary amount.
0550
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 9
Mandatory
Repeat 99
0570
Mandatory
Max 1
To specify sector/subject requirements and conditions.
0580
Conditional
Max 9
To provide free form or coded text information.
Segment group 10
Mandatory
Repeat 999
0600
Mandatory
Max 1
To specify information necessary to establish the identity of a party.
0610
Conditional
Max 99
To specify a reference.
0620
Conditional
Max 9
To specify an address.
0630
Conditional
Max 9
To identify a communication number of a department or a person to whom communication should be directed.
0640
Conditional
Max 99
To specify date, and/or time, or period.
0650
Conditional
Max 1
To specify items of person demographic information.
0660
Conditional
Max 9
To specify a discrete or non-discrete result as a value or value range.
0670
Conditional
Max 9
To specify a nationality.
0680
Conditional
Max 9
To specify a language.
0690
Conditional
Max 9
To specify handling and where necessary, notify hazards.
0700
Conditional
Max 1
To identify relationships between objects.
Segment group 11
Mandatory
Repeat 999
0720
Mandatory
Max 1
To identify a process.
0730
Conditional
Max 1
To transmit a processing indicator.
0740
Conditional
Max 9
To specify the status of an object or service, including its category and the reason(s) for the status.
0750
Conditional
Max 9
To describe an item in either an industry or free format.
0760
Conditional
Max 99
To describe an item of clinical information.
0770
Conditional
Max 99
To specify information necessary to establish the identity of a party.
0780
Conditional
Max 99
To specify date, and/or time, or period.
0790
Conditional
Max 99
To specify a reference.
0800
Conditional
Max 99
To provide free form or coded text information.
0810
Conditional
Max 99
To specify a pertinent quantity.
0820
Conditional
Max 99
To specify percentage information.
Segment group 12
Mandatory
Repeat 99
0840
Mandatory
Max 1
To specify attendance information relating to an individual.
0850
Conditional
Max 9
To identify a place or a location and/or related locations.
0860
Conditional
Max 9
To specify date, and/or time, or period.
0870
Conditional
Max 9
To specify a reference.
Segment group 13
Mandatory
Repeat 99
0890
Mandatory
Max 1
To specify a monetary amount.
0900
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 14
Mandatory
Repeat 99
0920
Mandatory
Max 1
To specify sector/subject requirements and conditions.
0930
Conditional
Max 9
To provide free form or coded text information.
Segment group 15
Mandatory
Repeat 999
0950
Mandatory
Max 1
To specify a clinical intervention such as treatments and investigations.
0960
Conditional
Max 1
To transmit a processing indicator.
0970
Conditional
Max 9
To describe an item in either an industry or free format.
0980
Conditional
Max 99
To describe an item of clinical information.
0990
Conditional
Max 99
To specify information necessary to establish the identity of a party.
1000
Conditional
Max 99
To specify date, and/or time, or period.
1010
Conditional
Max 99
To specify a reference.
1020
Conditional
Max 99
To provide free form or coded text information.
1030
Conditional
Max 99
To specify a pertinent quantity.
1040
Conditional
Max 99
To specify percentage information.
1050
Conditional
Max 9
To describe the number and type of packages/physical units.
Segment group 16
Mandatory
Repeat 99
1070
Mandatory
Max 1
To specify a monetary amount.
1080
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 17
Mandatory
Repeat 99
1100
Mandatory
Max 1
To specify sector/subject requirements and conditions.
1110
Conditional
Max 9
To provide free form or coded text information.
Segment group 18
Mandatory
Repeat 99
1130
Mandatory
Max 1
To identify a unit of equipment.
1140
Conditional
Max 1
To provide details relating to the sequence.
Segment group 19
Mandatory
Repeat 999
1160
Mandatory
Max 1
To specify operational transport movement details for a goods item or equipment (which may differ from the contractual conditions).
1170
Conditional
Max 1
To provide details relating to the sequence.
1180
Conditional
Max 1
To transmit a processing indicator.
1190
Conditional
Max 99
To provide free form or coded text information.
Segment group 20
Mandatory
Repeat 999
1210
Mandatory
Max 1
To specify the transport details such as mode of transport, means of transport, its conveyance reference number and the identification of the means of transport. The segment may be pointed to by the TPL segment.
1220
Conditional
Max 1
To transmit a processing indicator.
1230
Conditional
Max 9
To describe an item in either an industry or free format.
1240
Conditional
Max 99
To specify information necessary to establish the identity of a party.
1250
Conditional
Max 99
To specify a reference.
1260
Conditional
Max 99
To provide free form or coded text information.
1270
Conditional
Max 99
To describe an item of clinical information.
1280
Conditional
Max 99
To specify a pertinent quantity.
Segment group 21
Mandatory
Repeat 99
1300
Mandatory
Max 1
To specify an address.
1310
Conditional
Max 9
To specify date, and/or time, or period.
Segment group 22
Mandatory
Repeat 99
1330
Mandatory
Max 1
To specify the contract and carriage conditions and service and priority requirements for the transport.
1340
Conditional
Max 9
To provide free form or coded text information.
Segment group 23
Mandatory
Repeat 999
1360
Mandatory
Max 1
To specify charges.
1370
Conditional
Max 1
To transmit a processing indicator.
1380
Conditional
Max 9
To describe an item in either an industry or free format.
1390
Conditional
Max 99
To specify date, and/or time, or period.
1400
Conditional
Max 99
To specify a reference.
1410
Conditional
Max 99
To provide free form or coded text information.
1420
Conditional
Max 99
To specify a pertinent quantity.
1430
Conditional
Max 99
To specify percentage information.
Segment group 24
Mandatory
Repeat 99
1450
Mandatory
Max 1
To specify a monetary amount.
1460
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 25
Mandatory
Repeat 99
1480
Mandatory
Max 1
To specify the contract and carriage conditions and service and priority requirements for the transport.
1490
Conditional
Max 9
To provide free form or coded text information.
Segment group 26
Mandatory
Repeat 9
1510
Mandatory
Max 1
To specify results of the application of an authentication procedure.
1520
Conditional
Max 9
To specify date, and/or time, or period.
1530
Mandatory
Max 1
To end and check the completeness of a message.