**NIH X12 194 Implementation Guide**

**Version 0.8 (Draft; pre-release)**

23 November 1996

**Contract No:** 263-96-PC-0300

**Task Order No:** ERA-0003

**TYC Document ID**: TYC-ERA-0003-0403.08

**Prepared For:**

Office of Policy for Extramural Research Administration

Office of Extramural Research

National Institutes of Health

Bethesda, MD

**Prepared By:**

**TYC Associates, Inc.**

TYC Associates, Inc.

12300 Twinbrook Parkway, Suite 240

Rockville, MD

Table of Contents

1\. Introduction

1.1 Background

1.2 Purpose and Scope

1.3 References

1.4 Terms and Abbreviations

1.5 Organization of Document

1.6 How to Use This Document

1.6.1 What This Manual Specifies

1.6.2 What This Manual Does Not Specify

2\. X12 Headers and Trailers

2.1 ISA Header

2.2 GS Header

2.3 GE Trailer

2.4 IEA Trailer

3\. 194 Transaction Set

3.1 ST Segment (1/010)

3.2 BGN Segment (1/020)

3.3 N9 Segment (1/060)

3.4 MTX Segment (1/080)

3.5 NM1 Segment (1/090)

3.6 N2 Segment (1/100)

3.7 N3 Segment (1/110)

3.8 N4 Segment (1/120)

3.9 N9 Segment (1/130)

3.10 PER Segment (1/140)

3.11 HL Segment (2/010)

3.12 QTY Segment (2/020)

3.13 AMT Segment (2/030)

3.14 DTM Segment (2/050)

3.15 PAM Segment (2/060)

3.16 NX1 Segment (2/080)

3.17 YNQ Segment (2/090)

3.18 N9 Reference Number (2/100)

3.19 MTX Segment (2/110)

3.20 PPL Segment (2/170)

3.21 PD Segment (2/190)

3.22 PDD Segment (2/200)

3.23 LX Segment (2/330)

3.24 NM1 Segment (2/340)

3.25 N2 Segment (2/350)

3.26 N3 Segment (2/360)

3.27 N4 Segment (2/370)

3.28 PER Segment (2/375)

3.29 DMG Segment (2/380)

3.30 EMS Segment (2/390)

3.31 N9 Segment (2/400)

3.32 DEG Segment (2/420)

3.33 SE Segment (2/480)

4\. 997 Transaction Set

4.1 ST Segment

4.2 AK1 Segment

4.3 AK2 Segment

4.4 AK3 Segment

4.5 AK4 Segment

4.6 AK5 Segment

4.7 AK9 Segment

4.8 SE Segment

APPENDIX A. Sample 194 transaction set 45

APPENDIX B. sample 997 transaction set 54

APPENDIX C. points of contact 55

# Introduction

The need to exchange information between the Federal Government and the
research community is critical. Traditionally, research institutions and
the Federal Government have communicated by mailing preprinted business
forms. Now, the Office of Policy for Extramural Research (OPERA) at the
National Institutes of Health (NIH) is re-engineering the extramural
grant administration process. Through the integration of computers and
data communications, NIH is attempting to maximize the benefits of
exchanging grant application information electronically: reduced
paperwork, minimized cost, and improved response time. The primary
technologies comprising this re-engineering effort are Electronic Data
Interchange (EDI) and the World-Wide Web (WWW).

As an initial step in automating the grant administration process, NIH
is developing a prototype system which integrates EDI and WWW
technologies. The goal of this prototype system is to demonstrate how
NIH can electronically receive and display select portions of the PHS
398 (referenced simply as "398" within the context of this manual), as
submitted by an applicant institution.

## Background

In July, 1995, under a Department of Energy (DoE) Cooperative Agreement,
the NIH joined several Department of Defense agencies in a pilot to test
the submission of grant application information via EDI. The pilot uses
the X12 194 transaction set, which was developed collaboratively by the
Federal agencies, and adopted by the ANSI X12 committee.

With the assistance of Federal Information Exchange, Inc. (FIE), a
government contractor, eight research institutions are preparing
relevant portions of the 398 to be transmitted in EDI format. NIH is
implementing this prototype EDI system to receive the 194 transaction
set from these participating grantee organizations, and to display the
398 data via a Web interface.

## Purpose and Scope

The purpose of this manual is to document the guidelines required to
interoperate with the NIH prototype EDI system (referenced simply as
"prototype system" within the context of this manual). Specifically, it
provides NIH trading partners with the information necessary to transmit
the 194 (Grant Application) to the prototype system, and to receive the
997 (Functional Acknowledgment) from the prototype system. No other X12
transaction sets are supported.

The NIH prototype EDI system is being deployed as a phased
implementation. Phase one, for which this manual is written, accepts
only test data. In addition, phase one is limited to the following pages
from the 398: AA, BB, DD, EE, and the research plan specific aims. This
means that only the 194 data segments and elements correlating to pages
AA, BB, DD, EE, and the specific aims are referenced in this manual. The
manual will be expanded to include the data segments and elements
correlating to the remaining 398 pages in subsequent phases.

Phase one of the prototype system is expected to be completed by the end
of November, 1996. No information is currently available as to the time
frame and content of subsequent phases.

## References

1.  "ASC X12 194 Transaction Set. Grants Proposal ." September 12, 1996.

2.  "Federal Implementation Guideline for the Electronic Data
    Interchange. ASC X12 003050 Transaction Set 997. Functional
    Acknowledgment. Implementation Convention." Draft NIST Special
    Publication 881-XXX. April, 1996.

3.  "Office of Energy Research/Department of Energy (ER/DOE) Electronic
    data Interchange Implementation Manual". Draft. December , 1995.

## Terms and Abbreviations

194 X12Grant or Assistance Application

997 X12 Functional Acknowledgment

DoE Department of Energy

EDI Electronic Data Interchange

FIE Federal Information Exchange, Inc.

IC Implementation Convention

NIH National Institutes of Health

OPERA Office of Policy for Extramural Research

WWW World-Wide Web

## Organization of Document

This document, the "NIH X12 194 Implementation Guide", contains four
major sections. Section 1 introduces the manual. Section 2 presents
implementation guidelines for X12 headers that are common to both the
194 and 997. Section 3 presents implementation guidelines for the 194
transaction set, and section 4 presents implementation guidelines for
the 997 transaction set.

This document also contains three appendices. The first appendix
provides a sample 194 transaction set. The second appendix provides a
sample 997 transaction set, and the third appendix lists points of
contact for the prototype system.

## How to Use This Document

The "NIH X12 194 Implementation Guide" is intended for use only by the
institutions participating in phase one of the prototype system. It is
written for the technical user who understands EDI terms and concepts.

This manual cannot be used as a standalone document; it must be used in
conjunction with the PHS 398 Application Kit, and the 194 and 997
Federal Implementation Conventions (ICs). Although this guide is similar
in format to the ICs, the information presented is specific to the
requirements of NIH.

### What This Manual Specifies

This document presents each 194 and 997 data segment required for phase
one of the NIH prototype EDI system in tabular form. Each table contains
the complete set of data elements comprising the segment, including the
data element usage (e.g., must use, not used, etc.), the reference
designation, the data element identifier, the data element name, and the
X12 usage, type, and length constraint attributes. All this information
is copied directly from the ICs. Each table also contains any
implementation notes specific to NIH requirements. These NIH
requirements include length constraints[^1], how the data fields from
the relevant 398 pages are mapped to the appropriate 194 data segments
and elements, and any applicable information from the PHS 398
Application Kit. Where the implementation notes identify specific EDI
codes or qualifiers, these are the only codes or qualifiers supported by
NIH for phase one of the prototype system.

For each 194 and 997 data segment applicable to phase one of the
prototype system, the usage for each data element comprising the segment
is specified. The semantics of the data element usage codes are provided
below. The codes are taken from the relevant implementation conventions.

**Usage Expansion Meaning**

M/U Must Use This data element must be present in the segment.

(blank) (blank) This data element may be present in the segment,
depending on business requirements.

N/U Not Used This data element should not be present in the segment.

In addition, some 194 data elements labeled as "M/U" are not captured by
NIH (i.e., not copied from the 194 into an NIH database). This manual
highlights these elements in the appropriate data segment tables. Data
elements that are not captured for phase one contain the implementation
note "Not captured by NIH for Phase 1." Data elements that NIH will
never capture contain the implementation note, "Not captured by NIH."

### What This Manual Does Not Specify

This manual does not to duplicate (except as described in section 1.6.1)
informative references from the ICs. No explanatory text or
implementation notes (e.g., data segment syntax and semantics, code
value implementation notes, etc.) are included from the ICs.

# X12 Headers and Trailers

The X12 standards define interchange and functional group headers and
trailers that are common to all transaction sets. Rather than duplicate
this header and trailer information for each transaction set, the ISA,
GS, GE, and IEA segments are presented here.

## ISA Header

**Purpose:** To start and identify an interchange of one or more
functional groups and interchange related control.

**Notes:** *1. For purposes of Phase One of the NIH Prototype EDI
System, the NIH Interchange ID shall be "NIH EDI PROTO 1". Each grantee
organization participating in phase one must register an Interchange ID
with NIH.*

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I01   | Authorization Information Qualifier | M ID 2/2 |
| /U | SA01 |       |                                     |          |
|    |      |       | "00" No Authorization Information   |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I02   | Authorization Information           | M AN     |
| /U | SA02 |       |                                     | 10/10    |
|    |      |       | *Ten blank spaces.*                 |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I03   | Security Information Qualifier      | M ID 2/2 |
| /U | SA03 |       |                                     |          |
|    |      |       | "00" No Security Information        |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I04   | Security Information                | M AN     |
| /U | SA04 |       |                                     | 10/10    |
|    |      |       | *Ten blank spaces.*                 |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I05   | Interchange ID Qualifier            | M ID 2/2 |
| /U | SA05 |       |                                     |          |
|    |      |       | "ZZ" Mutually defined.              |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I06   | Interchange Sender ID               | M AN     |
| /U | SA06 |       |                                     | 15/15    |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I05   | Interchange ID Qualifier            | M ID 2/2 |
| /U | SA07 |       |                                     |          |
|    |      |       | "ZZ" Mutually Defined.              |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I07   | Interchange Receiver ID             | M AN     |
| /U | SA08 |       |                                     | 15/15    |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I08   | Interchange Date                    | M DT 6/6 |
| /U | SA09 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I09   | Interchange Time                    | M TM 4/4 |
| /U | SA10 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I10   | Interchange Control Standards       | M ID 1/1 |
| /U | SA11 |       | Identifier                          |          |
|    |      |       |                                     |          |
|    |      |       | "U" U.S. EDI Community              |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I11   | Interchange Control Version Number  | M ID 5/5 |
| /U | SA12 |       |                                     |          |
|    |      |       | "00305" Version 3 Release 5. *Use   |          |
|    |      |       | for 997.*                           |          |
|    |      |       |                                     |          |
|    |      |       | "00306" Version 3 Release 6. *Use   |          |
|    |      |       | for 194.*                           |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I12   | Interchange Control Number          | M NO 9/9 |
| /U | SA13 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I13   | Acknowledgment Requested            | M ID 1/1 |
| /U | SA14 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I14   | Test Indicator                      | M ID 1/1 |
| /U | SA15 |       |                                     |          |
|    |      |       | "T" Test Data                       |          |
+----+------+-------+-------------------------------------+----------+
| M  | I    | I15   | Component Element Separator         | M AN 1/1 |
| /U | SA16 |       |                                     |          |
|    |      |       | ":" ASCII (HEX)                     |          |
+----+------+-------+-------------------------------------+----------+

## GS Header

**Purpose:** To start and identify a functional group of related
transaction sets and provide control and application identification
information.

+----+------+-------+-------------------------------------+-----------+
| U  | Ref. | Data  | Name                                | A         |
| sa | Des. | Elmt  |                                     | ttributes |
| ge |      |       |                                     |           |
+----+------+-------+-------------------------------------+-----------+
| M  | GS01 | 479   | Functional Identifier Code          | M ID 2/2  |
| /U |      |       |                                     |           |
|    |      |       | "GA"                                |           |
+----+------+-------+-------------------------------------+-----------+
| M  | GS02 | 142   | Application Sender's Code           | M AN 2/15 |
| /U |      |       |                                     |           |
+----+------+-------+-------------------------------------+-----------+
| M  | GS03 | 124   | Application Receiver's Code         | M AN 2/15 |
| /U |      |       |                                     |           |
+----+------+-------+-------------------------------------+-----------+
| M  | GS04 | 373   | Date                                | M DT 6/6  |
| /U |      |       |                                     |           |
+----+------+-------+-------------------------------------+-----------+
| M  | GS05 | 337   | Time                                | M TM 4/8  |
| /U |      |       |                                     |           |
+----+------+-------+-------------------------------------+-----------+
| M  | GS06 | 28    | Group Control Number                | M NO 1/9  |
| /U |      |       |                                     |           |
+----+------+-------+-------------------------------------+-----------+
| M  | GS07 | 455   | Responsible Agency Code             | M ID 1/2  |
| /U |      |       |                                     |           |
|    |      |       | "X" ASC X12                         |           |
+----+------+-------+-------------------------------------+-----------+
| M  | GS08 | 480   | Version                             | M AN 1/12 |
| /U |      |       |                                     |           |
|    |      |       | "003060"                            |           |
+----+------+-------+-------------------------------------+-----------+

## GE Trailer

**Purpose***:* To define the end of a functional group of related
transaction sets.

  ------- ------- -------- -------------------------------------- ------------
  Usage   Ref.    Data     Name                                   Attributes
          Des.    Elmt                                            

  M/U     GE01    97       Number of Transaction Sets Included    M NO 1/6

  M/U     GE02    28       Group Control Number                   M NO 1/9
  ------- ------- -------- -------------------------------------- ------------

## IEA Trailer

**Purpose:** To define the end of an interchange of one or more
functional groups and interchange related control.

  ------- ------- -------- -------------------------------------- ------------
  Usage   Ref.    Data     Name                                   Attributes
          Des.    Elmt                                            

  M/U     IEA01   I16      Number of Included Functional Groups   M NO 1/5

  M/U     IEA02   I12      Interchange Control Number             M NO 9/9
  ------- ------- -------- -------------------------------------- ------------

# 194 Transaction Set

The 194 transaction set is used by organizations to submit research
grant application data to NIH. A single transmission of this transaction
set shall be used to submit a single proposal. For phase one of the NIH
prototype EDI system, the submitted proposal shall comprise test data
transmitted by a grantee organization participating in phase one of this
project.

**Heading:**

  ----- ------------------- ------------------- ------------------------------ -------------------- -------------------- --------------------------
        **[Pos              **[Seg              **[Name]{.underline}**         **[Req               **[Max               **[Repeat]{.underline}**
        No]{.underline}**   ID]{.underline}**                                  Des]{.underline}**   Use]{.underline}**   

  M/U   010                 ST                  Transaction Set Header         M                    1                    

  M/U   020                 BGN                 Beginning Segment              M                    1                    

  N/U   030                 DTM                 Date/TIme Reference            O                    \>1                  

  N/U   040                 LDT                 Lead Time                      O                    \>1                  

  N/U   050                 PWK                 Paperwork                      O                    \>1                  

                                                LOOP ID - N9                                                             \>1

        060                 N9                  Reference Number               O                    1                    

  N/U   070                 L11                 Business Instructions          O                    \>1                  

        080                 MTX                 Text                           O                    1                    

                                                LOOP ID - NM1                                                            \>1

  M/U   090                 NM1                 Individual or Organizational   O                    1                    
                                                Name                                                                     

        100                 N2                  Additional Name Information    O                    1                    

        110                 N3                  Address Information            O                    1                    

        120                 N4                  Geographic Location            O                    1                    

        130                 N9                  Reference Number               O                    \>1                  

        140                 PER                 Administrative Communications  O                    \>1                  
                                                Contact                                                                  
  ----- ------------------- ------------------- ------------------------------ -------------------- -------------------- --------------------------

**Detail:**

  ----- ------------------- ------------------- ------------------------------ -------------------- -------------------- --------------------------
        **[Pos              **[Seg              **[Name]{.underline}**         **[Req               **[Max               **[Repeat]{.underline}**
        No]{.underline}**   ID]{.underline}**                                  Des]{.underline}**   Use]{.underline}**   

                                                LOOP ID - HL                                                             \>1

  M/U   010                 HL                  Hierarchical Level             M                    1                    

        020                 QTY                 Quantity                       O                    \>1                  

        030                 AMT                 Monetary Amount                O                    \>1                  

        050                 DTM                 Date/Time Reference            O                    \>1                  

        060                 PAM                 Period Amount                  O                    \>1                  

  N/U   070                 HSD                 Health Care Services Delivery  O                    \>1                  

        080                 NX1                 Property or Entity             O                    1                    
                                                Identification                                                           

        090                 YNQ                 Yes/No Question                O                    \>1                  

                                                LOOP ID - N9                                                             \>1

        100                 N9                  Reference Number               O                    1                    

  N/U   105                 L11                 Business Instructions          O                    \>1                  

        110                 MTX                 Text                           O                    \>1                  

                                                LOOP ID - INX                                                            \>1

  N/U   120                 INX                 Index Detail                   O                    1                    

  N/U   130                 K3                  File Information               M                    \>1                  

                                                LOOP ID - PO1                                                            \>1

  N/U   140                 PO1                 Baseline Item Data             O                    1                    

  N/U   160                 MTX                 Text                           O                    \>1                  

                                                LOOP ID - PPL                                                            \>1

        170                 PPL                 Price Support Data             O                    1                    

  N/U   180                 REF                 Reference Identification       O                    \>1                  

                                                LOOP ID - PD                                                             \>1

        190                 PD                  Pricing Data                   O                    1                    

        200                 PDD                 Pricing Data Detail            O                    1                    

                                                LOOP ID - PL                                                             \>1

  N/U   210                 PL                  Proposal Cost Logic            O                    1                    

  N/U   220                 REF                 Reference Identification       O                    \>1                  

  N/U   230                 AMT                 Monetary Amount                O                    1                    

  N/U   240                 PCT                 Percent Amounts                O                    1                    

  N/U   250                 QTY                 Quantity                       O                    1                    

  N/U   260                 NTE                 Note/Special Instruction       O                    \>1                  

                                                LOOP ID - PD                                                             \>1

  N/U   270                 PD                  Pricing Data                   O                    1                    

  N/U   280                 SPI                 Specification Identifier       O                    1                    

  N/U   290                 REF                 Reference Identification       O                    \>1                  

  N/U   300                 PDD                 Pricing Data Detail            O                    \>1                  

  N/U   310                 MTX                 Text                           O                    \>1                  

  N/U   320                 DTM                 Date/Time Reference            O                    10                   
  ----- ------------------- ------------------- ------------------------------ -------------------- -------------------- --------------------------

  ----- ------ ------ ------------------------------ ------- ------- -------
                      LOOP ID - LX                                   \>1

        330    LX     Assigned Number                O       1       

        340    NM1    Individual or Organizational   O       1       
                      Name                                           

        350    N2     Additional Name Information    O       1       

        360    N3     Address Information            O       1       

        370    N4     Geographic Location            O       1       

        375    PER    Administrative Communications  O       \>1     
                      Contact                                        

        380    DMG    Demographic Information        O       \>1     

        390    EMS    Employment Position            O       1       

                      LOOP ID - N9                                   \>1

        400    N9     Reference Identification       O       1       

  N/U   405    L11    Business Instructions          O       \>1     

  N/U   410    MTX    Text                           O       \>1     

                      LOOP ID - DEG                                  \>1

        420    DEG    Degree Record                  O       1       

  N/U   430    FOS    Field of Study                 O       \>1     

  N/U   440    N1     Name                           O       \>1     

                      LOOP ID - K2                                   \>1

  N/U   450    K2     Administrative Message         O       1       

  N/U   460    N9     Reference Identification       O       \>1     

  N/U   470    NM1    Individual or Organizational   O       \>1     
                      Name                                           

  M/U   480    SE     Transaction Set Trailer        M       1       
  ----- ------ ------ ------------------------------ ------- ------- -------

##  ST Segment (1/010)

**Table / Position:** 1 / 010

**Purpose:** To indicate the start of a transaction set and to assign a
control number.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | ST01 | 143   | Transaction Set Identifier Code      | M ID    |
| /U |      |       |                                      | 3/3     |
|    |      |       | "194" X12.372 Grant or Assistance    |         |
|    |      |       | Application                          |         |
+----+------+-------+--------------------------------------+---------+
| M  | ST02 | 329   | Transaction Set Control Number       | M AN    |
| /U |      |       |                                      | 4/9     |
+----+------+-------+--------------------------------------+---------+

## BGN Segment (1/020)

**Table / Position:** 1 / 020

**Purpose:** To indicate the beginning of a transaction set.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | B    | 353   | Transaction Set Purpose Code        | M ID 2/2 |
| /U | GN01 |       |                                     |          |
|    |      |       | "00" Original                       |          |
+----+------+-------+-------------------------------------+----------+
| M  | B    | 127   | Reference Number                    | M AN     |
| /U | GN02 |       |                                     | 1/30     |
|    |      |       | *Assigned by grantee organization.  |          |
|    |      |       | Not captured by NIH for Phase I.*   |          |
+----+------+-------+-------------------------------------+----------+
| M  | B    | 373   | Date                                | M DT 6/6 |
| /U | GN03 |       |                                     |          |
|    |      |       | *Use to indicate the date           |          |
|    |      |       | associated with the signature of    |          |
|    |      |       | the Signing Official and the PI.    |          |
|    |      |       | Correlates to page AA, numbers 15   |          |
|    |      |       | (date) and 16 (date).*              |          |
+----+------+-------+-------------------------------------+----------+
| M  | B    | 337   | Time                                | X TM 4/8 |
| /U | GN04 |       |                                     |          |
|    |      |       | *Not captured by NIH.*              |          |
+----+------+-------+-------------------------------------+----------+
| M  | B    | 623   | Time Code                           | O ID 2/2 |
| /U | GN05 |       |                                     |          |
|    |      |       | *Not captured by NIH.*              |          |
+----+------+-------+-------------------------------------+----------+
|    | B    | 127   | Reference Number                    | O ID     |
|    | GN06 |       |                                     | 1/30     |
|    |      |       | *Use to indicate the RFA number to  |          |
|    |      |       | which this application is a         |          |
|    |      |       | response. Correlates to page AA,    |          |
|    |      |       | number 2 (Number:). Maximum length  |          |
|    |      |       | for the RFA number is 10            |          |
|    |      |       | characters.*                        |          |
+----+------+-------+-------------------------------------+----------+
| M  | B    | 640   | Transaction Type Code               | O ID 2/2 |
| /U | GN07 |       |                                     |          |
|    |      |       | "6C" Competitive Renewal            |          |
|    |      |       |                                     |          |
|    |      |       | "6R" Resubmission                   |          |
|    |      |       |                                     |          |
|    |      |       | "S4" Submission                     |          |
+----+------+-------+-------------------------------------+----------+
|    | B    | 306   | Action Code                         | O ID 1/2 |
|    | GN08 |       |                                     |          |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+
|    | B    | 786   | Security Level Code                 | O ID 2/2 |
|    | GN09 |       |                                     |          |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+

##  N9 Segment (1/060)

**Table / Position:** 1 / 060

**Purpose:** To transmit identifying numbers and descriptive information
as specified by the reference number qualifier.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | N901 | 128   | Reference Number Qualifier          | M ID 2/3 |
| /U |      |       |                                     |          |
|    |      |       | "4W' Study. *Use to indicate the    |          |
|    |      |       | Title of Project, page AA, number   |          |
|    |      |       | 1.*                                 |          |
|    |      |       |                                     |          |
|    |      |       | "CT" Contract Number. *Use to       |          |
|    |      |       | indicate a number assigned by NIH   |          |
|    |      |       | for a previous grant or             |          |
|    |      |       | application*.                       |          |
|    |      |       |                                     |          |
|    |      |       | "KS" Solicitation. *Use to indicate |          |
|    |      |       | the RFA title to which this         |          |
|    |      |       | application is a response.          |          |
|    |      |       | Correlates to page AA, number 2     |          |
|    |      |       | (Title:).*                          |          |
+----+------+-------+-------------------------------------+----------+
|    | N902 | 127   | Reference Number                    | X AN     |
|    |      |       |                                     | 1/30     |
|    |      |       | *Use with qualifier "CT" and BGN07  |          |
|    |      |       | "6C" to indicate the previous grant |          |
|    |      |       | number assigned by NIH.*            |          |
|    |      |       |                                     |          |
|    |      |       | *Use with qualifier "CT" and BGN07  |          |
|    |      |       | "6R" to indicate the previous       |          |
|    |      |       | application number assigned by NIH  |          |
|    |      |       | (see 398, page ii).*                |          |
+----+------+-------+-------------------------------------+----------+
|    | N903 | 369   | Free-form Description               | X AN     |
|    |      |       |                                     | 1/45     |
|    |      |       | *Cite the word "TITLE" when used    |          |
|    |      |       | with qualifier 4W.*                 |          |
|    |      |       |                                     |          |
|    |      |       | *Cite the word "SOURCE" when used   |          |
|    |      |       | with qualifier KS.*                 |          |
+----+------+-------+-------------------------------------+----------+
| N  | N904 | 373   | Date                                | O DT 6/6 |
| /U |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | N905 | 337   | Time                                | X TM 4/8 |
| /U |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | N906 | 623   | Time Code                           | O ID 2/2 |
| /U |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | N907 | C040  | Reference Identifier                | O        |
|    |      |       |                                     |          |
|    |      |       | *Not captured by NIH.*              |          |
+----+------+-------+-------------------------------------+----------+

## MTX Segment (1/080)

**Table / Position:** 1 / 080

**Purpose:** To specify textual data.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | M    | 363   | Note Reference Code                 | O ID 3/3 |
| /U | TX01 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | M    | 1551  | Message Text                        | X AN     |
| /U | TX02 |       |                                     | 1/4096   |
|    |      |       | *Use to transmit the Title of       |          |
|    |      |       | Project, page AA, number 1. Maximum |          |
|    |      |       | length for Title of Project is 81   |          |
|    |      |       | characters.*                        |          |
|    |      |       |                                     |          |
|    |      |       | *Use to transmit the RFA title,     |          |
|    |      |       | page AA, number 2 (Title:). Maximum |          |
|    |      |       | length for RFA title is 50          |          |
|    |      |       | characters.*                        |          |
+----+------+-------+-------------------------------------+----------+
| N  | M    | 1551  | Message Text                        | O AN     |
| /U | TX03 |       |                                     | 1/4096   |
+----+------+-------+-------------------------------------+----------+
| N  | M    | 934   | Printer Carriage Control Code       | O ID 2/2 |
| /U | TX04 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+

## NM1 Segment (1/090)

**Table / Position:** 1 / 090

**Purpose:** To supply the full name of an individual or organizational
entity.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | N    | 98    | Entity Identifier Code              | M ID 2/2 |
| /U | M101 |       |                                     |          |
|    |      |       | "1B" Applicant*. Use to indicate    |          |
|    |      |       | the official signing for the        |          |
|    |      |       | applicant organization (page AA,    |          |
|    |      |       | number 14).*                        |          |
|    |      |       |                                     |          |
|    |      |       | "AD" Party to be advised*. Use to   |          |
|    |      |       | indicate AO to be notified if award |          |
|    |      |       | is made (page AA, number 13).*      |          |
|    |      |       |                                     |          |
|    |      |       | "SE" Selling Party*. Use to         |          |
|    |      |       | indicate Applicant Organization     |          |
|    |      |       | (page AA, number 9).*               |          |
+----+------+-------+-------------------------------------+----------+
| M  | N    | 1065  | Entity Type Qualifier               | M ID 1/1 |
| /U | M102 |       |                                     |          |
|    |      |       | "1" Person. *Use with Entity        |          |
|    |      |       | Identifier Codes 1B and AD.*        |          |
|    |      |       |                                     |          |
|    |      |       | "2" Non-person Entity. *Use with    |          |
|    |      |       | Entity Identifier Code SE.*         |          |
+----+------+-------+-------------------------------------+----------+
|    | N    | 1035  | Name Last or Organization Name      | O AN     |
|    | M103 |       |                                     | 1/35     |
|    |      |       | *Maximum length for last name is 30 |          |
|    |      |       | characters. (Will IMPAC II change   |          |
|    |      |       | to 35?)*                            |          |
|    |      |       |                                     |          |
|    |      |       | *Use N2 segment if Organization     |          |
|    |      |       | Name exceeds 35 characters. Note    |          |
|    |      |       | that future versions of this guide  |          |
|    |      |       | will limit the values permitted for |          |
|    |      |       | the Applicant Organization Name.*   |          |
+----+------+-------+-------------------------------------+----------+
|    | N    | 1036  | Name First                          | O AN     |
|    | M104 |       |                                     | 1/25     |
+----+------+-------+-------------------------------------+----------+
|    | N    | 1037  | Name Middle                         | O AN     |
|    | M105 |       |                                     | 1/25     |
|    |      |       | *Only indicate middle initial with  |          |
|    |      |       | length of 1 character.*             |          |
+----+------+-------+-------------------------------------+----------+
|    | N    | 1038  | Name Prefix                         | O AN     |
|    | M106 |       |                                     | 1/10     |
+----+------+-------+-------------------------------------+----------+
|    | N    | 1039  | Name Suffix                         | O AN     |
|    | M107 |       |                                     | 1/10     |
|    |      |       | *Maximum length for name suffix is  |          |
|    |      |       | 5 characters. (Will IMPAC II change |          |
|    |      |       | to 10?)*                            |          |
+----+------+-------+-------------------------------------+----------+
|    | N    | 66    | Identification Code Qualifier       | X ID 1/2 |
|    | M108 |       |                                     |          |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+
|    | N    | 67    | Identification Code                 | X AN     |
|    | M109 |       |                                     | 2/20     |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+
| N  | N    | 706   | Entity Relationship Code            | X ID 2/2 |
| /U | M110 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | N    | 98    | Entity Identifier Code              | O ID 2/2 |
| /U | M111 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+

## N2 Segment (1/100)

**Table / Position:** 1 / 100

**Purpose:** To specify additional names or names longer than 35
characters in length.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | N201 | 93    | Address Information                 | M AN     |
| /U |      |       |                                     | 1/35     |
|    |      |       | *Use with NM103 to specify an       |          |
|    |      |       | organization name which is longer   |          |
|    |      |       | than 35 characters. NIH will append |          |
|    |      |       | N201 to NM103. Maximum length for   |          |
|    |      |       | NM103 + N201 is 40 characters.      |          |
|    |      |       | (Will IMPAC II change to 70?)*      |          |
+----+------+-------+-------------------------------------+----------+
|    | N202 | 93    | Address Information                 | O AN     |
|    |      |       |                                     | 1/35     |
|    |      |       | *Not captured by NIH.*              |          |
+----+------+-------+-------------------------------------+----------+

## N3 Segment (1/110)

**Table / Position:** 1 / 110

**Purpose:** To specify the location of the named party.

+-----+------+------+--------------------------------------+----------+
| Us  | Ref. | ID   | Name                                 | At       |
| age | Des. |      |                                      | tributes |
+-----+------+------+--------------------------------------+----------+
| M/U | N301 | 166  | Address Information                  | M AN     |
|     |      |      |                                      | 1/35     |
|     |      |      | *Use to indicate street address      |          |
|     |      |      | portion of mailing address.*         |          |
+-----+------+------+--------------------------------------+----------+
|     | N302 | 166  | Address Information                  | O AN     |
|     |      |      |                                      | 1/35     |
|     |      |      | *Use to indicate street address      |          |
|     |      |      | portion of mailing address.*         |          |
+-----+------+------+--------------------------------------+----------+

## N4 Segment (1/120)

**Table / Position:** 1 / 120

**Purpose:** To specify the geographic location of the named party.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
|    | N401 | 19    | City Name                            | O AN    |
|    |      |       |                                      | 2/30    |
+----+------+-------+--------------------------------------+---------+
|    | N402 | 156   | State or Province Code               | O ID    |
|    |      |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
|    | N403 | 116   | Postal Code                          | O ID    |
|    |      |       |                                      | 3/15    |
|    |      |       | *Maximum length for postal code is 9 |         |
|    |      |       | characters.*                         |         |
+----+------+-------+--------------------------------------+---------+
|    | N404 | 26    | Country Code                         | O ID    |
|    |      |       |                                      | 2/3     |
|    |      |       | *Not captured by NIH for Phase 1.*   |         |
+----+------+-------+--------------------------------------+---------+
|    | N405 | 309   | Location Qualifier                   | X ID    |
|    |      |       |                                      | 1/2     |
|    |      |       | *Not captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
|    | N406 | 310   | Location Qualifier                   | O AN    |
|    |      |       |                                      | 1/30    |
|    |      |       | *Not captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+

##  N9 Segment (1/130)

**Table / Position:** 1 / 130

**Purpose:** To transmit identifying numbers and descriptive information
as specified by the reference number qualifier.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | N901 | 128   | Reference Number Qualifier           | M ID    |
| /U |      |       |                                      | 2/3     |
|    |      |       | "19" Division Identifier.            |         |
|    |      |       |                                      |         |
|    |      |       | "5C" Congressional District.         |         |
|    |      |       |                                      |         |
|    |      |       | "CR" Customer Reference Number.      |         |
|    |      |       |                                      |         |
|    |      |       | "EI" Employer's Identification       |         |
|    |      |       | Number.                              |         |
|    |      |       |                                      |         |
|    |      |       | "P5" Position Code.                  |         |
+----+------+-------+--------------------------------------+---------+
|    | N902 | 127   | Reference Number                     | X AN    |
|    |      |       |                                      | 1/30    |
|    |      |       | *Use with qualifier "19" to indicate |         |
|    |      |       | the Organizational Component Code    |         |
|    |      |       | (page AA, number 11). See PHS 398    |         |
|    |      |       | Application Kit for relevant codes.  |         |
|    |      |       | Only enter the numeric code; do not  |         |
|    |      |       | enter the descriptive text.*         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "5C" to indicate |         |
|    |      |       | Congressional District (page AA,     |         |
|    |      |       | number 12). Maximum length of        |         |
|    |      |       | Congressional District is 2          |         |
|    |      |       | characters.*                         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "CR" to indicate |         |
|    |      |       | an organization's IPF number (page   |         |
|    |      |       | AA, number 9). Maximum length of IPF |         |
|    |      |       | number is 10 characters.*            |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "EI" to indicate |         |
|    |      |       | Entity Identification Number (EIN)   |         |
|    |      |       | (page AA, number 12). Maximum length |         |
|    |      |       | of EIN is 12 characters. If an EIN   |         |
|    |      |       | has not been received, enter the     |         |
|    |      |       | organization's IRS employer          |         |
|    |      |       | identification number (9 digits).*   |         |
+----+------+-------+--------------------------------------+---------+
|    | N903 | 369   | Free-form Description                | X AN    |
|    |      |       |                                      | 1/45    |
|    |      |       | *Use with qualifier "P5" to indicate |         |
|    |      |       | the title of the AO (page AA, number |         |
|    |      |       | 13) or of the signing official (page |         |
|    |      |       | AA, number 14). Maximum length of    |         |
|    |      |       | title is 40 characters. Note that    |         |
|    |      |       | future versions of this guide will   |         |
|    |      |       | limit the values permitted for this  |         |
|    |      |       | element.*                            |         |
+----+------+-------+--------------------------------------+---------+
| N  | N904 | 373   | Date                                 | O DT    |
| /U |      |       |                                      | 6/6     |
+----+------+-------+--------------------------------------+---------+
| N  | N905 | 337   | Time                                 | X TM    |
| /U |      |       |                                      | 4/8     |
+----+------+-------+--------------------------------------+---------+
| N  | N906 | 623   | Time Code                            | O ID    |
| /U |      |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
| N  | N907 | C040  | Reference Identifier                 | O       |
| /U |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+

##  PER Segment (1/140)

**Table / Position:** 1 / 140

**Purpose:** To identify a person or office to whom administrative
communications should be directed.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | P    | 366   | Contact Function Code                | M ID    |
| /U | ER01 |       |                                      | 2/2     |
|    |      |       | "IC" Information Contact.            |         |
+----+------+-------+--------------------------------------+---------+
|    | P    | 93    | Name                                 | O AN    |
|    | ER02 |       |                                      | 1/35    |
|    |      |       | *Not captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
| M  | P    | 365   | Communication Number Qualifier       | X ID    |
| /U | ER03 |       |                                      | 2/2     |
|    |      |       | *Use PER03-PER08 to indicate the     |         |
|    |      |       | e-mail address, telephone number,    |         |
|    |      |       | and FAX number for the AO and        |         |
|    |      |       | Signing Official. These correlate to |         |
|    |      |       | page AA, 13 and 14.*                 |         |
|    |      |       |                                      |         |
|    |      |       | *Maximum length for telephone number |         |
|    |      |       | is 25 characters.*                   |         |
|    |      |       |                                      |         |
|    |      |       | *Maximum length for FAX number is 25 |         |
|    |      |       | characters.*                         |         |
+----+------+-------+--------------------------------------+---------+
| M  | P    | 364   | Communication Number                 | X AN    |
| /U | ER04 |       |                                      | 1/80    |
+----+------+-------+--------------------------------------+---------+
|    | P    | 365   | Communication Number Qualifier       | X ID    |
|    | ER05 |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
|    | P    | 364   | Communication Number                 | X AN    |
|    | ER06 |       |                                      | 1/80    |
+----+------+-------+--------------------------------------+---------+
|    | P    | 365   | Communication Number Qualifier       | X ID    |
|    | ER07 |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
|    | P    | 364   | Communication Number                 | X AN    |
|    | ER08 |       |                                      | 1/80    |
+----+------+-------+--------------------------------------+---------+
| N  | P    | 443   | Contact Inquiry Reference            | O AN    |
| /U | ER09 |       |                                      | 1/20    |
+----+------+-------+--------------------------------------+---------+

##  HL Segment (2/010)

**Table / Position:** 2 / 010

**Purpose:** To identify dependencies among the content of
hierarchically related groups of data segments.

+-----+------+------+--------------------------------------+----------+
| Us  | Ref. | Data | Name                                 | At       |
| age | Des. | Elmt |                                      | tributes |
+-----+------+------+--------------------------------------+----------+
| M/U | HL01 | 628  | Hierarchical ID Number               | M AN     |
|     |      |      |                                      | 1/12     |
+-----+------+------+--------------------------------------+----------+
|     | HL02 | 734  | Hierarchical Parent ID Number        | O AN     |
|     |      |      |                                      | 1/12     |
+-----+------+------+--------------------------------------+----------+
| M/U | HL03 | 735  | Hierarchical Level Code              | M ID 1/2 |
|     |      |      |                                      |          |
|     |      |      | "4" Group *(Human Subject, page AA,  |          |
|     |      |      | number 4).*                          |          |
|     |      |      |                                      |          |
|     |      |      | "AS" Animal Subject Group            |          |
|     |      |      | *(Vertebrate Animals, page AA,       |          |
|     |      |      | number 5).*                          |          |
|     |      |      |                                      |          |
|     |      |      | "CO" Consortium *(use for            |          |
|     |      |      | Consortium/Contractual Costs, page   |          |
|     |      |      | DD and EE).*                         |          |
|     |      |      |                                      |          |
|     |      |      | "PC" Project Code *(use for first    |          |
|     |      |      | iteration of loop).*                 |          |
+-----+------+------+--------------------------------------+----------+
|     | HL04 | 736  | Hierarchical Child Code              | O ID 1/1 |
+-----+------+------+--------------------------------------+----------+

## QTY Segment (2/020)

**Table / Position:** 2 / 020

**Purpose:** To specify quantity information.

**Notes:** *1. No information in this segment is captured by NIH for
Phase 1. The QTY segment is provided for the purpose of illustrating
uses of the HL loop.*

+-----+-------+-------+------------------------------------+----------+
| Us  | Ref.  | Data  | Name                               | At       |
| age | Des.  | Elmt  |                                    | tributes |
+-----+-------+-------+------------------------------------+----------+
| M/U | QTY01 | 673   | Quantity Qualifier                 | M ID 2/2 |
|     |       |       |                                    |          |
|     |       |       | "1K" Time Units.                   |          |
|     |       |       |                                    |          |
|     |       |       | "S7" Age, High Value.              |          |
|     |       |       |                                    |          |
|     |       |       | "S8" Age, Low Value.               |          |
|     |       |       |                                    |          |
|     |       |       | "TO" Total.                        |          |
+-----+-------+-------+------------------------------------+----------+
| M/U | QTY02 | 380   | Quantity                           | M R 1/15 |
+-----+-------+-------+------------------------------------+----------+
| M/U | QTY03 | C001  | Composite Unit of Measure          | O        |
+-----+-------+-------+------------------------------------+----------+
| M/U | C     | 355   | Unit or Basis for Measurement Code | M ID 2/2 |
|     | 00101 |       |                                    |          |
|     |       |       | "DA" Days                          |          |
|     |       |       |                                    |          |
|     |       |       | "EA" Each                          |          |
|     |       |       |                                    |          |
|     |       |       | "MO" Months                        |          |
|     |       |       |                                    |          |
|     |       |       | "YR" Years                         |          |
+-----+-------+-------+------------------------------------+----------+

##  AMT Segment (2/030)

**Table / Position:** 2 / 030

**Purpose:** To specify quantity information.

**Notes*:*** *1. No information in this segment is captured by NIH for
Phase 1. The AMT segment is provided for the purpose of illustrating
uses of the HL loop.*

+-----+-------+-------+-------------------------------------+---------+
| Us  | Ref.  | Data  | Name                                | Att     |
| age | Des.  | Elmt  |                                     | ributes |
+-----+-------+-------+-------------------------------------+---------+
| M/U | AMT01 | 522   | Amount Qualifier Code               | M ID    |
|     |       |       |                                     | 1/2     |
|     |       |       | "G3" Price per Unit Area.           |         |
|     |       |       |                                     |         |
|     |       |       | "SP" Sales Price.                   |         |
+-----+-------+-------+-------------------------------------+---------+
| M/U | AMT02 | 782   | Monetary Amount                     | M R     |
|     |       |       |                                     | 1/15    |
+-----+-------+-------+-------------------------------------+---------+
| N/U | AMT03 | 478   | Credit/Debit Flag Code              | O ID    |
|     |       |       |                                     | 1/1     |
+-----+-------+-------+-------------------------------------+---------+

## DTM Segment (2/050)

**Table / Position:** 2 / 050

**Purpose:** To specify pertinent dates and times.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | D    | 374   | Date/Time Qualifier                  | M ID    |
| /U | TM01 |       |                                      | 3/3     |
|    |      |       | "193" Period Start.                  |         |
|    |      |       |                                      |         |
|    |      |       | "194" Period End.                    |         |
+----+------+-------+--------------------------------------+---------+
| M  | D    | 373   | Date                                 | X DT    |
| /U | TM02 |       |                                      | 6/6     |
|    |      |       | *Use with "193" to indicate Dates of |         |
|    |      |       | Proposed Period of Support (page AA, |         |
|    |      |       | number 6 (From)). See PHS 398        |         |
|    |      |       | Application Kit for selecting an     |         |
|    |      |       | appropriate beginning date.*         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with "194" to indicate Dates of |         |
|    |      |       | Proposed Period of Support (page AA, |         |
|    |      |       | number 6 (Through)). See PHS 398     |         |
|    |      |       | Application Kit for specifying an    |         |
|    |      |       | appropriate ending date.*            |         |
|    |      |       |                                      |         |
|    |      |       | *U.S. applicant organizations can    |         |
|    |      |       | request no more than 5 years of      |         |
|    |      |       | support.*                            |         |
+----+------+-------+--------------------------------------+---------+
| N  | D    | 337   | Time                                 | X TM    |
| /U | TM03 |       |                                      | 4/8     |
+----+------+-------+--------------------------------------+---------+
| N  | D    | 623   | Time Code                            | O ID    |
| /U | TM04 |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
|    | D    | 624   | Century                              | O NO    |
|    | TM05 |       |                                      | 2/2     |
|    |      |       | *Not captured by NIH for Phase 1.*   |         |
+----+------+-------+--------------------------------------+---------+
| N  | D    | 1250  | Date Time Period Format Qualifier    | X ID    |
| /U | TM06 |       |                                      | 2/3     |
+----+------+-------+--------------------------------------+---------+
| N  | D    | 1251  | Date Time Period                     | X AN    |
| /U | TM07 |       |                                      | 1/35    |
+----+------+-------+--------------------------------------+---------+

##  PAM Segment (2/060)

**Table / Position:** 2 / 060

**Purpose:** To indicate a quantity, and/or amount for an identified
period.

**Note:** *1. No information in this segment is captured by NIH for
Phase 1.*

+-----+--------+-------+-----------------------------------+----------+
| Us  | Ref.   | Data  | Name                              | At       |
| age | Des.   | Elmt  |                                   | tributes |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM01  | 673   | Quantity Qualifier                | X ID 2/2 |
|     |        |       |                                   |          |
|     |        |       | "A3" Most Likely Duration.        |          |
|     |        |       |                                   |          |
|     |        |       | "DY" Days.                        |          |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM02  | 380   | Quantity                          | X R 1/15 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM03  | C001  | Composite Unit of Measure         | X        |
+-----+--------+-------+-----------------------------------+----------+
| M/U | PA     | 355   | Unit or Basis for Measurement     | M ID 2/2 |
|     | M03:01 |       | Code                              |          |
|     |        |       |                                   |          |
|     |        |       | "MO" Months.                      |          |
|     |        |       |                                   |          |
|     |        |       | "DA" Days.                        |          |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM04  | 522   | Amount Qualifier Code             | X ID 1/2 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM05  | 782   | Monetary Amount                   | X R 1/15 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM06  | 344   | Unit of Time Period or Interval   | X ID 2/2 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM07  | 374   | Date/Time Qualifier               | X ID 3/3 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM08  | 373   | Date                              | X DT 6/6 |
+-----+--------+-------+-----------------------------------+----------+
| N/U | PAM09  | 337   | Time                              | X TM 4/8 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM10  | 374   | Date/Time Qualifier               | X ID 3/3 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM11  | 373   | Date                              | X DT 6/6 |
+-----+--------+-------+-----------------------------------+----------+
| N/U | PAM12  | 337   | Time                              | X TM 4/8 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM13  | 1004  | Percent Qualifier                 | X ID 1/2 |
+-----+--------+-------+-----------------------------------+----------+
|     | PAM14  | 954   | Percent                           | X R 1/10 |
+-----+--------+-------+-----------------------------------+----------+

## NX1 Segment (2/080)

**Table / Position:** 2 / 080

**Purpose:** To define the attributes of a property or an entity.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | N    | 98    | Entity Identifier Code               | M ID    |
| /U | X101 |       |                                      | 2/2     |
|    |      |       | "21" Small Business (Small Business) |         |
|    |      |       |                                      |         |
|    |      |       | "2F" State (State).                  |         |
|    |      |       |                                      |         |
|    |      |       | "2R" Federal Facility (Federal).     |         |
|    |      |       |                                      |         |
|    |      |       | "8E" Minority Institution (Public).  |         |
|    |      |       |                                      |         |
|    |      |       | "A8" Nonprofit Institution (Private  |         |
|    |      |       | Nonprofit).                          |         |
|    |      |       |                                      |         |
|    |      |       | "B9" Large Business (For Profit).    |         |
|    |      |       |                                      |         |
|    |      |       | "C6" Municipality (Local).           |         |
|    |      |       |                                      |         |
|    |      |       | "M8" Educational Institution         |         |
|    |      |       | (Public).                            |         |
|    |      |       |                                      |         |
|    |      |       | *Correlates to Type of Organization, |         |
|    |      |       | page AA, number 10.*                 |         |
|    |      |       |                                      |         |
|    |      |       | *A maximum of 1 organization type is |         |
|    |      |       | permitted per organization.*         |         |
+----+------+-------+--------------------------------------+---------+
|    | N    | 98    | Entity Identifier Code               | O ID    |
|    | X102 |       |                                      | 2/2     |
|    |      |       | *Not Captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
|    | N    | 98    | Entity Identifier Code               | O ID    |
|    | X103 |       |                                      | 2/2     |
|    |      |       | *Not Captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
|    | N    | 98    | Entity Identifier Code               | O ID    |
|    | X104 |       |                                      | 2/2     |
|    |      |       | *Not Captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
|    | N    | 98    | Entity Identifier Code               | O ID    |
|    | X105 |       |                                      | 2/2     |
|    |      |       | *Not Captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+

##  YNQ Segment (2/090)

**Table / Position:** 2 / 090

**Purpose:** To identify and answer yes and no questions, including the
date, time, and comments further qualifying the condition.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | Y    | 1321  | Condition Indicator                  | X ID    |
| /U | NQ01 |       |                                      | 2/2     |
|    |      |       | "H2" Human Anatomical Substances Are |         |
|    |      |       | Used. *Correlates to page AA, number |         |
|    |      |       | 4.*                                  |         |
+----+------+-------+--------------------------------------+---------+
| M  | Y    | 1073  | Yes/No Condition or Response Code    | M ID    |
| /U | NQ02 |       |                                      | 1/1     |
|    |      |       | "N" No.                              |         |
|    |      |       |                                      |         |
|    |      |       | "Y" Yes.                             |         |
+----+------+-------+--------------------------------------+---------+
| N  | Y    | 1250  | Date Time Period Format Qualifier    | X ID    |
| /U | NQ03 |       |                                      | 2/3     |
+----+------+-------+--------------------------------------+---------+
| N  | Y    | 1251  | Date Time Period                     | X AN    |
| /U | NQ04 |       |                                      | 1/35    |
+----+------+-------+--------------------------------------+---------+
|    | Y    | 933   | Free-form Message Text               | O AN    |
|    | NQ05 |       |                                      | 1/264   |
|    |      |       | *Not captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
|    | Y    | 933   | Free-form Message Text               | O AN    |
|    | NQ06 |       |                                      | 1/264   |
|    |      |       | *Not captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
|    | Y    | 933   | Free-form Message Text               | O AN    |
|    | NQ07 |       |                                      | 1/264   |
|    |      |       | *Not captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
| N  | Y    | 1270  | Code List Qualifier Code             | X ID    |
| /U | NQ08 |       |                                      | 1/3     |
+----+------+-------+--------------------------------------+---------+
| N  | Y    | 1271  | Industry Code                        | X AN    |
| /U | NQ09 |       |                                      | 1/30    |
+----+------+-------+--------------------------------------+---------+
| N  | Y    | 933   | Free-Form Message Text               | X AN    |
| /U | NQ10 |       |                                      | 1/264   |
+----+------+-------+--------------------------------------+---------+

##  N9 Reference Number (2/100)

**Table / Position:** 2 / 100

**Purpose:** To transmit identifying numbers and descriptive information
as specified by the reference number qualifier.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | N901 | 128   | Reference Number Qualifier           | M ID    |
| /U |      |       |                                      | 2/3     |
|    |      |       | "F4" Facility Certification Number.  |         |
|    |      |       |                                      |         |
|    |      |       | "L4" Proposal Paragraph Number.      |         |
|    |      |       |                                      |         |
|    |      |       | "WI" Waiver.                         |         |
|    |      |       |                                      |         |
|    |      |       | "Y9" Current Certificate Number.     |         |
+----+------+-------+--------------------------------------+---------+
| M  | N902 | 127   | Reference Number                     | X AN    |
| /U |      |       |                                      | 1/30    |
|    |      |       | *Use with qualifier "F4" to indicate |         |
|    |      |       | Assurance of Compliance Number (page |         |
|    |      |       | AA, number 4b). Maximum length of    |         |
|    |      |       | Assurance of Compliance number is 9  |         |
|    |      |       | characters.*                         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "Y9" to indicate |         |
|    |      |       | Animal Welfare Assurance Number      |         |
|    |      |       | (page AA, number 5b). Maximum length |         |
|    |      |       | of Animal Welfare Assurance Number   |         |
|    |      |       | is 9 characters.*                    |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "WI" to indicate |         |
|    |      |       | Human Subjects Exemption Number      |         |
|    |      |       | (page AA, number 4a). See the 398    |         |
|    |      |       | Application Kit for the exemption    |         |
|    |      |       | categories and corresponding         |         |
|    |      |       | exemption numbers. Maximum length of |         |
|    |      |       | Human Subjects Exemption Number is 4 |         |
|    |      |       | characters.*                         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "L4" to indicate |         |
|    |      |       | the abstract (page BB). Cite the     |         |
|    |      |       | letter "A".*                         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "L4" to indicate |         |
|    |      |       | the Budget Justification (page EE).  |         |
|    |      |       | Cite the letters "C.1".*             |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "L4" to indicate |         |
|    |      |       | the Research Plan Specific Aims.     |         |
|    |      |       | Cite the letters "B.2".*             |         |
+----+------+-------+--------------------------------------+---------+
|    | N903 | 369   | Free-form Description                | X AN    |
|    |      |       |                                      | 1/45    |
|    |      |       | *Use with qualifier "F4" to cite the |         |
|    |      |       | type of review: FULL or EXPEDITED    |         |
|    |      |       | (page AA, number 4a). If the IRB     |         |
|    |      |       | review is delayed beyond submission  |         |
|    |      |       | of the application, cite the word    |         |
|    |      |       | "PENDING" .*                         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "Y9" to indicate |         |
|    |      |       | that the IACUC review is delayed     |         |
|    |      |       | beyond submission of the application |         |
|    |      |       | (page AA, number 5a). Cite the word  |         |
|    |      |       | "PENDING".*                          |         |
|    |      |       |                                      |         |
|    |      |       | *Not used by NIH with qualifiers     |         |
|    |      |       | "L4" and "WI".*                      |         |
+----+------+-------+--------------------------------------+---------+

+----+------+-------+--------------------------------------+---------+
|    | N904 | 373   | Date                                 | O DT    |
|    |      |       |                                      | 6/6     |
|    |      |       | *Use with qualifier "F4" to indicate |         |
|    |      |       | the IRB approval date (page AA,      |         |
|    |      |       | number 4a).*                         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with qualifier "Y9" to indicate |         |
|    |      |       | the IACUC approval date (page AA,    |         |
|    |      |       | number 5a).*                         |         |
+----+------+-------+--------------------------------------+---------+
| N  | N905 | 337   | Time                                 | X TM    |
| /U |      |       |                                      | 4/8     |
+----+------+-------+--------------------------------------+---------+
| N  | N906 | 623   | Time Code                            | O ID    |
| /U |      |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
| N  | N907 | C040  | Reference Identification             | O       |
| /U |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+

## MTX Segment (2/110)

**Table / Position:** 2 / 110

**Purpose:** To specify textual data.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | M    | 363   | Note Reference Code                 | O ID 3/3 |
| /U | TX01 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | M    | 1551  | Message Text                        | X AN     |
| /U | TX02 |       |                                     | 1/4096   |
|    |      |       | *Use to transmit the abstract, page |          |
|    |      |       | BB. The abstract must be            |          |
|    |      |       | constrained to ASCII characters.    |          |
|    |      |       | Maximum length for the abstract is  |          |
|    |      |       | 4M.*                                |          |
|    |      |       |                                     |          |
|    |      |       | *Use to transmit the Budget         |          |
|    |      |       | Justification (page EE).*           |          |
|    |      |       |                                     |          |
|    |      |       | *Reference the PHS 398 Application  |          |
|    |      |       | Kit for further instructions on     |          |
|    |      |       | information to be placed in the     |          |
|    |      |       | Budget Justification. Maximum       |          |
|    |      |       | length for the budget justification |          |
|    |      |       | is 4M.*                             |          |
|    |      |       |                                     |          |
|    |      |       | *Use to transmit the Research Plan  |          |
|    |      |       | Specific Aims. Maximum length for   |          |
|    |      |       | the specific aims is 4M.*           |          |
+----+------+-------+-------------------------------------+----------+
|    | M    | 1551  | Message Text                        | O AN     |
|    | TX03 |       |                                     | 1/4096   |
|    |      |       | *Not captured by NIH.*              |          |
+----+------+-------+-------------------------------------+----------+
| N  | M    | 934   | Printer Carriage Control Code       | O ID 2/2 |
| /U | TX04 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+

##  PPL Segment (2/170)

**Table / Position:** 2 / 170

**Purpose:** To provide information about pricing support.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| N  | P    | 1309  | Acquisition Data Code                | O ID    |
| /U | PL01 |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
| N  | P    | 373   | Date                                 | O DT    |
| /U | PL02 |       |                                      | 6/6     |
+----+------+-------+--------------------------------------+---------+
| N  | P    | 373   | Date                                 | O DT    |
| /U | PL03 |       |                                      | 6/6     |
+----+------+-------+--------------------------------------+---------+
|    | P    | 352   | Description                          | O AN    |
|    | PL04 |       |                                      | 1/80    |
|    |      |       | *Cite "1" to indicate first budget   |         |
|    |      |       | year. This correlates to page AA,    |         |
|    |      |       | numbers 7a and 7b, and page DD.*     |         |
|    |      |       |                                      |         |
|    |      |       | *Cite "2", "3", "4",and "5" to       |         |
|    |      |       | indicate Additional Years of         |         |
|    |      |       | Support. These correlate to page EE, |         |
|    |      |       | ADDITIONAL YEARS OF SUPPORT          |         |
|    |      |       | REQUESTED, Columns "2nd", "3rd",     |         |
|    |      |       | "4th", and "5th" respectively.*      |         |
|    |      |       |                                      |         |
|    |      |       | *Cite "T" to indicate the total      |         |
|    |      |       | budget. This correlates to page AA,  |         |
|    |      |       | numbers 8a and 8b.*                  |         |
+----+------+-------+--------------------------------------+---------+
| M  | P    | 1401  | Proposal Data Detail Identifier Code | O ID    |
| /U | PL05 |       |                                      | 1/3     |
|    |      |       | "AC" Negotiated Amount.              |         |
+----+------+-------+--------------------------------------+---------+

##  PD Segment (2/190)

**Table / Position:** 2 / 190

**Purpose:** To describe the pricing basic input detail.

**Notes:** *1. The iteration of the PD loop to identify the fringe
benefits for an individual (PD07 code "49") must immediately follow the
iteration of the PD loop that identifies that individual (PD07 code
"01").*

*2. This Implementation Guide mandates the following method for
specifying a labor category comprising multiple persons:*

-   *Set PD08 to the numeric value of "1", use PD09 to identify the
    labor category, and repeat this process for the total of persons in
    the labor category.*

*If, for example, a labor category comprises six nurses: set PD08 to the
numeric value of 1, set PD09 to the value of "NURSE", and repeat this
process for a total of six iterations.*

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | PD01 | 344   | Unit of Time Period or Interval      | M ID    |
| /U |      |       |                                      | 2/2     |
|    |      |       | *Not captured by NIH. For the        |         |
|    |      |       | purpose of clarity, NIH recommends   |         |
|    |      |       | using the code "CC" with the PPL04   |         |
|    |      |       | value of "T" to indicate the budget  |         |
|    |      |       | period for the entire project. Use   |         |
|    |      |       | codes "AP", "SP", and "CY" to        |         |
|    |      |       | identify an appointment type for an  |         |
|    |      |       | individual.*                         |         |
+----+------+-------+--------------------------------------+---------+
| M  | PD02 | 373   | Date                                 | M DT    |
| /U |      |       |                                      | 6/6     |
|    |      |       | *Use to indicate the budget period   |         |
|    |      |       | start date (page DD, "FROM" ). Do    |         |
|    |      |       | not use the academic period. Use the |         |
|    |      |       | same date for each iteration of the  |         |
|    |      |       | PD loop.*                            |         |
+----+------+-------+--------------------------------------+---------+
| M  | PD03 | C001  | Composite Unit of Measure            | M       |
| /U |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | C0   | 355   | Unit or Basis for Measurement Code   | M ID    |
| /U | 0101 |       |                                      | 2/2     |
|    |      |       | "DO" Dollars, U.S.                   |         |
|    |      |       |                                      |         |
|    |      |       | "P1" Percent. *Use to indicate       |         |
|    |      |       | fringe benefits.*                    |         |
+----+------+-------+--------------------------------------+---------+
|    | C0   | 355   | Unit or Basis for Measurement Code   | O ID    |
|    | 0104 |       |                                      | 2/2     |
|    |      |       | "8S" Session. *Use with PD03:01 "DO" |         |
|    |      |       | when dealing with personnel labor    |         |
|    |      |       | costs.*                              |         |
+----+------+-------+--------------------------------------+---------+

+----+------+-------+--------------------------------------+---------+
| M  | PD04 | 380   | Quantity                             | M R     |
| /U |      |       |                                      | 1/15    |
|    |      |       | *Use with PD03:04 "8S" to indicate   |         |
|    |      |       | institutional base salary (page DD,  |         |
|    |      |       | "INST. BASE SALARY").*               |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD03:01 "P1" to indicate   |         |
|    |      |       | the percentage for fringe benefits.* |         |
|    |      |       |                                      |         |
|    |      |       | *Cite "1" when PD03-1 is "DO" and    |         |
|    |      |       | PD03:04 is not used to meet X12      |         |
|    |      |       | syntax rules.*                       |         |
|    |      |       |                                      |         |
|    |      |       | *All monetary amounts are            |         |
|    |      |       | constrained to ten decimal places,   |         |
|    |      |       | including the decimal point and      |         |
|    |      |       | cents (the decimal point and cents   |         |
|    |      |       | are optional).*                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | PD05 | 93    | Name                                 | M AN    |
| /U |      |       |                                      | 1/35    |
|    |      |       | *Not captured by NIH. Use to         |         |
|    |      |       | identify a budget category by a      |         |
|    |      |       | short-hand means.*                   |         |
+----+------+-------+--------------------------------------+---------+
|    | PD06 | 352   | Description                          | O AN    |
|    |      |       |                                      | 1/80    |
|    |      |       | *Not captured by NIH. Use to         |         |
|    |      |       | identify a budget category by a      |         |
|    |      |       | long-hand description.*              |         |
+----+------+-------+--------------------------------------+---------+
| M  | PD07 | 1196  | Breakdown Structure Detail Code      | O ID    |
| /U |      |       |                                      | 2/2     |
|    |      |       | "01" Labor.                          |         |
|    |      |       |                                      |         |
|    |      |       | "03" Other Direct Costs.             |         |
|    |      |       |                                      |         |
|    |      |       | "04" Subcontract.                    |         |
|    |      |       |                                      |         |
|    |      |       | "06" Labor Overhead.                 |         |
|    |      |       |                                      |         |
|    |      |       | "09" Total Overhead.                 |         |
|    |      |       |                                      |         |
|    |      |       | "28" Total.                          |         |
|    |      |       |                                      |         |
|    |      |       | "33" General and Administrative.     |         |
|    |      |       |                                      |         |
|    |      |       | "36" Total Price.                    |         |
|    |      |       |                                      |         |
|    |      |       | "38" Total Cost Plus General and     |         |
|    |      |       | Administrative.                      |         |
|    |      |       |                                      |         |
|    |      |       | "39" Other Costs.                    |         |
|    |      |       |                                      |         |
|    |      |       | "42" Purchased Equipment.            |         |
|    |      |       |                                      |         |
|    |      |       | "43" Materials and Purchased Items.  |         |
|    |      |       |                                      |         |
|    |      |       | "46" Commercial Effort.              |         |
|    |      |       |                                      |         |
|    |      |       | "48" Indirect Labor.                 |         |
|    |      |       |                                      |         |
|    |      |       | "49" Employee Benefits.              |         |
|    |      |       |                                      |         |
|    |      |       | "52" Communications and Travel.      |         |
|    |      |       |                                      |         |
|    |      |       | "55" Facilities - Furniture and      |         |
|    |      |       | Equipment.                           |         |
|    |      |       |                                      |         |
|    |      |       | "70" Total Salaries and Wages.       |         |
|    |      |       |                                      |         |
|    |      |       | "71" Total Salaries and Wages and    |         |
|    |      |       | Employee Benefits.                   |         |
|    |      |       |                                      |         |
|    |      |       | "72" Total Purchased Equipment.      |         |
|    |      |       |                                      |         |
|    |      |       | "80" Publication Costs.              |         |
|    |      |       |                                      |         |
|    |      |       | "81" Consultant Services.            |         |
|    |      |       |                                      |         |
|    |      |       | "82" ADP Services.                   |         |
|    |      |       |                                      |         |
|    |      |       | "84" Total Direct Costs.             |         |
|    |      |       |                                      |         |
|    |      |       | "85" Human Subject Costs.            |         |
|    |      |       |                                      |         |
|    |      |       | "86" Animal Costs.                   |         |
|    |      |       |                                      |         |
|    |      |       | "87" Alterations and Renovations.    |         |
|    |      |       |                                      |         |
|    |      |       | "BL" Billings.                       |         |
|    |      |       |                                      |         |
|    |      |       | "ZZ" Mutually Defined.               |         |
+----+------+-------+--------------------------------------+---------+

+----+------+-------+--------------------------------------+---------+
|    | PD08 | 127   | Reference Identification             | O AN    |
|    |      |       |                                      | 1/30    |
|    |      |       | *If PD09 identifies a project role   |         |
|    |      |       | (e.g., Principal Investigator - a    |         |
|    |      |       | name of a person must be associated  |         |
|    |      |       | with a project role), use to         |         |
|    |      |       | indicate the Name of a Key Person    |         |
|    |      |       | (page DD, "NAME"). Maximum length    |         |
|    |      |       | constraint for middle initial is 1   |         |
|    |      |       | character. (NOTE: What should be     |         |
|    |      |       | done if the name exceeds 30          |         |
|    |      |       | characters?)*                        |         |
|    |      |       |                                      |         |
|    |      |       | *If PD09 identifies a labor category |         |
|    |      |       | (e.g., Technician - a name of a      |         |
|    |      |       | person cannot be associated with a   |         |
|    |      |       | labor category), use the number "1"  |         |
|    |      |       | to indicate one FTE.*                |         |
+----+------+-------+--------------------------------------+---------+
|    | PD09 | 352   | Description                          | O AN    |
|    |      |       |                                      | 1/80    |
|    |      |       | *Use to identify a project role or a |         |
|    |      |       | labor category. This corresponds to  |         |
|    |      |       | page DD, "ROLE ON PROJECT". For the  |         |
|    |      |       | role of principal investigator, use  |         |
|    |      |       | the letters "PI". Maximum length     |         |
|    |      |       | constraint for a project role or     |         |
|    |      |       | labor category is 30 characters.     |         |
|    |      |       | Note that future versions of this    |         |
|    |      |       | guide will limit the values          |         |
|    |      |       | permitted for this element.*         |         |
+----+------+-------+--------------------------------------+---------+
| N  | PD10 | 1401  | Proposed Data Detail Identifier Code | O ID    |
| /U |      |       |                                      | 1/3     |
+----+------+-------+--------------------------------------+---------+

##  PDD Segment (2/200)

**Table / Position:** 2 / 200

**Purpose:** To provide the rates, direct input, and pricing factors for
each element of work, cross-referenced to an applicable request or
submission.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | P    | 350   | Assignment Identification            | M AN    |
| /U | DD01 |       |                                      | 1/20    |
|    |      |       | *Use to indicate the number of       |         |
|    |      |       | months in the period specified by    |         |
|    |      |       | PD01. For a person, use to indicate  |         |
|    |      |       | the type of appointment (page DD,    |         |
|    |      |       | "TYPE APPT.")*                       |         |
+----+------+-------+--------------------------------------+---------+
|    | P    | 380   | Quantity                             | X R     |
|    | DD02 |       |                                      | 1/15    |
|    |      |       | *When PD03:01 is code "DO" and       |         |
|    |      |       | PD03:04 is code "8S", use to         |         |
|    |      |       | indicate the level of effort in      |         |
|    |      |       | months for the period.*              |         |
|    |      |       |                                      |         |
|    |      |       | *When PD03:01 is code "P1", use to   |         |
|    |      |       | indicate the salary requested (page  |         |
|    |      |       | DD, "SALARY REQUESTED").*            |         |
|    |      |       |                                      |         |
|    |      |       | *When PD07 is code 42, use to        |         |
|    |      |       | indicate the number of items being   |         |
|    |      |       | purchased, if applicable.*           |         |
+----+------+-------+--------------------------------------+---------+
| M  | P    | 782   | Monetary Amount                      | X R     |
| /U | DD03 |       |                                      | 1/15    |
|    |      |       | *Use to indicate the budget amount   |         |
|    |      |       | requested in PD07. If used to        |         |
|    |      |       | identify an individual's salary, and |         |
|    |      |       | the person is requesting no salary,  |         |
|    |      |       | cite a value of "0".*                |         |
|    |      |       |                                      |         |
|    |      |       | *When PD03:01 is code "DO" and       |         |
|    |      |       | PD03:04 is code "8S", use to         |         |
|    |      |       | indicate the salary requested (page  |         |
|    |      |       | DD, "SALARY REQUESTED"). Use with    |         |
|    |      |       | PD07 code "01".*                     |         |
|    |      |       |                                      |         |
|    |      |       | *When PD03:01 is code "P1", use to   |         |
|    |      |       | indicate the fringe benefits (page   |         |
|    |      |       | DD, "FRINGE BENEFITS"). Use with     |         |
|    |      |       | PD07 code of "49".*                  |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "70" to indicate |         |
|    |      |       | page DD, SUBTOTALS - SALARY          |         |
|    |      |       | REQUESTED.*                          |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "48" to indicate |         |
|    |      |       | page DD, SUBTOTALS - FRINGE          |         |
|    |      |       | BENEFITS.*                           |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "71" to indicate |         |
|    |      |       | page DD, SUBTOTALS - TOTALS and page |         |
|    |      |       | EE, PERSONNEL.*                      |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "81" to indicate |         |
|    |      |       | pages DD and EE, CONSULTANT COSTS.*  |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "72" to indicate |         |
|    |      |       | pages DD and EE, EQUIPMENT.*         |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "43" to indicate |         |
|    |      |       | pages DD and EE, SUPPLIES.*          |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "52" to indicate |         |
|    |      |       | pages DD and EE, TRAVEL.*            |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "85" to indicate |         |
|    |      |       | pages DD and EE, INPATIENT COSTS.*   |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "BL" to indicate |         |
|    |      |       | pages DD and EE, OUTPATIENT COSTS.*  |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "87" to indicate |         |
|    |      |       | pages DD and EE, ALTERATIONS AND     |         |
|    |      |       | RENOVATIONS.*                        |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "39" to indicate |         |
|    |      |       | pages DD and EE, OTHER EXPENSES.*    |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "04" to indicate |         |
|    |      |       | pages DD and EE, CONSORTIUM COSTS.   |         |
|    |      |       | To indicate direct and indirect      |         |
|    |      |       | consortium costs, use PD07 codes     |         |
|    |      |       | "84" and "09" respectively in the    |         |
|    |      |       | Consortium HL loop (HL03 code of     |         |
|    |      |       | "CO").*                              |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "84" to indicate |         |
|    |      |       | page DD, TOTAL DIRECT COSTS FOR      |         |
|    |      |       | INITIAL BUDGET PERIOD, page EE,      |         |
|    |      |       | TOTAL DIRECT COSTS, and page AA,     |         |
|    |      |       | numbers 7a and 8a.*                  |         |
|    |      |       |                                      |         |
|    |      |       | *Use with PD07 code "38" to indicate |         |
|    |      |       | total costs, page AA, numbers 7b and |         |
|    |      |       | 8b.*                                 |         |
|    |      |       |                                      |         |
|    |      |       | *All monetary amounts are            |         |
|    |      |       | constrained to ten decimal places,   |         |
|    |      |       | including the decimal point and      |         |
|    |      |       | cents (the decimal point and cents   |         |
|    |      |       | are optional).*                      |         |
+----+------+-------+--------------------------------------+---------+
|    | P    | 954   | Percent                              | X R     |
|    | DD04 |       |                                      | 1/10    |
|    |      |       | *Use to indicate the percent of      |         |
|    |      |       | effort on project by a person (page  |         |
|    |      |       | DD, "% EFFORT ON PROJ."). Round      |         |
|    |      |       | percent to nearest integer; do not   |         |
|    |      |       | use decimal point. Maximum number of |         |
|    |      |       | digits is 3.*                        |         |
+----+------+-------+--------------------------------------+---------+
| N  | P    | 1401  | Proposal Data Detail Identifier Code | O ID    |
| /U | DD05 |       |                                      | 1/3     |
+----+------+-------+--------------------------------------+---------+

##  LX Segment (2/330)

**Table / Position:** 2 / 330

**Purpose:** To reference a line number in a transaction set.

  ------- ------- -------- -------------------------------------- ------------
  Usage   Ref.    Data     Name                                   Attributes
          Des.    Elmt                                            

  M/U     LX01    554      Assigned Number                        M NO 1/6
  ------- ------- -------- -------------------------------------- ------------

## NM1 Segment (2/340)

**Table / Position:** 2 / 340

**Purpose:** To supply the full name of an individual or organizational
entity.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
| M  | N    | 98    | Entity Identifier Code               | M ID    |
| /U | M101 |       |                                      | 2/2     |
|    |      |       | "9P" Investigator. *Use to indicate  |         |
|    |      |       | the principal investigator.*         |         |
|    |      |       |                                      |         |
|    |      |       | "61" Performed At*. Used to indicate |         |
|    |      |       | Performance Site(s) (page BB).*      |         |
|    |      |       |                                      |         |
|    |      |       | "9K" Key Person*. Used to indicate   |         |
|    |      |       | the Name of Key Personnel (page      |         |
|    |      |       | BB).*                                |         |
+----+------+-------+--------------------------------------+---------+
| M  | N    | 1065  | Entity Type Qualifier                | M ID    |
| /U | M102 |       |                                      | 1/1     |
|    |      |       | "1" Person. *Use with Entity         |         |
|    |      |       | Identifier Codes "9P" and "9K".*     |         |
|    |      |       |                                      |         |
|    |      |       | "2" Non-person Entity*. Use with     |         |
|    |      |       | Entity Identifier Codes "61".*       |         |
+----+------+-------+--------------------------------------+---------+
|    | N    | 1035  | Name Last or Organization Name       | O AN    |
|    | M103 |       |                                      | 1/35    |
|    |      |       | *Maximum length for last name is 30  |         |
|    |      |       | characters (Will IMPAC II change to  |         |
|    |      |       | 35?)*                                |         |
|    |      |       |                                      |         |
|    |      |       | *Use N2 segment if Organization Name |         |
|    |      |       | exceeds 35 characters*               |         |
+----+------+-------+--------------------------------------+---------+
|    | N    | 1036  | Name First                           | O AN    |
|    | M104 |       |                                      | 1/25    |
+----+------+-------+--------------------------------------+---------+
|    | N    | 1037  | Name Middle                          | O AN    |
|    | M105 |       |                                      | 1/25    |
|    |      |       | *Only indicate middle initial with   |         |
|    |      |       | length of 1 character.*              |         |
+----+------+-------+--------------------------------------+---------+
|    | N    | 1038  | Name Prefix                          | O AN    |
|    | M106 |       |                                      | 1/10    |
+----+------+-------+--------------------------------------+---------+
|    | N    | 1039  | Name Suffix                          | 0 AN    |
|    | M107 |       |                                      | 1/10    |
|    |      |       | *Maximum length for name suffix is 5 |         |
|    |      |       | characters. (Will IMPAC II change to |         |
|    |      |       | 10?)*                                |         |
+----+------+-------+--------------------------------------+---------+

+----+------+-------+--------------------------------------+---------+
|    | N    | 66    | Identification Code Qualifier        | X ID    |
|    | M108 |       |                                      | 1/2     |
|    |      |       | *Not captured by NIH for Phase 1.*   |         |
+----+------+-------+--------------------------------------+---------+
|    | N    | 67    | Identification Code                  | X AN    |
|    | M109 |       |                                      | 2/20    |
|    |      |       | *Not captured by NIH for Phase 1.*   |         |
+----+------+-------+--------------------------------------+---------+
| N  | N    | 706   | Entity Relationship Code             | X ID    |
| /U | M110 |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
| N  | NM11 | 98    | Entity Identifier Code               | O ID    |
| /U |      |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+

## N2 Segment (2/350)

**Table / Position:** 2 / 350

**Purpose:** To specify additional names or names longer than 35
characters in length.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | N201 | 93    | Address Information                 | M AN     |
| /U |      |       |                                     | 1/35     |
|    |      |       | *Use with NM103 to specify an       |          |
|    |      |       | organization name which is longer   |          |
|    |      |       | than 35 characters. NIH will append |          |
|    |      |       | N301 to NM103. Maximum length for   |          |
|    |      |       | NM103 + N201 is 40 characters.      |          |
|    |      |       | (Will IMPAC II change to 70?)*      |          |
|    |      |       |                                     |          |
|    |      |       | *Use with NM101 codes "9P" and "9K" |          |
|    |      |       | to indicate the Organization for    |          |
|    |      |       | KEY PERSONNEL, page BB (NM103 is    |          |
|    |      |       | used for the person's last name).*  |          |
+----+------+-------+-------------------------------------+----------+
|    | N202 | 93    | Address Information                 | O AN     |
|    |      |       |                                     | 1/35     |
|    |      |       | *Not captured by NIH.*              |          |
+----+------+-------+-------------------------------------+----------+

## N3 Segment (2/360)

**Table / Position:** 2 / 360

**Purpose:** To specify the location of the named party.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | N301 | 166   | Address Information                 | M AN     |
| /U |      |       |                                     | 1/35     |
|    |      |       | *Use to indicate street address     |          |
|    |      |       | portion of mailing address.*        |          |
+----+------+-------+-------------------------------------+----------+
|    | N302 | 166   | Address Information                 | O AN     |
|    |      |       |                                     | 1/35     |
|    |      |       | *Use to indicate street address     |          |
|    |      |       | portion of mailing address.*        |          |
+----+------+-------+-------------------------------------+----------+

##  N4 Segment (2/370)

**Table / Position:** 2 / 370

**Purpose:** To specify the geographic location of the named party.

+----+------+-------+--------------------------------------+---------+
| U  | Ref. | Data  | Name                                 | Att     |
| sa | Des. | Elmt  |                                      | ributes |
| ge |      |       |                                      |         |
+----+------+-------+--------------------------------------+---------+
|    | N401 | 19    | City Name                            | O AN    |
|    |      |       |                                      | 2/30    |
+----+------+-------+--------------------------------------+---------+
|    | N402 | 156   | State or Province Code               | O ID    |
|    |      |       |                                      | 2/2     |
+----+------+-------+--------------------------------------+---------+
|    | N403 | 116   | Postal Code                          | O ID    |
|    |      |       |                                      | 3/15    |
|    |      |       | *Maximum length for Postal Code is 9 |         |
|    |      |       | characters.*                         |         |
+----+------+-------+--------------------------------------+---------+
|    | N404 | 26    | Country Code                         | O ID    |
|    |      |       |                                      | 2/3     |
|    |      |       | *Not captured by NIH for Phase 1.*   |         |
+----+------+-------+--------------------------------------+---------+
|    | N405 | 309   | Location Qualifier                   | X ID    |
|    |      |       |                                      | 1/2     |
|    |      |       | *Not captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+
|    | N406 | 310   | Location Qualifier                   | O AN    |
|    |      |       |                                      | 1/30    |
|    |      |       | *Not captured by NIH.*               |         |
+----+------+-------+--------------------------------------+---------+

## PER Segment (2/375)

**Table / Position:** 2 / 375

**Purpose:** To identify a person or office to whom administrative
communications should be directed.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | P    | 366   | Contact Function Code               | M ID 2/2 |
| /U | ER01 |       |                                     |          |
|    |      |       | "IC" Information Contact.           |          |
+----+------+-------+-------------------------------------+----------+
| N  | P    | 93    | Name                                | O AN     |
| /U | ER02 |       |                                     | 1/35     |
+----+------+-------+-------------------------------------+----------+
| M  | P    | 365   | Communication Number Qualifier      | X ID 2/2 |
| /U | ER03 |       |                                     |          |
|    |      |       | *Use PER03-PER08 to indicate the    |          |
|    |      |       | e-mail address, telephone number,   |          |
|    |      |       | and FAX number for the PI. This     |          |
|    |      |       | correlates to page AA, numbers 3e   |          |
|    |      |       | (e-mail) and 3h.*                   |          |
|    |      |       |                                     |          |
|    |      |       | *Maximum length for telephone       |          |
|    |      |       | number is 25 characters.*           |          |
|    |      |       |                                     |          |
|    |      |       | *Maximum length for FAX number is   |          |
|    |      |       | 25 characters.*                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | P    | 364   | Communication Number                | X AN     |
| /U | ER04 |       |                                     | 1/80     |
+----+------+-------+-------------------------------------+----------+
|    | P    | 365   | Communication Number Qualifier      | X ID 1/2 |
|    | ER05 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | P    | 364   | Communication Number                | X AN     |
|    | ER06 |       |                                     | 1/80     |
+----+------+-------+-------------------------------------+----------+
|    | P    | 365   | Communication Number Qualifier      | X ID 1/2 |
|    | ER07 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | P    | 364   | Communication Number                | X AN     |
|    | ER08 |       |                                     | 1/80     |
+----+------+-------+-------------------------------------+----------+
| N  | P    | 443   | Contact Inquiry Reference           | O AN     |
| /U | ER09 |       |                                     | 1/20     |
+----+------+-------+-------------------------------------+----------+

## DMG Segment (2/380)

**Table / Position:** 2 / 380

**Purpose:** To supply demographic information.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | D    | 1250  | Date Time Period Format Qualifier   | X ID 2/3 |
| /U | MG01 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | D    | 1251  | Date Time Period                    | X AN     |
| /U | MG02 |       |                                     | 1/35     |
+----+------+-------+-------------------------------------+----------+
|    | D    | 1068  | Gender Code                         | O ID 1/1 |
|    | MG03 |       |                                     |          |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+
| N  | D    | 1067  | Marital Status Code                 | O ID 1/1 |
| /U | MG04 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | D    | 1109  | Race or Ethnicity Code              | O ID 1/1 |
|    | MG05 |       |                                     |          |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+
|    | D    | 1066  | Citizenship Status Code             | O ID 1/2 |
|    | MG06 |       |                                     |          |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+
| N  | D    | 26    | Country Code                        | O ID 2/3 |
| /U | MG07 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | D    | 659   | Basis of Verification Code          | O ID 1/2 |
| /U | MG08 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | D    | 380   | Quantity                            | O R 1/15 |
| /U | MG09 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+

## EMS Segment (2/390)

**Table / Position:** 2 / 390

**Purpose:** To describe employment position.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | E    | 352   | Description                         | M AN     |
| /U | MS01 |       |                                     | 1/80     |
|    |      |       | *Use to indicate the Role on        |          |
|    |      |       | Project for KEY PERSONNEL (page     |          |
|    |      |       | BB). Maximum length for Role on     |          |
|    |      |       | Project is 30 characters. Note that |          |
|    |      |       | future versions of this guide will  |          |
|    |      |       | limit the values permitted for this |          |
|    |      |       | element.*                           |          |
+----+------+-------+-------------------------------------+----------+
| N  | E    | 1176  | Employment Class Code               | O ID 2/3 |
| /U | MS02 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | E    | 1149  | Occupation Code                     | O ID 4/6 |
| /U | MS03 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | E    | 584   | Employment Status Code              | O ID 2/2 |
|    | MS04 |       |                                     |          |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+
| N  | E    | 128   | Reference Number Qualifier          | X ID 2/3 |
| /U | MS05 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | E    | 127   | Reference Number                    | X AN     |
| /U | MS06 |       |                                     | 1/30     |
+----+------+-------+-------------------------------------+----------+
| N  | E    | 127   | Reference Number                    | O AN     |
| /U | MS07 |       |                                     | 1/30     |
+----+------+-------+-------------------------------------+----------+

##  N9 Segment (2/400)

**Table / Position:** 2 / 400

**Purpose:** To transmit identifying numbers and descriptive information
as specified by the reference number qualifier.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | N901 | 128   | Reference Number Qualifier          | M ID 2/3 |
| /U |      |       |                                     |          |
|    |      |       | "19" Division Identifier.           |          |
|    |      |       |                                     |          |
|    |      |       | "DP" Department Number.             |          |
|    |      |       |                                     |          |
|    |      |       | "P5" Position Code.                 |          |
|    |      |       |                                     |          |
|    |      |       | "SY" Social Security Number.        |          |
+----+------+-------+-------------------------------------+----------+
| M  | N902 | 127   | Reference Number                    | X AN     |
| /U |      |       |                                     | 1/30     |
|    |      |       | *Use with qualifier "19" to         |          |
|    |      |       | indicate Major Subdivision, e.g.,   |          |
|    |      |       | School of Medicine (page AA, number |          |
|    |      |       | 3g). Note that future versions of   |          |
|    |      |       | this guide will limit the values    |          |
|    |      |       | permitted for this element.*        |          |
|    |      |       |                                     |          |
|    |      |       | *Use with qualifier "DP" to         |          |
|    |      |       | indicate Department, e.g., Material |          |
|    |      |       | Research Laboratory (page AA,       |          |
|    |      |       | number 3f). Note that future        |          |
|    |      |       | versions of this guide will limit   |          |
|    |      |       | the values permitted for this       |          |
|    |      |       | element.*                           |          |
|    |      |       |                                     |          |
|    |      |       | *Use with qualifier "SY" to         |          |
|    |      |       | indicate PI's SSN (page AA, number  |          |
|    |      |       | 3c). Maximum length of SSN is 9     |          |
|    |      |       | characters.*                        |          |
+----+------+-------+-------------------------------------+----------+
|    | N903 | 369   | Free-form Description               | X AN     |
|    |      |       |                                     | 1/45     |
|    |      |       | *Use with qualifier "P5" to         |          |
|    |      |       | indicate the position title of the  |          |
|    |      |       | PI (page AA, number 3d). Maximum    |          |
|    |      |       | length of position title is 40      |          |
|    |      |       | characters. Cite a value of "1" in  |          |
|    |      |       | N902 to preserve X12 syntax rules.  |          |
|    |      |       | Note that future versions of this   |          |
|    |      |       | guide will limit the values         |          |
|    |      |       | permitted for this element.*        |          |
+----+------+-------+-------------------------------------+----------+
|    | N904 | 373   | Date                                | O DT 6/6 |
|    |      |       |                                     |          |
|    |      |       | *Not captured by NIH*               |          |
+----+------+-------+-------------------------------------+----------+
| N  | N905 | 337   | Time                                | X TM 4/8 |
| /U |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| N  | N906 | 623   | Time Code                           | O ID 2/2 |
| /U |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | N907 | C040  | Reference Identifier                | O        |
|    |      |       |                                     |          |
|    |      |       | *Not captured by NIH.*              |          |
+----+------+-------+-------------------------------------+----------+

##  DEG Segment (2/420)

**Table / Position:** 2 / 420

**Purpose:** To provide the receiving institution or agency notice of
academic awards made to the student whose record is being transmitted.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | D    | 1126  | Academic Degree Code                | M ID 3/3 |
| /U | EG01 |       |                                     |          |
|    |      |       | *Not captured by NIH for Phase 1.*  |          |
+----+------+-------+-------------------------------------+----------+
| M  | D    | 1250  | Date Time Period Format Qualifier   | X ID 2/3 |
| /U | EG02 |       |                                     |          |
|    |      |       | "CM".                               |          |
+----+------+-------+-------------------------------------+----------+
| M  | D    | 1251  | Date Time Period                    | X AN     |
| /U | EG03 |       |                                     | 1/35     |
+----+------+-------+-------------------------------------+----------+
|    | D    | 352   | Description                         | O AN     |
|    | EG04 |       |                                     | 1/80     |
|    |      |       | *Use free-form text to indicate     |          |
|    |      |       | degree(s) of PI. Correlates to page |          |
|    |      |       | AA, number 3b. Maximum length for a |          |
|    |      |       | degree is 4 characters. Maximum     |          |
|    |      |       | number of degrees is three. Note    |          |
|    |      |       | that future versions of this guide  |          |
|    |      |       | will limit the values permitted for |          |
|    |      |       | this element.*                      |          |
+----+------+-------+-------------------------------------+----------+
| N  | D    | 641   | Status Reason Code                  | O ID 3/3 |
| /U | EG05 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+

## SE Segment (2/480)

**Table / Position:** 2 / 480

**Purpose:** To indicate the end of the transaction set and provide the
count of the transmitted segments (including the beginning (ST) and
ending (SE) segments).

  ------- ------- -------- -------------------------------------- ------------
  Usage   Ref.    Data     Name                                   Attributes
          Des.    Elmt                                            

  M/U     SE01    96       Number of Included Segments            M NO 1/10

  M/U     SE02    329      Transaction Set Control Number         M AN 4/9
  ------- ------- -------- -------------------------------------- ------------

# 997 Transaction Set

Upon receipt of a 194 transaction set, NIH performs a syntactical
analysis on the data received. NIH uses the 997 transaction set to
inform the originator of the 194 whether the 194 was accepted or
rejected. If syntactical errors are encountered, the 997 conveys the
relevant information concerning the errors. Note that the 997 is not
used to indicate a response to the semantic meaning of information
encoded in the 194 transaction.

  ------------------- ------------------- ----------------------------- --------------------- -------------------- -------------------------- -------
  **[Pos              **[Seg              **[Name]{.underline}**        **[Req.               **[Max               **[Repeat]{.underline}**   
  No]{.underline}**   ID]{.underline}**                                 Des.]{.underline}**   Use]{.underline}**                              

  010                 ST                  Transaction Set Header        M                     1                                               

  020                 AK1                 Functional Group Response     M                     1                                               
                                          Header                                                                                              

                                          LOOP ID - AK2                                                            999999                     

  030                 AK2                 Transaction Set Response      O                     1                                               
                                          Header                                                                                              

                                          LOOP ID - AK3                                                            999999                     

  040                 AK3                 Data Segment Note             O                     1                                               

  050                 AK4                 Data Element Note             O                     99                                              

  060                 AK5                 Transaction Set Response      M                     1                                               
                                          Trailer                                                                                             

  070                 AK9                 Functional Group Response     M                     1                                               
                                          Trailer                                                                                             

  080                 SE                  Transaction Set Trailer       M                     1                                               
  ------------------- ------------------- ----------------------------- --------------------- -------------------- -------------------------- -------

## ST Segment

**Position:** 010

**Purpose:** To indicate the start of a transaction set and to assign a
control number.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | ST01 | 143   | Transaction Set Identifier Code     | M ID 3/3 |
| /U |      |       |                                     |          |
|    |      |       | "997"                               |          |
+----+------+-------+-------------------------------------+----------+
| M  | ST02 | 329   | Transaction Set Control Number      | M AN 4/9 |
| /U |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+

## AK1 Segment

**Position:** 020

**Purpose:** To start acknowledgment of a functional group.

  ------- ------- -------- -------------------------------------- ------------
  Usage   Ref.    Data     Name                                   Attributes
          Des.    Elmt                                            

  M/U     AK101   479      Functional Identifier Code             M ID 2/2

  M/U     AK102   28       Group Control Number                   M NO 1/9
  ------- ------- -------- -------------------------------------- ------------

##  AK2 Segment

**Position:** 030

**Purpose:** To start acknowledgment of a single transaction set.

  ------- ------- -------- -------------------------------------- ------------
  Usage   Ref.    Data     Name                                   Attributes
          Des.    Elmt                                            

  M/U     AK201   143      Transaction Set Identifier Code        M ID 3/3

  M/U     AK202   329      Transaction Set Control Number         M AN 4/9
  ------- ------- -------- -------------------------------------- ------------

## AK3 Segment

**Position:** 040

**Purpose:** To report errors in a data segment and to identify the
location of the data segment.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | 721   | Segment ID Code                     | M ID 2/3 |
| /U | K301 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | 719   | Segment Position in Transaction Set | M NO 1/6 |
| /U | K302 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 447   | Loop Identifier Code                | O AN 1/4 |
|    | K303 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 720   | Segment Syntax Error Code           | O ID 1/3 |
|    | K304 |       |                                     |          |
|    |      |       | *Identifies why NIH rejected the    |          |
|    |      |       | segment.*                           |          |
+----+------+-------+-------------------------------------+----------+

## AK4 Segment

**Position:** 050

**Purpose:** To report errors in a data element and to identify the
location of the data element.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | C030  | Position in Segment                 | M        |
| /U | K401 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | C0   | 722   | Element Position in Segment         | M NO 1/2 |
| /U | 3001 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | C00  | 1528  | Component Data Element Position in  | O NO 1/2 |
|    | 3002 |       | Composite                           |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 725   | Data Element Reference Number       | O NO 1/4 |
|    | K402 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | 723   | Data Element Syntax Error Code      | M ID 1/3 |
| /U | K403 |       |                                     |          |
|    |      |       | *Identifies why NIH rejected the    |          |
|    |      |       | data element.*                      |          |
+----+------+-------+-------------------------------------+----------+
| O  | A    | 724   | Copy of Bad Data Element            | O AN     |
|    | K404 |       |                                     | 1/99     |
+----+------+-------+-------------------------------------+----------+

##  AK5 Segment

**Position:** 060

**Purpose:** To acknowledge acceptance or rejection and to report errors
in a transaction set.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | 717   | Transaction Set Acknowledgment      | M ID 1/1 |
| /U | K501 |       | Number                              |          |
|    |      |       |                                     |          |
|    |      |       | "A" Accepted                        |          |
|    |      |       |                                     |          |
|    |      |       | "E" Accepted But Errors Were Found  |          |
|    |      |       |                                     |          |
|    |      |       | "P" Partially Accepted              |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 718   | Transaction Set Syntax Error Code   | O ID 1/3 |
|    | K502 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 718   | Transaction Set Syntax Error Code   | O ID 1/3 |
|    | K503 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 718   | Transaction Set Syntax Error Code   | O ID 1/3 |
|    | K504 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 718   | Transaction Set Syntax Error Code   | O ID 1/3 |
|    | K505 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 718   | Transaction Set Syntax Error Code   | O ID 1/3 |
|    | K506 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+

##  AK9 Segment

**Position:** 070

**Purpose:** To acknowledge acceptance or rejection of a functional
group and to report the number of included transaction sets from the
original trailer, the accepted sets, and the received sets in this
functional group.

+----+------+-------+-------------------------------------+----------+
| U  | Ref. | Data  | Name                                | At       |
| sa | Des. | Elmt  |                                     | tributes |
| ge |      |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | 715   | Functional Group Acknowledgment     | M ID 1/1 |
| /U | K901 |       | Code                                |          |
|    |      |       |                                     |          |
|    |      |       | "A" Accepted                        |          |
|    |      |       |                                     |          |
|    |      |       | "E" Accepted But Errors Were Found  |          |
|    |      |       |                                     |          |
|    |      |       | "P" Partially Accepted              |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | 97    | Number of Transaction Sets Included | M NO 1/6 |
| /U | K902 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | 123   | Number of Received Transaction Sets | M NO 1/6 |
| /U | K903 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
| M  | A    | 2     | Number of Accepted Transaction Sets | M NO 1/6 |
| /U | K904 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 716   | Function Group Syntax Error Code    | O ID 1/3 |
|    | K905 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 716   | Function Group Syntax Error Code    | O ID 1/3 |
|    | K906 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 716   | Function Group Syntax Error Code    | O ID 1/3 |
|    | K907 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 716   | Function Group Syntax Error Code    | O ID 1/3 |
|    | K908 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+
|    | A    | 716   | Function Group Syntax Error Code    | O ID 1/3 |
|    | K909 |       |                                     |          |
+----+------+-------+-------------------------------------+----------+

## SE Segment

**Position:** 080

**Purpose:** To indicate the end of the transaction set and provide the
count of the transmitted segments (including the beginning (ST) and
ending (SE) segments).

  ------- ------- -------- -------------------------------------- ------------
  Usage   Ref.    Data     Name                                   Attributes
          Des.    Elmt                                            

  M/U     SE01    96       Number of Included Segments            M NO 1/10

  M/U     SE02    329      Transaction Set Control Number         M AN 4/9
  ------- ------- -------- -------------------------------------- ------------

**Appendix A. Sample 194 Transaction Set**

**Heading:**

ST\*194\*123456789\<NL\>

BGN\*00\*UniversityGrantID01\****940602***\*1200\*LT\*\* // Date
associated with signing official.

***S4***\<NL\> // Type of application.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**N9 Loop:**

N9\*4W\*\*TITLE\<NL\>

MTX***\*\*VITAMIN E ATHEROSCLEROSIS*** // Title of project.

***PREVENTION STUDY***\<NL\>

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**NM1 Loop:**

NM1\*AD\*1\****BRAHE***\****TYCHO***\****H***\<NL\> // Name of
administrative official (AO).

N3\****DEPT OF CONTRACTS & GRANTS***\* // Address of AO.

***1450 SAN PABLO ST, DEI-5416***\<NL\>

N4\****LOS ANGELES***\****CA***\****90033***\<NL\> // Address of AO.

N9\*P5\*\****DEPUTY DIRECTOR***\<NL\> // Title of AO.

PER\*IC\*\*EM\****TBRAHE@MIZAR.USC.EDU***\* // Email address of AO.

FX\****2133422835***\*TE\****2133422396***\<NL\> // FAX and telephone of
AO.

NM1\*1B\*1\****BRUNO***\****GIORDANO***\*\*\****JR***\<NL\> // Name of
the signing official.

N3\****DEPT OF CONTRACTS & GRANTS***\* // Address of the signing
official.

***1450 SAN PABLO ST, DEI-5416***\<NL\>

N4\****LOS ANGELES***\****CA***\****90033***\<NL\> // Address of the
signing official.

N9\*P5\*\****PROVOST & SENIOR VP FOR*** // Title of the signing
official.

***ACADEMIC AFFAIRS***\<NL\>

PER\*IC\*\*FX\****2133422835***\*TE\****2133422396***\<NL\> // FAX and
telephone of the signing official.

NM1\*SE\*2\<NL\>

N9\*19\****01***\<NL\> // Organizational component code.

N9\*CR\****7636101***\<NL\> // Organization's IPF number.

N9\*EI\****1951642394A1***\<NL\> // Organization's EIN.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Detail:**

**HL Loop:**

HL\*1\*\*PC\*1\<NL\> // Project loop

DTM\*193\****950401***\<NL\> // Proposed period of support (From).

DTM\*194\****970401***\<NL\> // Proposed period of support (Through).

PAM\*A3\*24\*MO\<NL\> // Planned duration of project.

NX1\****A8***\<NL\> // Type of organization.

YNQ\*H2\*Y\<NL\> // Human subjects used?

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**N9 Loop:**

N9\*F4\****M137201XB***\*PENDING\<NL\> // Assurance of compliance
number.

N9\*Y9\****A3033-01***\*\* // Animal welfare assurance number.

***940201***\<NL\> // IACUC approval date.

N9\*L4\*A\<NL\>

MTX\*\****THIS IS WHERE THE ABSTRACT*** // Abstract.

***WOULD GO***\<NL\>

N9\*L4\*B.2\<NL\>

MTX\*\****THIS IS WHERE THE RESEARCH PLAN*** // Research plan specific
aims.

***SPECIFIC AIMS WOULD GO***\<NL\>

N9\*L4\*C.1\<NL\>

MTX\*\****THIS IS WHERE THE BUDGET*** // Budget justification.

***JUSTIFICATION WOULD GO***\<NL\>

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**PPL Loop:**

PPL\*\*\*\*T\*AC\<NL\> // Begin total project budget.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**PD Loop:**

PD\*CC\****950401***\*DO\*1\*TPC\* // Project start date is 950401.

Total Project Cost\*38\<NL\>

PDD\*24\*\****1098404***\<NL\> // Project is for 24 months; amount

// of funding requested is \$1,098,404.

PD\*CC\*950401\*DO\*1\*TPDC\* // Direct costs for total project budget.

Total Project Direct Cost\*84\<NL\>

PDD\*24\*\****1098404***\<NL\> // This project has no indirect costs.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

PPL\*\*\*\*1\*AC\<NL\> // Begin initial year project budget.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**PD Loop:**

PD\*CY\*950401\*DO: : :8S\****110000***\*DL\* // Institution base salary
for person.

DIRECT LABOR\*01\****GALILEI GALILEO***\* // Name of person.

***PRINCIPAL INVESTIGATOR***\<NL\> // Role of person.

PDD\****12***\*4.8\****44000***\****40***\<NL\> // 12 months for initial
budget.

// 40% of 12 months = 4.8 months.

// \$44000 is salary requested.

// 40% effort on project.

PD\*CY\*950401\*P1\*31.3\*DL-FB\* // 31.3 is % fringe benefits.

DIRECT LABOR - FRINGE BENEFITS\*49\* // Fringe benefits for a person
must

GALILEI GALILEO\* // immediately follow the iteration of

PRINCIPAL INVESTIGATOR\<NL\> // the PD loop identifying the person.

PDD\*12\*44000\****13772***\<NL\> // Dollar amount for fringe benefits.

PD\*AP\*950401\*DO: : :8S\****119719***\*DL\*\*01\* // Next budget entry
for person.

***COPERNICUS NICHOLAUS***\* // Same structure as previous entry, but

***CO-PRINCIPAL INVESTIGATOR***\<NL\> // uses academic period.

PDD\****9***\*1.8\****11972***\****20***\<NL\>

PD\*AP\*950401\*P1\*31.3\*DL-FB\*\*49\*COPERNICUS

NICHOLAUS\*CO-PRINCIPAL INVESTIGATOR\<NL\>

PDD\*9\*11972\****3747***\<NL\>

PD\*SP\*950401\*DO: : :8S\****26602***\*DL\*\*01\* // Next budget entry
for person.

COPERNICUS NICHOLAUS\* // This person is budgeted for both

CO-PRINCIPAL INVESTIGATOR\<NL\> // academic period and summer period.

PDD\****2***\*2\****26602***\****100***\<NL\>

PD\*SP\*950401\*P1\*31.3\*DL-FB\*\*49\*COPERNICUS

NICHOLAUS\*CO-PRINCIPAL INVESTIGATOR\<NL\>

PDD\*2\*26602\****8326***\<NL\>

PD\*CY\*950401\*DO: : :8S\****125000***\*DL\*\*01\* // Next budget entry
for person.

***NEWTON ISAAC***\****CO-INVESTIGATOR***\<NL\>

PDD\****12***\*1.2\****0***\****10***\<NL\> // No salary or fringe
benefits are requested

// for this person.

PD\*CY\*950401\*DO: : :8S\****25331***\*DL\*\*01\* // Next budget entry
for person.

***KEPLAR JOHANNES***\****DATA CLERK***\<NL\> // This exemplifies a
named, non-key

// person.

PDD\****12***\*6\****12666***\****50***\<NL\>

PD\*CY\*950401\*P1\*31.3\*DL-FB\*\*49\*

KEPLAR JOHANNES\*DATA CLERK\<NL\>

PDD\*12\*12666\****3964***\<NL\>

PD\*CY\*950401\*DO: : :8S\****50000***\*DL\*\*01\* // Next budget entry
for person.

***1\*NURSE MANAGER***\<NL\> // This exemplifies a non-key person,

// where the labor category is specified.

PDD\****12***\*12\****35000***\****100***\<NL\>

PD\*CY\*950401\*P1\*31.3\*DL-FB\*\*49\*

1\*NURSE MANAGER\<NL\>

PDD\*12\*35000\****10955***\<NL\>

PD\*CY\*950401\*DO: : :8S\****32000***\*DL\*\*01\* // Next budget entry
for person.

***1\*TECHNICIAN***\<NL\> // This exemplifies the budget for multiple

// non-key, non-named persons, where

PDD\****12***\*12\****32000***\****100***\<NL\> // each person in a
labor category

// (Technician) is specified on a

PD\*CY\*950401\*P1\*30\*DL-FB\*\*49\* // separate line item.

1\*TECHNICIAN\<NL\>

PDD\*12\*32000\****9600***\<NL\>

PD\*CY\*950401\*DO: : :8S\****36000***\*DL\*\*01\*

***1\*TECHNICIAN***\<NL\>

PDD\****12***\*12\****36000***\****100***\<NL\>

PD\*CY\*950401\*P1\*30\*DL-FB\*\*49\*

1\*TECHNICIAN\<NL\>

PDD\*12\*36000\****10800***\<NL\>

PD\*CC\*950401\*DO\*1\*TDL\* // Budget entry for total direct labor.

TOTAL DIRECT LABOR\*70\<NL\>

PDD\*12\*\*198240\<NL\> // Sum of all salaries.

PD\*CC\*950401\*DO\*1\*TFB\* // Budget entry for total fringe benefits.

TOTAL FRINGE BENEFITS\*48\<NL\>

PDD\*12\*\*61164\<NL\> // Sum of all fringe benefits.

PD\*CC\*950401\*DO\*1\*TDL-TFB\*TOTAL DIRECT // Budget entry for total
salaries and

LABOR - TOTAL FRINGE BENEFITS\*71\<NL\> // benefits.

PDD\*12\*\*259404\<NL\> // Sum of all salaries and benefits.

PD\*CC\*950401\*DO\*1\*CS\*CONSULTANT COSTS\* // Budget entry for
consultant costs.

81\<NL\>

PDD\*12\*\****22400***\<NL\> // Cost for consultants.

PD\*CC\*950401\*DO\*1\*EQ\*EQUIPMENT\*42***\*\**** // Budget entry for
equipment.

SINGLE CELL PERFUSION CHAMBERS AND

FILTER SETS\<NL\>

PDD\*12\*1\*5500\<NL\> // Number and cost of equipment.

PD\*CC\*950401\*DO\*1\*EQ\*EQUIPMENT\*42***\*\**** // Next budget entry
for equipment.

CENTRIFUGE\<NL\>

PDD\*12\*1\*15000\<NL\> // Number and cost of equipment.

PD\*CC\*950401\*DO\*1\*TEQ\* // Budget entry for total equipment.

TOTAL EQUIPMENT\*72\<NL\>

PDD\*12\*\****20500***\<NL\> // Sum of all equipment.

PD\*CC\*950401\*DO\*1\*EQP MAINT\* // Budget entry for equipment
maintenance.

EQUIPMENT MAINTENANCE\*55\<NL\>

PDD\*12\*\****1183***\<NL\> // Cost of equipment maintenance.

PD\*CC\*950401\*DO\*1\*SPL\*SUPPLIES\*43\<NL\> // Budget entry for
supplies.

PDD\*12\*\****5400***\<NL\> // Cost of supplies.

PD\*CC\*950401\*DO\*1\*TRV\*TRAVEL\*52\<NL\> // Budget entry for travel.

PDD\*12\*\****4000***\<NL\> // Cost of travel.

PD\*CC\*950401\*DO\*1\*PUB\* // Budget entry for publication costs.

PUBLICATION COSTS\*80\<NL\>

PDD\*12\*\****1500***\<NL\> // Publication costs.

PD\*CC\*950401\*DO\*1\*PCC - IN \* // Budget entry for inpatient care
costs.

PATIENT CARE COSTS - INPATIENT\*85\<NL\>

PDD\*12\*\****3500***\<NL\> // Cost of inpatient care.

PD\*CC\*950401\*DO\*1\*PCC - OUT\* // Budget entry for outpatient care
costs.

PATIENT CARE COSTS - OUTPATIENT\*BL\<NL\>

PDD\*12\*\****84720***\<NL\> // Cost of outpatient care.

PD\*CC\*950401\*DO\*1\*ANM\* // Budget entry for animal costs.

ANIMAL COSTS\*86\<NL\>

PDD\*12\*\****4400***\<NL\> // Animal costs.

PD\*CC\*950401\*DO\*1\*A&R\* // Budget entry for alterations and

ALTERATIONS AND RENOVATIONS\*87\<NL\> // renovations.

PDD\*12\*\****28750***\<NL\> // Cost of alterations and renovations.

PD\*CC\*950401\*DO\*1\*OTHER\* // Budget entry for other expenses.

OTHER EXPENSES\*39\<NL\>

PDD\*12\*\****35000***\<NL\> // Cost of other expenses.

PD\*CC\*950401\*DO\*1\*ODC\* // Budget entry for other direct costs.

OTHER DIRECT COSTS\*03\<NL\>

PDD\*12\*\*98633\<NL\> // This is an aggregated amount.

PD\*CC\*950401\*DO\*1\*TDC\* // Budget entry for total direct costs

TOTAL DIRECT COSTS\*84\<NL\>

PDD\*12\*\*470757\<NL\> // This is an aggregated amount.

PD\*CC\*950401\*DO\*1\*TC\* // Budget entry for total costs.

TOTAL COSTS\*38\<NL\>

PDD\****12***\*\*470757\<NL\> // This is an aggregated amount. Note //
specification of length of initial budget // period.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

PPL\*\*\*\*2\*AC\<NL\> // Begin second year project budget

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**PD Loop:**

PD\*CC\*950401\*DO\*1\*TDL-TFB\*\*71\<NL\> // Budget entry for total
salaries and

// benefits.

PDD\*12\*\****465898***\<NL\> // Cost of salaries and benefits.

PD\*CC\*950401\*DO\*1\*CS\*\*81\<NL\> // Budget entry for consultant
services.

PDD\*12\*\****23296***\<NL\> // Cost of consultant services.

PD\*CC\*950401\*DO\*1\*SPL\*\*43\<NL\> // Budget entry for supplies.

PDD\*12\*\****5616***\<NL\> // Cost of supplies.

PD\*CC\*950401\*DO\*1\*TRV\*\*52\<NL\> // Budget entry for travel.

PDD\*12\*\****4098***\<NL\> // Cost of travel.

PD\*CC\*950401\*DO\*1\*PCC - OUT\*\*BL\<NL\> // Budget entry for
outpatient care costs.

PDD\*12\*\****87648***\<NL\> // Cost of outpatient care.

PD\*CC\*950401\*DO\*1\*OTHER\*\*39\<NL\> // Budget entry for other
expenses.

PDD\*12\*\****41091***\<NL\> // Cost of other expenses.

PD\*CC\*950401\*DO\*1\*ODC\*\*03\<NL\> // Budget entry for other direct
costs.

PDD\*12\*\*70003\<NL\> // This is an aggregated amount.

PD\*CC\*950401\*DO\*1\*TDC\*\*84\<NL\> // Budget entry for total direct
costs.

PDD\*12\*\*627647\<NL\> // This is an aggregated amount.

PD\*CC\*950401\*DO\*1\*TC\*\*38\<NL\> // Budget entry for total costs.

PDD\*12\*\*627647\<NL\> // This is an aggregated amount.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**LX Loop:**

LX\*01\<NL\>

NM1\*9P\*1\****GALILEI***\****GALILEO***\****N***\<NL\> //
Identification of the PI

N2\****UNIVERSITY OF SOUTHERN CALIFORNIA***\<NL\> // PI organization

N3\****ATHEROSCLEROSIS RESEARCH UNIT***\* // PI address

***2250 ALCAZAR ST., CSC-132***\<NL\>

N4\****LOS ANGELES***\****CA***\****90033***\<NL\> // PI city, state,
and zip code

PER\*IC\*\*EM\****GGALILEI@USC.EDU***\* // Email address of PI.

FX\****2133422685***\*TE\****2133421478***\<NL\> // FAX and telephone of
PI.

DMG\*\*\*\*\*\*1\<NL\> // Citizenship of PI.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**N9 Loop:**

N9\*19\****01***\<NL\> // Division of PI.

N9\*DP\****MDK***\<NL\> // Department of PI.

N9\*SY\****123456789***\<NL\> // SSN of PI.

N9\*P5\*1\****ASSISTANT PROFESSOR***\<NL\> // Position title of PI.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**DEG Loop:**

DEG\*2.5\*CM\*208009\****B.S.***\<NL\> // Degree of PI.

DEG\*4.4\*CM\*208609\****M.D.***\<NL\> // Degree of PI.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

LX\*02\<NL\>

NM1\*9K\*1\****COPERNICUS***\****NICHOLAUS***\<NL\> // Key person name.

N2\****UNIVERSITY OF SOUTHERN CALIFORNIA***\<NL\> // Key person
organization.

EMS\****CO-PRINCIPAL INVESTIGATOR***\<NL\> // Key person project role.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

LX\*03\<NL\>

NM1\*9K\*1\****NEWTON***\****ISAAC***\<NL\> // Key person name.

N2\****UNIVERSITY OF SOUTHERN CALIFORNIA***\<NL\> // Key person
organization.

EMS\****CO-PRINCIPAL INVESTIGATOR***\<NL\> // Key person project role.

LX\*04\<NL\>

NM1\*61\*2\****UNIVERSITY OF SOUTHERN*** // Performance site
organization.

***CALIFORNIA;*** \<NL\>

N2\****ATHEROSCLEROSIS RES-CARDIOLOGY***\<NL\> // Performance site
organization (cont).

N4\****LOS ANGELES***\****CA***\****90033*** // Performance site city,
state, and zip code.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

HL\*2\*1\*4\*0\<NL\> // Care group loop under project loop.

QTY\*1K\*1\*EA\<NL\> // Identify budget period.

QTY\*S7\*75\*YR\<NL\> // High age value.

QTY\*S8\*35\*YR\<NL\> // Low age value.

QTY\*TO\*672\*EA\<NL\> // Total number of subject in care group.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

HL\*3\*1\*AS\*0\<NL\> // Animal subject group under project loop.

QTY\*1K\*1\*EA\<NL\> // Identify budget period.

QTY\*TO\*125\*EA\<NL\> // Total number of subject in care group.

AMT\*SP\*800\<NL\> // Average price of animals in group.

PAM\*DY\*180\*DA\*PY\*20\<NL\> // Average length of housing and daily //
housing costs.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**LX Loop:**

LX\*01\<NL\>

NM1\*61\*2\*PHARMACOLOGY RESEARCH // Facility where animals will be
housed.

LABORATORY\<NL\>

N4\*LOS ANGELES\*CA\*90033 // City, state and zip code of housing
facility

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SE\*161\*123456789\<NL\> // Transaction set trailer.

***Appendix B. Sample 997 Transaction Set***

\... to be completed

**Appendix C. Points of Contact**

This appendix lists various topics related to phase one of the NIH EDI
prototype system. A point of contact is provided for each category of
topics.

+---------------------+-------------+-------+--------------------------+
| ***TOPICS***        | **          | ***O  | ***EMAIL***              |
|                     | *CONTACT*** | RG*** |                          |
+---------------------+-------------+-------+--------------------------+
| General project     | Michael Cox | NIH   | mc70k@nih.gov            |
| questions.          |             |       |                          |
|                     |             |       |                          |
| Phase II questions. |             |       |                          |
+---------------------+-------------+-------+--------------------------+
| General project     | Paul        | TYC   | pmarkovitz@tyc.com       |
| questions.          | Markovitz   |       |                          |
|                     |             |       |                          |
| Phase II questions. |             |       |                          |
|                     |             |       |                          |
| EDI problems.       |             |       |                          |
+---------------------+-------------+-------+--------------------------+
| EDI data mapping.   | Matt James  | TYC   | mjames@tyc.com           |
|                     |             |       |                          |
| SMTP/MIME           |             |       |                          |
| questions.          |             |       |                          |
+---------------------+-------------+-------+--------------------------+
| Policy questions.   | Diana       | NIH   | Jae                      |
|                     | Jaeger      |       | gerD@odrockm1.od.nih.gov |
+---------------------+-------------+-------+--------------------------+

[^1]: NIH requirements restrict the length of certain 194 data elements.
    These data elements, along with the new length constraints, are
    identified in their respective 194 data segment tables. If no length
    constraint is listed, the value specified by the 194 IC is to be
    used.