INJ Injury or Illness Detail

To specify information about the injury or illness

Position
Element
Name
Type
Requirement
Min
Max
Repeat
INJ-01
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
-
Code indicating a Yes or No condition or response
INJ01 designates if there is a pre-existing disability. A "Y" indicates this is a pre-existing disability; an "N" indicates there is no known pre-existing disability.
INJ-02
Location Identifier
String (AN)
Optional
1
30
-
Code which identifies a specific location
INJ02 is a number assigned by the contractholder to identify the employer's location of accident.
INJ-03
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
-
Code indicating a Yes or No condition or response
INJ03 designates whether this is a work-related injury. A "Y" indicates this is a work-related injury; an "N" indicates that the injury is not work-related.
INJ-04
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
-
Code indicating a Yes or No condition or response
INJ04 designates if the accident occured on the employer's premises. A "Y" indicates the accident did occur on the employer's premises; an "N" indicates the accident did not occur on the employer's premises.
INJ-05
Cause of Injury Code
Identifier (ID)
Optional
2
2
-
Code identifying cause of injury
INJ-06
Nature of Injury Code
Identifier (ID)
Optional
2
2
-
Code identifying the nature of injury sustained by claimant
INJ-07
Part of Body Code
Identifier (ID)
Optional
2
2
-
Code identifying the part of body
INJ-08
Source of Injury Code
Identifier (ID)
Optional
2
2
-
Code identifying source of injury
INJ-09
Initial Treatment Code
Identifier (ID)
Optional
2
2
-
Code identifying the extent of medical treatment received by the claimant immediately following the accident
INJ-10
County Designator
Identifier (ID)
Optional
5
5
-
Code identifying the county within a state
INJ10 is the county of injury site.
INJ-11
Postal Code
Identifier (ID)
Optional
3
15
-
Code defining international postal zone code excluding punctuation and blanks (zip code for United States)
INJ11 is the postal code of injury site.

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