ESI Employment Status Information

To specify status of employment

Position
Element
Name
Type
Requirement
Min
Max
Repeat
ESI01
Yes/No Condition or Response Code
Identifier (ID)
Mandatory
1
1
1
Code indicating a Yes or No condition or response
ESI01 designates if the segment contains post-injury employment information. A "Y" designates that the segment contains post-injury employment information; an "N" designates that the segment contains pre-injury employment information.
ESI02
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
1
Code indicating a Yes or No condition or response
ESI02 designates if the person returned to the same job. A "Y" indicates the person returned to same job; an "N" indicates the person did not return to the same job.
ESI03
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
1
Code indicating a Yes or No condition or response
ESI03 designates if this is a permanent return to work. A "Y" indicates this is a permanent return to work; an "N" indicates this is not a permanent return to work.
ESI04
Time
Time (TM)
Optional
4
8
1
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)
ESI04 is the start time on the day of injury.
ESI05
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
ESI05 is the number of hours worked on the last day worked.
ESI06
Employment Status Code
Identifier (ID)
Conditional
2
2
1
Code indicating the general employment status of an employee/claimant
ESI07
Work Intensity Code
Identifier (ID)
Optional
1
1
1
Code identifying the level of intensity of work
ESI08
Reason Stopped Work Code
Identifier (ID)
Optional
2
2
1
Code identifying reason claimant stopped working
ESI09
Status Reason Code
Identifier (ID)
Optional
3
3
1
Code indicating the status reason
C0906: If ESI-09 is present, then ESI-06 is required
ESI09 designates the reason for the status indicated in ESI06.

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