UCS Underwriting Considerations

To report personal health and medical history data

Sequence

Element

Name

Type

Requirement

Min

Max

Repeat

01

1136

Code Category

Identifier (ID)

Optional

2

2

1

Code specifying the situation or category to which the code applies

Codes (427)

02

352

Description

String (AN)

Optional

1

80

1

A free-form description to clarify the related data elements and their content

UCS02 is the actual response regarding health details.

03

349

Item Description Type Code

Identifier (ID)

Conditional

1

1

1

Code indicating the format of a description

P0304: If either UCS-03 or UCS-04 is present, then the other is required

Codes (4)

04

352

Description

String (AN)

Conditional

1

80

1

A free-form description to clarify the related data elements and their content

UCS04 describes the interpreted health details.

05

235

Product/Service ID Qualifier

Identifier (ID)

Conditional

2

2

1

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

P0506: If either UCS-05 or UCS-06 is present, then the other is required

Codes (544)

06

234

Product/Service ID

String (AN)

Conditional

1

80

1

Identifying number for a product or service

07

1470

Number

Numeric (N0)

Conditional

1

9

1

A generic number

P0708: If either UCS-07 or UCS-08 is present, then the other is required

UCS07 is the age at onset of health condition.

08

C001

Composite Unit of Measure

Composite (composite)

Conditional

1

01

355

Unit or Basis for Measurement Code

Identifier (ID)

Mandatory

2

2

-

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Codes (925)

02

1018

Exponent

Decimal number (R)

Optional

1

15

-

Power to which a unit is raised

If C001-02 is not used, its value is to be interpreted as 1.

03

649

Multiplier

Decimal number (R)

Optional

1

10

-

Value to be used as a multiplier to obtain a new value

If C001-03 is not used, its value is to be interpreted as 1.

04

355

Unit or Basis for Measurement Code

Identifier (ID)

Optional

2

2

-

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Codes (925)

05

1018

Exponent

Decimal number (R)

Optional

1

15

-

Power to which a unit is raised

If C001-05 is not used, its value is to be interpreted as 1.

06

649

Multiplier

Decimal number (R)

Optional

1

10

-

Value to be used as a multiplier to obtain a new value

If C001-06 is not used, its value is to be interpreted as 1.

07

355

Unit or Basis for Measurement Code

Identifier (ID)

Optional

2

2

-

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Codes (925)

08

1018

Exponent

Decimal number (R)

Optional

1

15

-

Power to which a unit is raised

If C001-08 is not used, its value is to be interpreted as 1.

09

649

Multiplier

Decimal number (R)

Optional

1

10

-

Value to be used as a multiplier to obtain a new value

If C001-09 is not used, its value is to be interpreted as 1.

10

355

Unit or Basis for Measurement Code

Identifier (ID)

Optional

2

2

-

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Codes (925)

11

1018

Exponent

Decimal number (R)

Optional

1

15

-

Power to which a unit is raised

If C001-11 is not used, its value is to be interpreted as 1.

12

649

Multiplier

Decimal number (R)

Optional

1

10

-

Value to be used as a multiplier to obtain a new value

If C001-12 is not used, its value is to be interpreted as 1.

13

355

Unit or Basis for Measurement Code

Identifier (ID)

Optional

2

2

-

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Codes (925)

14

1018

Exponent

Decimal number (R)

Optional

1

15

-

Power to which a unit is raised

If C001-14 is not used, its value is to be interpreted as 1.

15

649

Multiplier

Decimal number (R)

Optional

1

10

-

Value to be used as a multiplier to obtain a new value

If C001-15 is not used, its value is to be interpreted as 1.