Segment
X12 EDI Release 00304
To specify information about the injury or illness
Elements
  • INJ011073Yes/No Condition or Response Code
    ID
    O可选(Optional)

    Code indicating a Yes or No condition or response.

    Codes (3)
  • INJ02310Location Identifier
    AN
    O可选(Optional)
    Min 1 / Max 30

    Code which identifies a specific location.

  • INJ031073Yes/No Condition or Response Code
    ID
    O可选(Optional)

    Code indicating a Yes or No condition or response.

    Codes (3)
  • INJ041073Yes/No Condition or Response Code
    ID
    O可选(Optional)

    Code indicating a Yes or No condition or response.

    Codes (3)
  • INJ051461Cause of Injury Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code identifying cause of injury

  • INJ061463Nature of Injury Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code identifying the nature of injury sustained by claimant

  • INJ071460Part of Body Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code identifying the part of body

  • INJ081464Source of Injury Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code identifying source of injury

  • INJ091462Initial Treatment Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code identifying the extent of medical treatment received by the claimant immediately following the accident

  • INJ101096County Designator
    ID
    O可选(Optional)
    Min 5 / Max 5

    Code identifying the county within a state.

  • INJ11116Postal Code
    ID
    O可选(Optional)
    Min 3 / Max 9

    Code defining international postal zone code excluding punctuation and blanks (zip code for United States).