Segment
X12 EDI Release 00401
To supply disability information
Elements
  • DSB011146Disability Type Code
    ID
    M必须(Mandatory)

    Code identifying the disability status of the individual

    Codes (6)
  • DSB02380Quantity
    R
    O可选(Optional)
    Min 1 / Max 15

    Numeric value of quantity

  • DSB031149Occupation Code
    ID
    O可选(Optional)
    Min 4 / Max 6

    Code identifying the occupation of an individual

  • DSB041154Work Intensity Code
    ID
    O可选(Optional)

    Code identifying the level of intensity of work

    Codes (4)
  • DSB051161Product Option Code
    ID
    O可选(Optional)

    Code indicating an option chosen for the product

    Codes (30)
  • DSB06782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 18

    Monetary amount

  • DSB07235Product/Service ID Qualifier
    ID
    O可选(Optional)

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

    Codes (477)
  • DSB081137Medical Code Value
    AN
    O可选(Optional)
    Min 1 / Max 15

    Code value for describing a medical condition or procedure