ESI Employment Status Information
ESI Employment Status Information
To specify status of employment
Position
Element
Name
Type
Requirement
Min
Max
Repeat
ESI-01
Yes/No Condition or Response Code
Identifier (ID)
Mandatory
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. A ``N'' designates that the segment contains ``pre'' injury employment information.
ESI-02
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
-
Code indicating a Yes or No condition or response.
ESI02 designates if the person returned to same job. A ``Y'' designates that person returned to same job. A ``N'' designates that the person did not return to the same job.
ESI-03
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
-
Code indicating a Yes or No condition or response.
ESI03 designates if this is a permanent return to work. A ``Y'' designates that this is a permanent return to work. A ``N'' designates that this is not a permanent return to work.
ESI-04
Time
Time (TM)
Optional
4
8
-
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 day of injury.
ESI-05
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
ESI05 is number of hours worked last day worked.
ESI-06
Employment Status Code
Identifier (ID)
Optional
2
2
-
Code showing the general employment status of an employee/claimant.
ESI-07
Work Intensity Code
Identifier (ID)
Optional
1
1
-
Code identifying the level of intensity of work
ESI-08
Reason Stopped Work Code
Identifier (ID)
Optional
2
2
-
Code identifying reason claimant stopped working