This Draft Standard for Trial Use contains the format and establishes the data contents of the Report of Injury or Illness Transaction Set (148) for use within the context of an Electronic Data Interchange (EDI) environment.
The transaction set can be used to report information pertaining to an injury or illness to entities interested in the information for statistical, legal, and claims processing requirements.
To indicate the start of a transaction set and to assign a control number
To indicate the beginning of a transaction set.
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
To specify quantity information.
To supply the full name of an individual or organizational entity
To specify additional names or those longer than 35 characters in length
To specify the location of the named party
To specify the geographic place of the named party
To identify a person or office to whom administrative communications should be directed
To specify account information.
To specify any or all of a date, a time, or a time period
To supply demographic information
To specify identifying numbers.
To identify dependencies among and the content of hierarchically related groups of data segments.
To specify account information.
To specify any or all of a date, a time, or a time period
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
To indicate the total monetary amount.
To specify the financial contribution information
To specify identifying numbers.
To supply demographic information
To specify quantity information.
To specify information about the claim being reported
To specify employment information
To supply information on conditions
To supply the full name of an individual or organizational entity
To specify additional names or those longer than 35 characters in length
To specify the location of the named party
To specify the geographic place of the named party
To identify a person or office to whom administrative communications should be directed
To specify account information.
To specify any or all of a date, a time, or a time period
To supply demographic information
To specify identifying numbers.
To specify status of employment
To specify any or all of a date, a time, or a time period
To specify quantity information.
To supply information on conditions
To provide type and amount of income obtained
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
To specify tax information.
To specify an individual's work schedule
To specify any or all of a date, a time, or a time period
To specify quantity information.
To specify information about the loan
To specify identifying numbers.
To indicate the total monetary amount.
To specify any or all of a date, a time, or a time period
To specify information about the injury or illness
To report information
To specify impairment to a body part
To specify any or all of a date, a time, or a time period
To supply information on conditions
To supply the full name of an individual or organizational entity
To specify additional names or those longer than 35 characters in length
To specify the location of the named party
To specify the geographic place of the named party
To identify a person or office to whom administrative communications should be directed
To specify account information.
To specify any or all of a date, a time, or a time period
To supply demographic information
To specify identifying numbers.
To specify the characteristics of an adjustment
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
To specify any or all of a date, a time, or a time period
To specify quantity information.
To specify relationship and birth order of entity
To supply the full name of an individual or organizational entity
To specify additional names or those longer than 35 characters in length
To specify the location of the named party
To specify the geographic place of the named party
To identify a person or office to whom administrative communications should be directed
To specify account information.
To specify any or all of a date, a time, or a time period
To supply demographic information
To specify identifying numbers.
To reference a line number in a transaction set.
To specify quantity information.
To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments).
