INJ Injury or Illness Detail
To specify information about the injury or illness
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Code indicating a Yes or No condition or response.
INJ01 designatesif there is a pre-existing disability. A ``Y'' indicates this is a pre-existing disability. A ``N'' indicates there is no known pre-existing disability.
Code which identifies a specific location.
INJ02 is a number assigned by the contractholder to identify the employer's location of accident.
Code indicating a Yes or No condition or response.
INJ03 designates whether this is a work-related injury. A ``Y'' indicates this is a work-related injury. A ``N'' indicates that the injury is not work-related.
Code indicating a Yes or No condition or response.
INJ04 designates whether the accident occured on the employer's premises. A ``Y'' indicates the accident did occur on the employer's premises. A ``N'' indicates the accident did not occur on the employer's premises.
Code identifying cause of injury
Code identifying the nature of injury sustained by claimant
Code identifying the part of body
Code identifying source of injury
Code identifying the extent of medical treatment received by the claimant immediately following the accident
Code identifying the county within a state.
INJ10 is county of injury site.
Code defining international postal zone code excluding punctuation and blanks (zip code for United States).
INJ11 is postal code of injury site.