INJ Injury or Illness Detail

To specify information about the injury or illness

Position: INJ-01 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating a Yes or No condition or response

INJ01 designates if there is a pre-existing disability. A "Y" indicates this is a pre-existing disability; an "N" indicates there is no known pre-existing disability.

Position: INJ-02 · Element: 310 · Name: Location Identifier · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 30 · Repeat: -

Code which identifies a specific location

INJ02 is a number assigned by the contractholder to identify the employer's location of accident.

Position: INJ-03 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

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; an "N" indicates that the injury is not work-related.

Position: INJ-04 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating a Yes or No condition or response

INJ04 designates if the accident occured on the employer's premises. A "Y" indicates the accident did occur on the employer's premises; an "N" indicates the accident did not occur on the employer's premises.

Position: INJ-05 · Element: 1461 · Name: Cause of Injury Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code identifying cause of injury

Position: INJ-06 · Element: 1463 · Name: Nature of Injury Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code identifying the nature of injury sustained by claimant

Position: INJ-07 · Element: 1460 · Name: Part of Body Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code identifying the part of body

Position: INJ-08 · Element: 1464 · Name: Source of Injury Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code identifying source of injury

Position: INJ-09 · Element: 1462 · Name: Initial Treatment Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

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

Position: INJ-10 · Element: 1096 · Name: County Designator · Type: Identifier (ID) · Requirement: Optional · Min: 5 · Max: 5 · Repeat: -

Code identifying the county within a state

INJ10 is the county of injury site.

Position: INJ-11 · Element: 116 · Name: Postal Code · Type: Identifier (ID) · Requirement: Optional · Min: 3 · Max: 15 · Repeat: -

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

INJ11 is the postal code of injury site.