ESI Employment Status Information

To specify status of employment

Position: ESI-01 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 1 · Repeat: 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; an "N" designates that the segment contains pre-injury employment information.

Position: ESI-02 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: 1

Code indicating a Yes or No condition or response

ESI02 designates if the person returned to the same job. A "Y" indicates the person returned to same job; an "N" indicates the person did not return to the same job.

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

Code indicating a Yes or No condition or response

ESI03 designates if this is a permanent return to work. A "Y" indicates this is a permanent return to work; an "N" indicates this is not a permanent return to work.

Position: ESI-04 · Element: 337 · Name: Time · Type: Time (TM) · Requirement: Optional · Min: 4 · Max: 8 · Repeat: 1

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 the day of injury.

Position: ESI-05 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: 1

Numeric value of quantity

ESI05 is the number of hours worked on the last day worked.

Position: ESI-06 · Element: 584 · Name: Employment Status Code · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: 1

Code showing the general employment status of an employee/claimant

Position: ESI-07 · Element: 1154 · Name: Work Intensity Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: 1

Code identifying the level of intensity of work

Position: ESI-08 · Element: 1468 · Name: Reason Stopped Work Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: 1

Code identifying reason claimant stopped working

Position: ESI-09 · Element: 641 · Name: Status Reason Code · Type: Identifier (ID) · Requirement: Optional · Min: 3 · Max: 3 · Repeat: 1

Code indicating the status reason

C0906: If ESI-09 is present, then ESI-06 is required

ESI09 designates the reason for the status indicated in ESI06.