ESI Employment Status Information
To specify status of employment
Position
Element
Name
Type
Requirement
Min
Max
Repeat
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.
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.
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.
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.
Numeric value of quantity
ESI05 is the number of hours worked on the last day worked.
Code showing the general employment status of an employee/claimant
Code identifying the level of intensity of work
Code identifying reason claimant stopped working
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.