EDI 148 Report Of Injury%2c Illness Or Incident

This Draft Standard for Trial Use contains the format and establishes the data contents of the Report of Injury, Illness or Incident 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, illness or incident to entities interested in the information for statistical, legal, and claims and risk management processing requirements.

Segments

Position
Segment
Name
Max use
10
ST
Transaction Set Header
Mandatory
AtMax 1
To indicate the start of a transaction set and to assign a control number
20
BGN
Beginning Segment
Mandatory
AtMax 1
To indicate the beginning of a transaction set
22
CUR
Currency
Opt
AtMax 1
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
24
QTY
Quantity
Opt
AtMax 1
To specify quantity information
NM1
LOOP
Opt
GT 1
HL
LOOP
Mandatory
AtMax 999999
ESI
LOOP
Opt
AtMax 99
LN
LOOP
Opt
AtMax 999
AMT
LOOP
Opt
AtMax 99
NM1
LOOP
Opt
GT 1
III
LOOP
Opt
GT 1
NM1
LOOP
Opt
AtMax 999
AD1
LOOP
Opt
AtMax 999
LX
LOOP
Opt
AtMax 1
30
SE
Transaction Set Trailer
Mandatory
AtMax 1
To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

Elements

PositionElementNameRequirementTypeMin/MaxRepeat
1
143
Transaction Set Identifier CodeMandatoryID3/31
2
329
Transaction Set Control NumberMandatoryAlphanumeric4/91