EDI Dictionary
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X12 Release 4010
X12 Release
4010
4020
4030
4040
4050
4060
5010
5020
5030
5040
5050
6010
6020
6030
6040
6050
7010
7020
7030
7040
7050
7060
8010
Transaction Sets
Segments
Elements
EDI-Dictionary
4010
DSB
DSB
Disability Information
Batch
To supply disability information
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
1146
Disability Type Code
Mandatory
ID
1/1
1
2
380
Quantity
Opt
Decimal
1/15
1
3
1149
Occupation Code
Opt
ID
4/6
1
4
1154
Work Intensity Code
Opt
ID
1/1
1
5
1161
Product Option Code
Opt
ID
1/2
1
6
782
Monetary Amount
Opt
Decimal
1/18
1
7
235
Product/Service ID Qualifier
Rel
ID
2/2
1
8
1137
Medical Code Value
Rel
Alphanumeric
1/15
1
Element Details
ID
1146
Name
Disability Type Code
Length
Min 1 / Max 1
Position
1
Requirement
Mandatory
Codes
<>
Z
Mutually Defined
<>
1
Short Term Disability
<>
4
No Disability
<>
2
Long Term Disability
<>
5
Partial Disability
<>
3
Permanent or Total Disability