To provide personal information on an individual
| Position | Element | Name | Type | Min/Max | Repeat | |
|---|---|---|---|---|---|---|
| 1 | 609 | Count | Opt | Number | 1/9 | 1 |
| 2 | 1250 | Date Time Period Format Qualifier | Rel | ID | 2/3 | 1 |
| 3 | 1251 | Date Time Period | Rel | Alphanumeric | 1/35 | 1 |
| 4 | 1068 | Gender Code | Opt | ID | 1/1 | 1 |
| 5 | 127 | Reference Identification | Opt | Alphanumeric | 1/80 | 1 |
| 6 | 127 | Reference Identification | Opt | Alphanumeric | 1/80 | 1 |
| 7 | 156 | State or Province Code | Opt | ID | 2/2 | 1 |
| 8 | 1149 | Occupation Code | Opt | ID | 4/6 | 1 |
| 9 | 1069 | Individual Relationship Code | Opt | ID | 2/2 | 1 |
| 10 | 352 | Description | Opt | Alphanumeric | 1/80 | 1 |
| 11 | 352 | Description | Opt | Alphanumeric | 1/80 | 1 |
| 12 | 1588 | Political Party Affiliation Code | Opt | ID | 2/2 | 1 |