APPRENTICE FLG char(1) 0247 - 0247 NORMAL HRS PER WK QTY decimal(5.2) 0248 - 0252 WORK DUTIES IND char(1) 0253 - 0253 7.5 Table 5 INDUSTRY OF WORKPLACE decimal(6.0) 0254 - 0259 0260 - 0263 WORKPLACE POSTCODE decimal(4.0) 0264 - 0267 DAYS LOST QTY decimal(4.0) NOTIONAL WEEKLY EARNING AMT decimal(5.0) 0268 - 0272 COMMON LAW COMMENCED FLG char(1) 0273 - 0273 0274 - 0274 NIIS FLG char(1) 0275 - 0275 FUTURE MEDICAL FLG char(1) 0276 - 0281 OCCUPATION CODE decimal(6.0) coding 0282 - 0531 ACCIDENT AND INJURIES DESC char(250) 0532 - 0534 NATURE OF INJURY CODE decimal(3.0) 0535 - 0537 BODILY LOCATION CODE decimal(3.0) 0538 - 0539 MECHANISM OF INCIDENT CODE decimal(2.0) 0540 - 0543 AGENCY OF INJURY CODE decimal(4.0) 0544 - 0547 AGENCY OF ACCIDENT CODE decimal(4.0) TOT COMMON LAW AMT decimal(10.0) 0548 - 0557 Claim TOT AMT decimal(10.0) 0558 - 0567 costs TOT DEED OF RELEASE AMT decimal(10.0) 0568 - 0577 0578 - 0587 TOT HOSP INPATIENT AMT decimal(10.0) TOT HOSP OUTPATIENT AMT decimal(10.0) 0588 - 0597 TOT INC SUPP AMT decimal(10.0) 0598 - 0607 0608 - 0617 TOT INVESTIGATION AMT decimal(10.0) TOT LEGAL AMT decimal(10.0) 0618 - 0627 0628 - 0637 TOT LS ECO LOSS AMT decimal(10.0)
APPRENTICE FLG char(1) 0247 - 0247 NORMAL HRS PER WK QTY decimal(5.2) 0248 - 0252 WORK DUTIES IND char(1) 0253 - 0253 7.5 Table 5 INDUSTRY OF WORKPLACE decimal(6.0) 0254 - 0259 WORKPLACE POSTCODE decimal(4.0) 0260 - 0263 DAYS LOST QTY decimal(4.0) 0264 - 0267 NOTIONAL WEEKLY EARNING AMT decimal(5.0) 0268 - 0272 COMMON LAW COMMENCED FLG char(1) 0273 - 0273 NIIS FLG char(1) 0274 - 0274 FUTURE MEDICAL FLG char(1) 0275 - 0275 coding OCCUPATION CODE decimal(6.0) 0276 - 0281 ACCIDENT AND INJURIES DESC char(250) 0282 - 0531 NATURE OF INJURY CODE decimal(3.0) 0532 - 0534 BODILY LOCATION CODE decimal(3.0) 0535 - 0537 MECHANISM OF INCIDENT CODE decimal(2.0) 0538 - 0539 AGENCY OF INJURY CODE decimal(4.0) 0540 - 0543 AGENCY OF ACCIDENT CODE decimal(4.0) 0544 - 0547 Claim costs TOT COMMON LAW AMT decimal(10.0) 0548 - 0557 TOT AMT decimal(10.0) 0558 - 0567 TOT DEED OF RELEASE AMT decimal(10.0) 0568 - 0577 TOT HOSP INPATIENT AMT decimal(10.0) 0578 - 0587 TOT HOSP OUTPATIENT AMT decimal(10.0) 0588 - 0597 TOT INC SUPP AMT decimal(10.0) 0598 - 0607 TOT INVESTIGATION AMT decimal(10.0) 0608 - 0617 TOT LEGAL AMT decimal(10.0) 0618 - 0627 TOT LS ECO LOSS AMT decimal(10.0) 0628 - 0637
Self-Insurer-EDI-Technical-Specification-V14.docx