Claim record - Type 1 - Worker and all claim details Fixed record length of 1412 characters including CR/LF record delimiter: Position Values EDI DOC TYP TCDE char(3) 0001 - 0003 7.2 Table 2 EDI REC TYPE IND char(1) 0004 - 0004 7.6 6 SI CLAIM NO char(20) 0005 - 0024 EMP NO decimal(8.0) 0025 - 0032 EMP LOCN NO decimal(4.0) 0033 - 0036 Worker details DTE decimal(8.0) 0037 - 0044 DECEASED DTE decimal(8.0) 0045 - 0052 LANGUAGE TCDE char(4) 0053 - 0056 Appendix C GENDER IND char(1) 0057 - 0057 7.4 Table 4 WORKER GIVEN NME char(25) 0058 - 0082 WORKER MIDDLE NME Char (25) 0083 - 0107 WORKER SUR NME char(25) 0108 - 0132 WORKER PRIOR SUR NME 1 char(25) 0133 - 0157 WORKER PRIOR SUR NME 2 char(25) 0158 - 0182 WORKER PRIOR SUR NME 3 char(25) 0183 - 0207 WORKER POSTCODE decimal(4.0) 0208 - 0211 Claim Summary details INJ DTE decimal(8.0) 0212 - 0219 CC NOTICE FROM WORKER DTE decimal(8.0) 0220 - 0227 DETERM STATUS FLG char(1) 0228 - 0228 7.1 Table 1 DETERM STATUS CHG DTE decimal(8.0) 0229 - 0236 CLAIM CLOSED DTE decimal(8.0) 0237 - 0244 DECEASED CAUSE FLG char(1) 0245 - 0245 DUTY STATUS IND char(1) 0246 - 0246 7.7 Table 7
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
BS HEMAT BLOOD FLG char(1) 0940 - 0940 BS BLOOD PERC decimal(3.0) 0941 - 0943 BS HEMAT BLOOD PARTS char(50) 0944 - 0993 BS LOWER EXTREMITY FLG char(1) 0994 - 0994 BS LOWER EXTREMITY PERC decimal(3.0) 0995 - 0997 BS LOWER EXTREMITY PARTS char(50) 0998 - 1047 L,R,B BS NERVOUS SYS FLG char(1) 1048 - 1048 BS NERVOUS SYS PERC decimal(3.0) 1049 - 1051 BS NERVOUS SYS char(50) 1052 - 1101 BS NIHL FLG char(1) 1102 - 1102 BS NIHL PERC decimal(3.0) 1103 - 1105 BS PSYCH INJ PMH FLG char(1) 1106 - 1106 BS PSYCH INJ PMH PERC decimal(3.0) 1107 - 1109 BS RESPIRATORY FLG char(1) 1110 - 1110 BS RESPIRATORY PERC decimal(3.0) 1111 - 1113 BS SKIN FLG char(1) 1114 - 1114 BS SKIN PERC decimal(3.0) 1115 - 1117 FILLER char(1) 1118 - 1118 FILLER decimal(3.0) 1119 - 1121 BS SPINE FLG char(1) 1122 - 1122 BS SPINE PERC decimal(3.0) 1123 - 1125 BS SPINE PARTS char(50) 1126 - 1175 BS UPPER EXTREMITY FLG char(1) 1176 - 1176 BS UPPER EXTREMITY PERC decimal(3.0) 1177 - 1179 BS EXTREMITY PARTS char(50) 1180 - 1229 BS URINARY AND REPR FLG char(1) 1230 - 1230 BS URINARY AND REPR PERC decimal(3.0) 1231 - 1233 BS URINARY AND REPR PARTS char(50) 1234 - 1283
TOT OTH GDS SVCS NON MED AMT GOODS AND SERVICES – NON MEDICAL TOTAL (OTH) Decimal (10.0) Mandatory. Total cumulative amount paid to date against: Child care Clothing (excluding property damage e.g. special shoes, etc.) Furniture Home assistance Housing – modifications Maintenance or rental of capital items Motor vehicles – purchase, modification Removalist expenses Redemption advice (financial and professional) non-medical expenses Must be numeric and in whole dollars (no cents). Must be greater than or equal to zero (cannot be negative). TOT OTH NON COMP AMT OTHER – NON-COMPENSATION TOTAL (OTN) Decimal (10.0) Mandatory. Total cumulative amount paid to date against: Administrative reports – coroner, police, etc. Case conference Independent medical examination Interpreter services Medical reports – treating doctor, chiropractor, physiotherapist, psychologist, etc. Prescribed medical certificate Must be numeric and in whole dollars (no cents). Must be greater than or to zero (cannot be negative). TOT PROPERTY AMT PROPERTY DAMAGE TOTAL (PRY) Decimal (10.0) Mandatory. Total cumulative amount paid to date against: Clothing damage Personal effects damage Therapeutic appliance damage
LANGUAGE TCDE values LANGUAGE Description TCDE 1102 Gaelic (Irish) 1103 Gaelic (Scottish) 1104 Welsh 1201 English 1300 German 1302 Yiddish 1401 Dutch 1501 Danish 1503 Norwegian 1504 Swedish 2101 French 2201 Greek 2302 Portuguese 2303 Spanish 2401 Italian 2501 Maltese 3101 Latvian 3102 Lithuanian 3201 Estonian 3202 Finnish 3301 Hungarian 3402 Russian 3403 Ukrainian 3500 Slavic (Yugoslavian) 3502 Bulgarian 3503 Croatian 3504 Macedonian 3505 Serbian 3506 Slovene 3601 Czech 3602 Polish 3603 Slovak 3901 Albanian 3902 Armenian LANGUAGE Description TCDE 3904 Romanian 3999 Eastern European (Including Romany) 4101 Persian (Farsi) 4202 Arabic 4301 Turkish 5103 Tamil 5201 Bengali 5203 Hindi 5209 Sinhalese 5210 Urdu 6000 South East Asian 6101 Burmese 6301 6302 Vietnamese 6401 Lao 6402 Thai 6501 Bahsa Indonesia 6504 Filipino Languages 6507 Tagaloq 6508 7100 Chinese 7101 Cantonese 7104 Mandarin 7201 Japanese 7301 Korean 8000 Oceanic Languages 8100 Australian Aboriginal 8301 Fijian 8303 (Cook Island) 8304 Maori (New Zealand) 8309 Tongan 9200 African Languages 9201 Afrikaans 9501 Sign Language (AUSLAN)
SERIOUS INJURY FLG (ECU and ECC) SERIOUS INJURY ASSESSMENT DTE (ECU and ECC) NIIS FLG (ECU and ECC) Renamed attributes: DIA ADVISORY DTE to SWSA ADVISORY DTE (ERF) SEX IND to GENDER IND (ERF) PAY PERIOD STRT DTE to FILLER (ECU and ECC) PAY PERIOD END DTE to FILLER (ECU and ECC) Other changes Batch and file concepts - update platform and browser combinations Attribute Definitions New attributes: COMMON LAW COMMENCED FLG SERIOUS INJURY FLG SERIOUS INJURY ASSESSMENT DTE NIIS FLG Renamed attributes: DIA ADVISORY DTE to SWSA ADVISORY DTE. SEX IND to GENDER IND ‘OH&S Act’ reference updated for SWSA ADVISORY DTE Table 4 – TXN CDE values New entries: DOR for ‘Deed of Release’ IMT description changed to ‘Income Support’ RDI description changed to ‘Redemption/Commutation of Income Support’ LEL for ‘Lump Sum – Economic Loss’ LSU description changed to ‘Lump Sum – Non-Economic Loss’ Table 6 – Payment Type Combinations Common Law (CLA) to be reused - description updated New entry: LEL for ‘Lump Sum – Economic Loss’ IMT description changed to ‘Income Support’ RDI description changed to ‘Redemption/Commutation of Income Support’ LSU, RDI, RDM and TRV descriptions updated with revised section references Table 12 – Language Tcde Values - Moved to Appendix E Table 13 – Country of Birth Cde Values - Moved to Appendix F Data Flow Diagram - Revised diagram EDI Processing Flowchart - Revised flowchart Transmission Procedures - ‘Ongoing claim payments update – ECU’ section: update number of payment types and categories from 18 to 20. APPENDIX D Common Error Messages - New ‘Batch rejected sequence error’ message added; Rename ‘WC’ references to ‘RTWSA’ (ReturnToWork SA) Terminology – change references from ‘income maintenance’ to ‘income support’ [Note: the code table descriptions in this document may not reflect the actual code table descriptions] 11/8/2004 6.0b PH Initial Version created from ‘Tech60b.doc’ which provided complete details for NDS2 requirements. 24/8/2004 6.1 PH Changes to ERF, ECU, CUE and ECC file formats and inclusion of new fields and/or removal of existing fields.