| ActivitiesDesc | A description of the activities. |
| Age | The age in years. It is expected that a whole number would be used over the age of one. |
| ClaimsInjury | This aggregate provides information about specific injury(ies)/illnesses associated with the accident, incident, loss, occurrence. Some insurers capture this information in detail with specific causes related to specific injuries. Other insurers capture the information in a global way listing all injuries and all causes together. In order to accommodate both methods, the aggregate can be repeated, or individual elements within the aggregate can be repeated. |
| EquipmentUsedDesc | A description of any equipment, materials and/or chemicals being used. |
| EventInfo | This aggregate is used to collect the information about when a specific event occurred. |
| EventsDesc | A description of how the injury or illness/ health condition occurred including the sequence of events and any objects or substances that directly relate to the occurrence. |
| FatalityInd | Indicates whether or not the injury or illness described resulted in death. |
| ICDDiagnosticCd | An industry code indicating the diagnostic coding when medical treatment was rendered. The element uses the International Classification of Diseases code list. |
| InitialTreatmentCd | Indicates the initial type of treatment provided to the injured or ill party. This element uses the InitialTreatment code list. |
| LostTimeInd | Indicates if this was a lost time, or other compensable injury. |
| MedicalTreatment | This aggregate holds information regarding medical treatments. |
| MedicareInfo | Provides information on medicare eligibility for an injured party who is a United States citizen as well as the incurred amount in US dollars. |
| PreExistingDisabilityCd | A code which identifies the existence of a disability prior to the injury/illness. The element uses the Response code list. |
| RestrictedWorkPeriod | The amount of time the party was engaged in restricted work duties as a result of this incident. |
| SurgeryInd | Indicates if the claimant has undergone surgery as a result of the injury. |
| TimeLostPeriod | The amount of time lost. |
| WhereTakenDesc | A description of where the injured party was taken following the injury, other than an address. |
| WorkProcessDesc | A description of the work process the employee was engaged in when the accident or illness exposure occurred. |
