| Type : CompensationClaimType | 
| Elements | |||
|  AdditionalItem | This is intended as a flexible component that may be used for extensions agreed upon by trading-partners. This should be used sparingly as its use is regarded as an extension requiring a trading partner agreement. This is intended as a flexible component that may be used for extensions agreed upon by trading-partners. This should be used sparingly as its use is regarded as an extension requiring a trading partner agreement. | ||
| ClaimDate | |||
| ClaimNumberID | |||
| ClaimStatusCode | An effective dated status code.An effective dated status code. | ||
| EmployerName | |||
| InjuryDate | |||
|  InjuryDescription | |||
|  InjuryTypeCode | |||
|  WorkersCompensationTypeCode | |||
| Parents | 
| \AcknowledgeScreeningReport\DataArea\ScreeningReport\ScreeningPackageResult\ScreeningResult\WorkersCompensationReport |