148 Report of Injury or Illness (003040)
This is the standard X12 003040 spec, with 11 loops and 77 segment positions, as OpenEDI JSON, an ediFabric C# template and an ediFabric Native model. To change it for a trading partner, customize it in the EDI Spec Builder.
Use the 148 spec in your code
ediFabric .NET
Add the C# template and its common files to your project, or reference the template NuGet package, and read 148 files into TS148 objects. See ediFabric .NET.
ediFabric Native
Map version 003040 to the Native model with set_map, then parse 148 files to JSON from Python, Java, C or C#. See Convert between EDI and JSON.
OpenEDI
Select Customize in Spec Builder to copy the spec under your own name, change it for your partner, and parse files against it in EdiNation, ediFabric Native or ediFabric Cloud. Read about OpenEDI.
Generate 148 classes in Python, Java, Node.js, Go, Rust or C
ediFabric Native returns each 148 as JSON, with the property names of the OpenEDI schema. To work with that JSON as typed objects, generate classes from the OpenEDI file in your language and deserialize the JSON into TS148. Serialize the objects back to JSON to build EDI with ediFabric Native. The classes keep the loops, segments, lengths and code lists, but not the EDI data formats, so validate files with ediFabric Native. Read more in Generate a class from OpenEDI.
Python: datamodel-code-generator. Node.js: openapi-typescript. Java, Go, Rust and C: OpenAPI Generator.
148 structure
Loops and segments of the standard 148, with their usage and maximum repeats.
| ID | Name | Usage | Max use |
|---|---|---|---|
| ST | Transaction Set Header | Optional | 1 |
| BGN | Beginning Segment | Mandatory | 1 |
| CUR | Currency | Optional | 1 |
| QTY | Quantity | Optional | 1 |
| Loop NM1 | Individual or Organizational Name | Optional | >1 |
| NM1 | Individual or Organizational Name | Mandatory | 1 |
| N2 | Additional Name Information | Optional | 1 |
| N3 | Address Information | Optional | 2 |
| N4 | Geographic Location | Optional | 1 |
| PER | Administrative Communications Contact | Optional | 3 |
| ACT | Account Identification | Optional | 9 |
| DTP | Date or Time or Period | Optional | 9 |
| DMG | Demographic Information | Optional | 1 |
| REF | Reference Numbers | Optional | 9 |
| Loop HL | Hierarchical Level | Mandatory | 99999 |
| HL | Hierarchical Level | Mandatory | 1 |
| ACT | Account Identification | Optional | 2 |
| DTP | Date or Time or Period | Optional | 9 |
| CUR | Currency | Optional | 1 |
| AMT | Monetary Amount | Optional | 2 |
| FC | Financial Contribution | Optional | 2 |
| REF | Reference Numbers | Optional | 9 |
| DMG | Demographic Information | Optional | 1 |
| QTY | Quantity | Optional | 9 |
| CRI | Claim Report Information | Optional | 1 |
| EMT | Employment | Optional | 1 |
| CRC | Conditions Indicator | Optional | >1 |
| Loop NM1 | Individual or Organizational Name | Mandatory | 99 |
| NM1 | Individual or Organizational Name | Mandatory | 1 |
| N2 | Additional Name Information | Optional | 1 |
| N3 | Address Information | Optional | 2 |
| N4 | Geographic Location | Optional | 1 |
| PER | Administrative Communications Contact | Optional | 3 |
| ACT | Account Identification | Optional | 9 |
| DTP | Date or Time or Period | Optional | 9 |
| DMG | Demographic Information | Optional | 1 |
| REF | Reference Numbers | Optional | 9 |
| Loop ESI | Employment Status Information | Optional | 9 |
| ESI | Employment Status Information | Mandatory | 1 |
| DTP | Date or Time or Period | Optional | 3 |
| QTY | Quantity | Optional | 4 |
| CRC | Conditions Indicator | Optional | 9 |
| Loop AIN | Income | Optional | 9 |
| AIN | Income | Mandatory | 1 |
| CUR | Currency | Optional | 1 |
| TXI | Tax Information | Optional | 9 |
| WS | Work Schedule | Optional | 99 |
| DTP | Date or Time or Period | Optional | 1 |
| QTY | Quantity | Optional | 9 |
| Loop LN | Loan Information | Optional | 99 |
| LN | Loan Information | Mandatory | 1 |
| REF | Reference Numbers | Optional | 2 |
| Loop AMT | Monetary Amount | Optional | 9 |
| AMT | Monetary Amount | Mandatory | 1 |
| DTP | Date or Time or Period | Optional | 1 |
| Loop INJ | Injury or Illness Detail | Optional | 9 |
| INJ | Injury or Illness Detail | Mandatory | 1 |
| III | Information | Optional | 9 |
| IMP | Impairment Detail | Optional | 6 |
| DTP | Date or Time or Period | Optional | 9 |
| CRC | Conditions Indicator | Optional | 9 |
| Loop NM1 | Individual or Organizational Name | Optional | 99 |
| NM1 | Individual or Organizational Name | Mandatory | 1 |
| N2 | Additional Name Information | Optional | 1 |
| N3 | Address Information | Optional | 2 |
| N4 | Geographic Location | Optional | 1 |
| PER | Administrative Communications Contact | Optional | 3 |
| ACT | Account Identification | Optional | 9 |
| DTP | Date or Time or Period | Optional | 9 |
| DMG | Demographic Information | Optional | 1 |
| REF | Reference Numbers | Optional | 9 |
| Loop AD1 | Adjustment Amount | Optional | 99 |
| AD1 | Adjustment Amount | Mandatory | 1 |
| CUR | Currency | Optional | 1 |
| DTP | Date or Time or Period | Optional | 3 |
| QTY | Quantity | Optional | 2 |
| REL | Relationship | Optional | 30 |
| Loop NM1 | Individual or Organizational Name | Optional | 99 |
| NM1 | Individual or Organizational Name | Mandatory | 1 |
| N2 | Additional Name Information | Optional | 1 |
| N3 | Address Information | Optional | 2 |
| N4 | Geographic Location | Optional | 1 |
| PER | Administrative Communications Contact | Optional | 3 |
| ACT | Account Identification | Optional | 9 |
| DTP | Date or Time or Period | Optional | 9 |
| DMG | Demographic Information | Optional | 1 |
| REF | Reference Numbers | Optional | 9 |
| SE | Transaction Set Trailer | Optional | 1 |