UNH M 1 MESSAGE HEADER

  • Mandatory
  • Max repeat: 1
A service segment starting and uniquely identifying a message. The message type code for the Modification of identity details message is SSIMOD.
0062
MESSAGE REFERENCE NUMBER
  • Mandatory
  • Type: an
  • Length: 0..14
Unique message reference assigned by the sender.
S009
MESSAGE IDENTIFIER
  • Mandatory
Identification of the type, version etc. of the message being interchanged.
0065
Message type identifier
  • Mandatory
  • Type: an
  • Length: 0..6
Code identifying a type of message and assigned by its controlling agency.
Show all standard codes
0052
Message type version number
  • Mandatory
  • Type: an
  • Length: 0..3
Version number of a message type.
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0054
Message type release number
  • Mandatory
  • Type: an
  • Length: 0..3
Release number within the current message type version number (0052).
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0051
Controlling agency
  • Mandatory
  • Type: an
  • Length: 0..2
Code identifying the agency controlling the specification, maintenance and publication of the message type.
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0057
Association assigned code
  • Conditional
  • Type: an
  • Length: 0..6
Code, assigned by the association responsible for the design and maintenance of the message type concerned, which further identifies the message.
0068
COMMON ACCESS REFERENCE
  • Conditional
  • Type: an
  • Length: 0..35
Reference serving as a key to relate all subsequent transfers of data to the same business case or file.
S010
STATUS OF THE TRANSFER
  • Conditional
Statement that the message is one in a sequence of transfers relating to the same topic.
0070
Sequence message transfer number
  • Mandatory
  • Type: n
  • Length: 0..2
Number assigned by the sender indicating that the message is an addition or change of a previously sent message relating to the same topic.
0073
First/last sequence message transfer indication
  • Conditional
  • Type: n
  • Length: 1
Indication used for the first and last message in a sequence of the same type of message relating to the same topic.
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BGM M 1 BEGINNING OF MESSAGE

  • Mandatory
  • Max repeat: 1
A segment identifying the function of the message (modification of data related to a worker) and, if necessary, the number of the message.
C002
DOCUMENT/MESSAGE NAME
  • Conditional
Identification of a type of document/message by code or name. Code preferred.
1001
Document/message name, coded
  • Conditional
  • Type: an
  • Length: 0..3
Document/message identifier expressed in code.
Show all standard codes
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
1000
Document/message name
  • Conditional
  • Type: an
  • Length: 0..35
Plain language identifier specifying the function of a document/message.
C106
DOCUMENT/MESSAGE IDENTIFICATION
  • Conditional
Identification of a document/message by its number and eventually its version or revision.
1004
Document/message number
  • Conditional
  • Type: an
  • Length: 0..35
Reference number assigned to the document/message by the issuer.
1056
Version
  • Conditional
  • Type: an
  • Length: 0..9
To specify the version number or name of an object.
1060
Revision number
  • Conditional
  • Type: an
  • Length: 0..6
To specify a revision number.
1225
MESSAGE FUNCTION, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Code indicating the function of the message.
Show all standard codes
4343
RESPONSE TYPE, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of acknowledgment required or transmitted.
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DTM C 1 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 1
A segment indicating the date of preparation of the message.
C507
DATE/TIME/PERIOD
  • Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date/time/period qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a date, time or period.
Show all standard codes
2380
Date/time/period
  • Conditional
  • Type: an
  • Length: 0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Specification of the representation of a date, a date and time or of a period.
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GIS M 1 GENERAL INDICATOR

  • Mandatory
  • Max repeat: 1
A segment used to identify the type of process to which the message belongs.
C529
PROCESSING INDICATOR
  • Mandatory
Type of process indication.
7365
Processing indicator, coded
  • Mandatory
  • Type: an
  • Length: 0..3
Identifies the value to be attributed to indicators required by the processing system.
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1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
7187
Process type identification
  • Conditional
  • Type: an
  • Length: 0..17
Specification of a process or subprocess.
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GRP1 C 1 RFF DTM

  • Conditional
  • Max repeat: 1
A group of segments identifying a previous message, related to the current message.

RFF M 1 REFERENCE

  • Mandatory
  • Max repeat: 1
A segment giving the reference of a previously sent or received message related to the current message.
C506
REFERENCE
  • Mandatory
Identification of a reference.
1153
Reference qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a reference segment or a reference number.
Show all standard codes
1154
Reference number
  • Conditional
  • Type: an
  • Length: 0..35
Identification number the nature and function of which can be qualified by an entry in data element 1153 Reference qualifier.
1156
Line number
  • Conditional
  • Type: an
  • Length: 0..6
Number of the line in the document/message referenced in 1154 Reference number.
4000
Reference version number
  • Conditional
  • Type: an
  • Length: 0..35
To uniquely identify a reference by its version number.

DTM C 1 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 1
A segment indicating the date of a previous message whose reference is given in the above RFF segment.
C507
DATE/TIME/PERIOD
  • Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date/time/period qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a date, time or period.
Show all standard codes
2380
Date/time/period
  • Conditional
  • Type: an
  • Length: 0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Specification of the representation of a date, a date and time or of a period.
Show all standard codes

GRP2 M 2 IND FTX GRP3

  • Mandatory
  • Max repeat: 2
A group of segments giving the data modified by the message. One occurrence of the group gives the data to be modified and additional data allowing to identify the worker. Another occurrence gives the modified data.

IND M 1 INDEX DETAILS

  • Mandatory
  • Max repeat: 1
A segment identifying the index of the group.
C545
INDEX IDENTIFICATION
  • Conditional
To identify an index.
5013
Index qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
To identify the type of index being referred to.
Show all standard codes
5027
Index type, coded
  • Conditional
  • Type: an
  • Length: 0..3
To identify the type of index.
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1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
C546
INDEX VALUE
  • Conditional
To identify the value of an index.
5030
Index value
  • Mandatory
  • Type: an
  • Length: 0..35
To specify the value of an index.
5039
Index value representation, coded
  • Conditional
  • Type: an
  • Length: 0..3
To identify the representation of an index value.
Show all standard codes

FTX C 1 FREE TEXT

  • Conditional
  • Max repeat: 1
Segment giving additional information on the worker.
4451
TEXT SUBJECT QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying subject of a free text.
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4453
TEXT FUNCTION, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying how to handle the text.
Show all standard codes
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text identification
  • Mandatory
  • Type: an
  • Length: 0..17
Free text in coded form.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..70
Free text field available to the message sender for information.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..70
Free text field available to the message sender for information.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..70
Free text field available to the message sender for information.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..70
Free text field available to the message sender for information.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..70
Free text field available to the message sender for information.
3453
LANGUAGE, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Code of language (ISO 639-1988).

GRP3 C 99 PNA ADR GIR NAT DOC ATT GRP4 GRP5

  • Conditional
  • Max repeat: 99
A group of segments identifying the worker and giving related information. The data given in this group are the data used to identify the worker and the old value of the data which are modified by this message, plus insurance or identification number of the worker in the related PNA segment.

PNA M 1 PARTY IDENTIFICATION

  • Mandatory
  • Max repeat: 1
A segment giving a person's surnames and forenames and his function in the message (worker).
3035
PARTY QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Identity number
  • Mandatory
  • Type: an
  • Length: 0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type/source of identity number.
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4405
Status, coded
  • Conditional
  • Type: an
  • Length: 0..3
Provides information regarding a status.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identification
  • Mandatory
  • Type: an
  • Length: 0..35
Code identifying a party involved in a transaction.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
3403
NAME TYPE, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Code for type of name such as official name, alias.
Show all standard codes
3397
NAME STATUS, CODED
  • Conditional
  • Type: an
  • Length: 0..3
To specify the status of a name (such as current name).
Show all standard codes
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
To identify the type of name component.
Show all standard codes
3398
Name component
  • Conditional
  • Type: an
  • Length: 0..70
Part of party name such as family name or given name.
3401
Name component status, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the status of a name component.
Show all standard codes
3295
Name component original representation, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the alphabet originally used to represent the name.
Show all standard codes
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
To identify the type of name component.
Show all standard codes
3398
Name component
  • Conditional
  • Type: an
  • Length: 0..70
Part of party name such as family name or given name.
3401
Name component status, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the status of a name component.
Show all standard codes
3295
Name component original representation, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the alphabet originally used to represent the name.
Show all standard codes
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
To identify the type of name component.
Show all standard codes
3398
Name component
  • Conditional
  • Type: an
  • Length: 0..70
Part of party name such as family name or given name.
3401
Name component status, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the status of a name component.
Show all standard codes
3295
Name component original representation, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the alphabet originally used to represent the name.
Show all standard codes
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
To identify the type of name component.
Show all standard codes
3398
Name component
  • Conditional
  • Type: an
  • Length: 0..70
Part of party name such as family name or given name.
3401
Name component status, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the status of a name component.
Show all standard codes
3295
Name component original representation, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the alphabet originally used to represent the name.
Show all standard codes
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
To identify the type of name component.
Show all standard codes
3398
Name component
  • Conditional
  • Type: an
  • Length: 0..70
Part of party name such as family name or given name.
3401
Name component status, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the status of a name component.
Show all standard codes
3295
Name component original representation, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the alphabet originally used to represent the name.
Show all standard codes

ADR C 5 ADDRESS

  • Conditional
  • Max repeat: 5
A segment indicating current and/or previous address of the worker.
C817
ADDRESS USAGE
  • Conditional
To describe the usage of an address.
3299
Address purpose, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the purpose of the address.
Show all standard codes
3131
Address type, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the type of address.
Show all standard codes
3475
Address status, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the status of the address.
Show all standard codes
C090
ADDRESS DETAILS
  • Conditional
To specify the details of an address.
3477
Address format, coded
  • Mandatory
  • Type: an
  • Length: 0..3
To specify the content of the various address components.
Show all standard codes
3286
Address component
  • Mandatory
  • Type: an
  • Length: 0..70
To specify a component of an address.
3286
Address component
  • Conditional
  • Type: an
  • Length: 0..70
To specify a component of an address.
3286
Address component
  • Conditional
  • Type: an
  • Length: 0..70
To specify a component of an address.
3286
Address component
  • Conditional
  • Type: an
  • Length: 0..70
To specify a component of an address.
3286
Address component
  • Conditional
  • Type: an
  • Length: 0..70
To specify a component of an address.
3164
CITY NAME
  • Conditional
  • Type: an
  • Length: 0..35
Name of a city (a town, a village) for addressing purposes.
3251
POSTCODE IDENTIFICATION
  • Conditional
  • Type: an
  • Length: 0..9
Code defining postal zones or addresses.
3207
COUNTRY, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Identification of the name of a country or other geographical entity as specified in ISO 3166.
C819
COUNTRY SUB-ENTITY DETAILS
  • Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity identification
  • Conditional
  • Type: an
  • Length: 0..9
Identification of the name of sub-entities (state, province) defined by appropriate governmental agencies.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
3228
Country sub-entity
  • Conditional
  • Type: an
  • Length: 0..35
Name of sub-entities (state, province) defined by appropriate governmental agencies.
C517
LOCATION IDENTIFICATION
  • Conditional
Identification of a location by code or name.
3225
Place/location identification
  • Conditional
  • Type: an
  • Length: 0..25
Identification of the name of place/location, other than 3164 City name.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
3224
Place/location
  • Conditional
  • Type: an
  • Length: 0..70
Name of place/location, other than 3164 City name.

GIR C 1 RELATED IDENTIFICATION NUMBERS

  • Conditional
  • Max repeat: 1
A segment specifying insurance or identification numbers of the worker in the country identified in the related PNA segment.
7297
SET IDENTIFICATION QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Identification of the type of set.
Show all standard codes
C206
IDENTIFICATION NUMBER
  • Mandatory
The identification of an object.
7402
Identity number
  • Mandatory
  • Type: an
  • Length: 0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type/source of identity number.
Show all standard codes
4405
Status, coded
  • Conditional
  • Type: an
  • Length: 0..3
Provides information regarding a status.
Show all standard codes
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Identity number
  • Mandatory
  • Type: an
  • Length: 0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type/source of identity number.
Show all standard codes
4405
Status, coded
  • Conditional
  • Type: an
  • Length: 0..3
Provides information regarding a status.
Show all standard codes
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Identity number
  • Mandatory
  • Type: an
  • Length: 0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type/source of identity number.
Show all standard codes
4405
Status, coded
  • Conditional
  • Type: an
  • Length: 0..3
Provides information regarding a status.
Show all standard codes
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Identity number
  • Mandatory
  • Type: an
  • Length: 0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type/source of identity number.
Show all standard codes
4405
Status, coded
  • Conditional
  • Type: an
  • Length: 0..3
Provides information regarding a status.
Show all standard codes
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Identity number
  • Mandatory
  • Type: an
  • Length: 0..35
The number given to an object for its unique identification.
7405
Identity number qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type/source of identity number.
Show all standard codes
4405
Status, coded
  • Conditional
  • Type: an
  • Length: 0..3
Provides information regarding a status.
Show all standard codes

NAT C 1 NATIONALITY

  • Conditional
  • Max repeat: 1
A segment specifying the nationality of the person identified in the related PNA segment.
3493
NATIONALITY QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
To qualify a nationality.
Show all standard codes
C042
NATIONALITY DETAILS
  • Conditional
To specify a nationality.
3293
Nationality, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code for country of which an entity is the subject.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
3292
Nationality
  • Conditional
  • Type: a
  • Length: 0..35
Name of country of which an entity is the subject.

DOC C 1 DOCUMENT/MESSAGE DETAILS

  • Conditional
  • Max repeat: 1
A segment specifying the type and the number of an identity document (identity card or passport) belonging to the worker identified in the related PNA segment.
C002
DOCUMENT/MESSAGE NAME
  • Mandatory
Identification of a type of document/message by code or name. Code preferred.
1001
Document/message name, coded
  • Conditional
  • Type: an
  • Length: 0..3
Document/message identifier expressed in code.
Show all standard codes
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
1000
Document/message name
  • Conditional
  • Type: an
  • Length: 0..35
Plain language identifier specifying the function of a document/message.
C503
DOCUMENT/MESSAGE DETAILS
  • Conditional
Identification of document/message by number, status, source and/or language.
1004
Document/message number
  • Conditional
  • Type: an
  • Length: 0..35
Reference number assigned to the document/message by the issuer.
1373
Document/message status, coded
  • Conditional
  • Type: an
  • Length: 0..3
To identify the status of a document/message.
Show all standard codes
1366
Document/message source
  • Conditional
  • Type: an
  • Length: 0..35
Indication of the source from which the printed information is to be or has been obtained.
3453
Language, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code of language (ISO 639-1988).
3153
COMMUNICATION CHANNEL IDENTIFIER, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the type of communication channel being used.
Show all standard codes
1220
NUMBER OF COPIES OF DOCUMENT REQUIRED
  • Conditional
  • Type: n
  • Length: 0..2
Number of originals or copies of a document stipulated or referred to as being required.
1218
NUMBER OF ORIGINALS OF DOCUMENT REQUIRED
  • Conditional
  • Type: n
  • Length: 0..2
Specification of the number of originals of a stipulated document that are required.

ATT C 5 ATTRIBUTE

  • Conditional
  • Max repeat: 5
A segment indicating the worker's natural, professional or academic titles.
9017
ATTRIBUTE FUNCTION QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Specification of the meaning of an attribute function.
Show all standard codes
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type, coded
  • Mandatory
  • Type: an
  • Length: 0..3
Coded specification of the type attribute.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
C956
ATTRIBUTE DETAILS
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute, coded
  • Conditional
  • Type: an
  • Length: 0..3
Identification of an attribute.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
9018
Attribute
  • Conditional
  • Type: an
  • Length: 0..35
Description of an attribute of an entity.

GRP4 C 2 DTM ADR

  • Conditional
  • Max repeat: 2
A group of segments giving the insured person's birth or death details.

DTM M 1 DATE/TIME/PERIOD

  • Mandatory
  • Max repeat: 1
A segment indicating the date of birth or the date of death of the insured person.
C507
DATE/TIME/PERIOD
  • Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date/time/period qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a date, time or period.
Show all standard codes
2380
Date/time/period
  • Conditional
  • Type: an
  • Length: 0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Specification of the representation of a date, a date and time or of a period.
Show all standard codes

ADR C 1 ADDRESS

  • Conditional
  • Max repeat: 1
A segment indicating place of birth or place of death. This segment can be used to identify the country, province or department and city of birth and/or death.
C817
ADDRESS USAGE
  • Conditional
To describe the usage of an address.
3299
Address purpose, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the purpose of the address.
Show all standard codes
3131
Address type, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the type of address.
Show all standard codes
3475
Address status, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the status of the address.
Show all standard codes
C090
ADDRESS DETAILS
  • Conditional
To specify the details of an address.
3477
Address format, coded
  • Mandatory
  • Type: an
  • Length: 0..3
To specify the content of the various address components.
Show all standard codes
3286
Address component
  • Mandatory
  • Type: an
  • Length: 0..70
To specify a component of an address.
3286
Address component
  • Conditional
  • Type: an
  • Length: 0..70
To specify a component of an address.
3286
Address component
  • Conditional
  • Type: an
  • Length: 0..70
To specify a component of an address.
3286
Address component
  • Conditional
  • Type: an
  • Length: 0..70
To specify a component of an address.
3286
Address component
  • Conditional
  • Type: an
  • Length: 0..70
To specify a component of an address.
3164
CITY NAME
  • Conditional
  • Type: an
  • Length: 0..35
Name of a city (a town, a village) for addressing purposes.
3251
POSTCODE IDENTIFICATION
  • Conditional
  • Type: an
  • Length: 0..9
Code defining postal zones or addresses.
3207
COUNTRY, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Identification of the name of a country or other geographical entity as specified in ISO 3166.
C819
COUNTRY SUB-ENTITY DETAILS
  • Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity identification
  • Conditional
  • Type: an
  • Length: 0..9
Identification of the name of sub-entities (state, province) defined by appropriate governmental agencies.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
3228
Country sub-entity
  • Conditional
  • Type: an
  • Length: 0..35
Name of sub-entities (state, province) defined by appropriate governmental agencies.
C517
LOCATION IDENTIFICATION
  • Conditional
Identification of a location by code or name.
3225
Place/location identification
  • Conditional
  • Type: an
  • Length: 0..25
Identification of the name of place/location, other than 3164 City name.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
3224
Place/location
  • Conditional
  • Type: an
  • Length: 0..70
Name of place/location, other than 3164 City name.

GRP5 C 1 PDI DTM

  • Conditional
  • Max repeat: 1
A group of segments giving details on the insured person's gender and/or marital status.

PDI M 1 PERSON DEMOGRAPHIC INFORMATION

  • Mandatory
  • Max repeat: 1
A segment specifying the insured person's gender and marital status (married, divorced,...).
3499
SEX, CODED
  • Conditional
  • Type: an
  • Length: 0..3
Code giving the gender of a person, animal or plant.
C085
MARITAL STATUS DETAILS
  • Conditional
To specify the marital status of a person.
3479
Marital status, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code giving the marital status of a person.
Show all standard codes
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
3478
Marital status
  • Conditional
  • Type: an
  • Length: 0..35
Marital status of a person.
C101
RELIGION DETAILS
  • Conditional
To specify the religion of a person.
3483
Religion, coded
  • Conditional
  • Type: an
  • Length: 0..3
To specify the religion of a person in a coded form.
1131
Code list qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Identification of a code list.
Show all standard codes
3055
Code list responsible agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying the agency responsible for a code list.
Show all standard codes
3482
Religion
  • Conditional
  • Type: an
  • Length: 0..35
To specify the religion of a person.

DTM C 2 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 2
A segment indicating relevant dates related to the civil status (date of marriage, date of divorce, ...).
C507
DATE/TIME/PERIOD
  • Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date/time/period qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a date, time or period.
Show all standard codes
2380
Date/time/period
  • Conditional
  • Type: an
  • Length: 0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Specification of the representation of a date, a date and time or of a period.
Show all standard codes

GRP6 C 1 AUT DTM

  • Conditional
  • Max repeat: 1
A group of segments specifying the details of authentication.

AUT M 1 AUTHENTICATION RESULT

  • Mandatory
  • Max repeat: 1
A segment specifying the details of any authentication (validation) procedure applied to the SSIMOD message.
9280
VALIDATION RESULT
  • Mandatory
  • Type: an
  • Length: 0..35
The result of the application of an algorithm to the content of data element in a message.
9282
VALIDATION KEY IDENTIFICATION
  • Conditional
  • Type: an
  • Length: 0..35
Identifies the cryptographic key used to calculate the validation result.

DTM C 1 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 1
A segment identifying the date and where necessary, the time of authentication.
C507
DATE/TIME/PERIOD
  • Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date/time/period qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a date, time or period.
Show all standard codes
2380
Date/time/period
  • Conditional
  • Type: an
  • Length: 0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date/time/period format qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Specification of the representation of a date, a date and time or of a period.
Show all standard codes

UNT M 1 MESSAGE TRAILER

  • Mandatory
  • Max repeat: 1
A service segment ending a message, giving the total number of segments in the message and the control reference number of the message.
0074
NUMBER OF SEGMENTS IN A MESSAGE
  • Mandatory
  • Type: n
  • Length: 0..6
Control count of number of segments in a message.
0062
MESSAGE REFERENCE NUMBER
  • Mandatory
  • Type: an
  • Length: 0..14
Unique message reference assigned by the sender.