148 Report of Injury, Illness or Incident (004020)

This is the standard X12 004020 spec, with 17 loops and 114 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.

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The spec as an OpenAPI 3 schema with x-openedi-* extensions, for ediFabric Native, ediFabric Cloud and the EDI Spec Builder. Download OpenEDI (126 KB) Generate classes
The ediFabric .NET template, class TS148. It needs the common segments, composites and codes of X12 004020, one download for every transaction in the version. Download C# (2 KB) Common files (254 KB)
The intermediary model ediFabric Native loads with set_map. Download Native (96 KB)

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 004020 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.

IDNameUsageMax use
STTransaction Set HeaderOptional1
BHTBeginning of Hierarchical TransactionMandatory1
CURCurrencyOptional1
QTYQuantityOptional1
REFReference IdentificationOptional9
Loop NM1Individual or Organizational NameOptional>1
NM1Individual or Organizational NameMandatory1
N2Additional Name InformationOptional1
N3Address InformationOptional2
N4Geographic LocationOptional1
PERAdministrative Communications ContactOptional3
ACTAccount IdentificationOptional9
DTPDate or Time or PeriodOptional9
DMGDemographic InformationOptional1
REFReference IdentificationOptional9
QTYQuantityOptional>1
CRCConditions IndicatorOptional>1
Loop HLHierarchical LevelMandatory999999
HLHierarchical LevelMandatory1
CRIClaim Report InformationOptional>1
ACTAccount IdentificationOptional2
DTPDate or Time or PeriodOptional>1
CURCurrencyOptional1
AMTMonetary AmountOptional>1
FCFinancial ContributionOptional2
REFReference IdentificationOptional>1
DMGDemographic InformationOptional1
QTYQuantityOptional>1
CRCConditions IndicatorOptional>1
VEHVehicle InformationOptional>1
Loop NM1Individual or Organizational NameOptional999
NM1Individual or Organizational NameMandatory1
N2Additional Name InformationOptional1
N3Address InformationOptional2
N4Geographic LocationOptional1
PERAdministrative Communications ContactOptional3
ACTAccount IdentificationOptional9
DTPDate or Time or PeriodOptional9
DMGDemographic InformationOptional1
REFReference IdentificationOptional>1
QTYQuantityOptional>1
CRCConditions IndicatorOptional>1
Loop ESIEmployment Status InformationOptional99
ESIEmployment Status InformationMandatory1
EMTEmploymentOptional1
TPBBusiness Professional TitleOptional1
DTPDate or Time or PeriodOptional>1
REFReference IdentificationOptional>1
QTYQuantityOptional>1
NM1Individual or Organizational NameOptional1
PERAdministrative Communications ContactOptional>1
CRCConditions IndicatorOptional9
Loop LXAssigned NumberOptional99
LXAssigned NumberMandatory1
AINIncomeOptional1
CURCurrencyOptional1
TXITax InformationOptional9
WSWork ScheduleOptional99
DTPDate or Time or PeriodOptional>1
QTYQuantityOptional9
REFReference IdentificationOptional>1
Loop LNLoan InformationOptional999
LNLoan InformationMandatory1
REFReference IdentificationOptional>1
Loop VEHVehicle InformationOptional>1
VEHVehicle InformationMandatory1
N4Geographic LocationOptional1
PIDProduct/Item DescriptionOptional>1
Loop AMTMonetary AmountOptional99
AMTMonetary AmountMandatory1
PCTPercent AmountsOptional1
DTPDate or Time or PeriodOptional>1
Loop NM1Individual or Organizational NameOptional>1
NM1Individual or Organizational NameMandatory1
DMGDemographic InformationOptional1
N3Address InformationOptional1
N4Geographic LocationOptional1
PERAdministrative Communications ContactOptional1
DTPDate or Time or PeriodOptional>1
REFReference IdentificationOptional>1
Loop LSLoop HeaderOptional1
LSLoop HeaderMandatory1
Loop LXAssigned NumberOptional>1
LXAssigned NumberMandatory1
Loop IIIInformationOptional>1
IIIInformationMandatory1
IMPImpairment DetailOptional6
DTPDate or Time or PeriodOptional>1
CRCConditions IndicatorOptional9
QTYQuantityOptional>1
REFReference IdentificationOptional>1
Loop LMCode Source InformationOptional>1
LMCode Source InformationMandatory1
LQIndustry CodeMandatory>1
Loop NM1Individual or Organizational NameOptional999
NM1Individual or Organizational NameMandatory1
N2Additional Name InformationOptional1
N3Address InformationOptional2
N4Geographic LocationOptional1
PERAdministrative Communications ContactOptional2
ACTAccount IdentificationOptional9
DTPDate or Time or PeriodOptional>1
DMGDemographic InformationOptional1
REFReference IdentificationOptional>1
CRCConditions IndicatorOptional>1
LELoop TrailerMandatory1
Loop CFICompensation Financial InformationOptional999
CFICompensation Financial InformationMandatory1
CURCurrencyOptional1
AMTMonetary AmountOptional9
DTPDate or Time or PeriodOptional>1
QTYQuantityOptional>1
RELRelationshipOptional30
REFReference IdentificationOptional9
CRCConditions IndicatorOptional>1
Loop AD1Adjustment AmountOptional999
AD1Adjustment AmountMandatory1
DTPDate or Time or PeriodOptional>1
REFReference IdentificationOptional>1
Loop NM1Individual or Organizational NameOptional999
NM1Individual or Organizational NameMandatory1
N2Additional Name InformationOptional1
N3Address InformationOptional2
N4Geographic LocationOptional1
PERAdministrative Communications ContactOptional2
ACTAccount IdentificationOptional9
DTPDate or Time or PeriodOptional9
DMGDemographic InformationOptional1
REFReference IdentificationOptional9
GRIStatistical Government InformationOptional99
SETransaction Set TrailerOptional1