Segment
X12 EDI Release 00504
To provide personal information on an individual
Elements
Code indicating the date format, time format, or date and time format
Codes (42)- CCFirst Two Digits of Year Expressed in Format CCYY
- CDMonth and Year Expressed in Format MMMYYYY
- CMDate in Format CCYYMM
- CQDate in Format CCYYQ
- CYYear Expressed in Format CCYY
- D6Date Expressed in Format YYMMDD
- D8Date Expression in Format CCYYMMDD
- DARange of Dates within a Single Month Expressed in Format DD-DD
- DBDate Expressed in Format MMDDCCYY
- DDDay of Month in Numeric Format
- DTDate and Time Expressed in Format CCYYMMDDHHMM
- EHLast Digit of Year and Julian Date Expressed in Format YDDD
- KADate Expressed in Format YYMMMDD
- MDMonth of Year and Day of Month Expressed in Format MMDD
- MMMonth of Year in Numeric Format
- RDRange of Dates Expressed in Format MMDDCCYY-MMDDCCYY
- TCJulian Date Expressed in Format DDD
- TMTime Expressed in Format HHMM
- TQDate Expressed in Format MMYY
- TRDate and Time Expressed in Format DDMMYYHHMM
- TSTime Expressed in Format HHMMSS
- TTDate Expressed in Format MMDDYY
- TUDate Expressed in Format YYDDD
- UNUnstructured
- YMYear and Month Expressed in Format YYMM
- YYLast Two Digits of Year Expressed in Format CCYY
- DDTRange of Dates and Time, Expressed in CCYYMMDD-CCYYMMDDHHMM
- DTDRange of Dates and Time, Expressed in CCYYMMDDHHMM-CCYYMMDD
- DTSRange of Date and Time Expressed in Format CCYYMMDDHHMMSS-CCYYMMDDHHMMSS
- MCYMMCCYY
- RD2Range of Years Expressed in Format YY-YY
- RD4Range of Years Expressed in Format CCYY-CCYY
- RD5Range of Years and Months Expressed in Format CCYYMM-CCYYMM
- RD6Range of Dates Expressed in Format YYMMDD-YYMMDD
- RD8Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD
- RDMRange of Dates Expressed in Format YYMMDD-MMDD
- RDTRange of Date and Time, Expressed in Format CCYYMMDDHHMM-CCYYMMDDHHMM
- RMDRange of Months and Days Expressed in Format MMDD-MMDD
- RMYRange of Years and Months Expressed in Format YYMM-YYMM
- RTMRange of Time Expressed in Format HHMM-HHMM
- RTSDate and Time Expressed in Format CCYYMMDDHHMMSS
- YMMRange of Year and Months, Expressed in CCYYMMM-MMM Format
Code indicating the relationship between two individuals or entities
Codes (155)- 10Foster Child
- 11Son-in-law or Daughter-in-law
- 12Brother-in-law or Sister-in-law
- 13Mother-in-law or Father-in-law
- 14Brother or Sister
- 15Ward
- 16Stepparent
- 17Stepson or Stepdaughter
- 18Self
- 19Child
- 20Employee
- 21Unknown
- 22Handicapped Dependent
- 23Sponsored Dependent
- 24Dependent of a Minor Dependent
- 25Ex-spouse
- 26Guardian
- 27Student
- 28Friend
- 29Significant Other
- 30Both Parents
- 31Court Appointed Guardian
- 32Mother
- 33Father
- 34Other Adult
- 36Emancipated Minor
- 37Agency Representative
- 38Collateral Dependent
- 39Organ Donor
- 40Cadaver Donor
- 41Injured Plaintiff
- 43Child Where Insured Has No Financial Responsibility
- 45Widow
- 46Widower
- 47State Fund
- 48Stepfather
- 49Stepmother
- 50Foster Parent
- 51Emergency Contact
- 52Employer
- 53Life Partner
- 55Adopted Daughter
- 56Adopted Son
- 57Adoptive Father
- 58Adoptive Mother
- 59Adoptive Parents
- 60Annuitant
- 61Aunt
- 62Brother
- 63Brother-in-Law
- 64Business
- 65Business Associate
- 66Business Insurance Trust
- 67Business Partner
- 68Charity
- 70Children of Marriage
- 71Company
- 72Corporation
- 73Creditor
- 74Daughter
- 75Daughter-in-Law
- 76Dependent
- 78Estate
- 79Ex-wife
- 80Family Member
- 81Father-in-Law
- 82Fiancé (Male)
- 83Financée (Female)
- 84Fiduciary
- 86Foster Daughter
- 87Foster Father
- 88Foster Mother
- 90Foster Son
- 91God Daughter
- 92God Father
- 93God Parents
- 94God Son
- 95Grandchildren
- 96Granddaughter
- 97Grandfather
- 98Grandmother
- 99Grandparents
- 01Spouse
- 02Son or Daughter
- 03Father or Mother
- 04Grandfather or Grandmother
- 05Grandson or Granddaughter
- 06Uncle or Aunt
- 07Nephew or Niece
- 08Cousin
- 09Adopted Child
- A1Grandson
- A2Great Aunt
- A3Ex-husband
- A4Half Brother
- A5Half Sister
- A6Husband
- A7Institution
- A8Mortgage Holder
- A9Mother-in-Law
- B1Nephew
- B2Niece
- B3Parents-in-Law
- B4Partnership
- B5Partner
- B6Personal Insurance Trust
- B7Sister
- B8Sister-in-Law
- B9Sole Proprietorship
- C1Son
- C2Son-in-Law
- C3Step Brother
- C4Step Children
- C5Step Daughter
- C8Step Sister
- C9Step Son
- D1Trust
- D2Trustee
- D3Uncle
- D4Wife
- D5Teacher
- D6School Counselor
- D7School Principal
- D8Other School Administrator
- D9Coach
- DCChild of a Domestic Partner
- E1Activity Sponsor
- E2Supervisor
- E3Co-worker
- E4Minister or Priest
- E5Ecclesiastical or Religious Leader
- E6God Mother
- E7Probation Officer
- E8Accountant
- E9Advisor
- F1Alma Mater
- F2Applicant
- F3Banker
- F6Clergyman
- F7Client
- F8Club or Organization Officer
- F9Doctor
- G2Educator/Teacher/Instructor
- G3Betrothed
- G4Insured
- G5Lawyer
- G6Medical Care Provider
- G7Neighbor
- G8Other Relationship
- G9Other Relative
- H1Owner
- H4Payor
- N1None
- OTNon-applicable Individual Relationship Category
- ZZMutually Defined
Code identifying a political party affiliation
Codes (20)- AMAmerican
- CMCommunist
- CNConservative
- DMDemocratic
- FRFreedom
- GNGreen
- GRGrass Roots
- INIndependence
- LLLiberal
- LRLaRouche
- LTLibertarian
- NPNo Political Party
- OTOther Political Party
- PFPeace and Freedom
- RLRight-to-Life
- RPRepublican
- SCSocialist
- SLSocialist-Labor
- TXTaxpayers
- ZZMutually Defined