Division of Federal Employees' Compensation (DFEC)
Field # | Name | Field Type | Description | Value/Format |
---|---|---|---|---|
1 | EXTRACT-RECORD-TYPE | CHAR(1) | Record type identifier | C = Change; D = Delete |
2 | CASE-NUMBER | CHAR(9) | Unique identifier assigned by OWCP |
|
3 | CASE-TYPE | CHAR(1) | Indicates the relationship between this case and associated cases for the same employee | I = Independent; M = Master; |
4 | CASE-PTR | CHAR(9) | Uses the Case Type field to map cases to the master case | If Case Type = M, Case Pointer = total number of subsidiary cases associated with this master case |
5 | LAST-NAME | CHAR(20) | Employee’s Last Name |
|
6 | FIRST-NAME | CHAR(20) | Employee’s First Name |
|
7 | MIDDLE-NAME | CHAR(20) | Employee’s Middle Name |
|
8 | SEX | CHAR(1) | Employee’s Gender | F = Female; M = Male |
9 | SSN | CHAR(9) | Employee’s Social Security Number |
|
10 | DOB | DATE (8) | Employee’s Date of Birth | YYYYMMDD |
11 | DOD | DATE (8) | Employee’s Date of Death | YYYYMMDD |
12 | ADDR-1 | CHAR(70) | Employee’s Address Field 1 | Employee’s address |
13 | ADDR-2 | CHAR(70) | Employee’s Address Field 2 | Address continued |
14 | ADDR-3 | CHAR(70) | Employee’s Address Field 3 | Address continued |
15 | CITY | CHAR(20) | Employee’s City | Address city |
16 | STATE | CHAR(2) | Employee’s State | State abbreviation code |
17 | ZIP | CHAR(9) | Employee’s Zip Code | Postal Zip Code |
18 | PHONE-NUMBER | CHAR(10) | Employee’s Phone Number | Area Code + Phone Number |
19 | EMP-DOI | DATE (8) | Employee’s Date of Injury | YYYYMMDD |
20 | INJ-ZIP | CHAR(9) | Zip Code of location where injury occurred | Postal Zip Code |
21 | EXTENT-OF-INJ | CHAR(1) | Indicates seriousness of injury | 0 = fatal; 1 = no time lost |
22 | FATAL-IND | CHAR(1) | For fatal cases indicates claimed relationship of employee’s death to employment | 0 = Not Related to Injury |
23 | ANAT-LOCN-CODE | CHAR(2) | Indicates the anatomical location of the reported injury/condition | See Appendix |
24 | NATURE-CODE | CHAR(2) | Nature of Injury Code | See Appendix |
25 | CAUSE-CODE | CHAR(2) | Cause of Injury Code | See Appendix |
26 | FORMS-RECVD | CHAR(1) | Indicates claim form type of used | 1 = CA-1; 2 = CA-2; 5 = CA-5 |
27 | LOST-TIME-FLAG | CHAR(1) | Lost Time (Per CA-1 Filing Instructions) | Y= Yes; N =No |
Field # | Name | Field Type | Description | Value/Format |
---|---|---|---|---|
28 | NLT-NO-EXPENSE-FLAG | CHAR(1) | No Lost Time, No Medical Expense Incurred (Per CA-1 Filing Instructions) | Y= Yes; N =No |
29 | NLT-YES-EXPENSE-FLAG | CHAR(1) | No Lost Time, Medical Expense Incurred (Per CA-1 Filing Instructions) | Y= Yes; N =No |
30 | FIRST-AID-INJURY-FLAG | CHAR(1) | First Aid Injury (Per CA-1 Filing Instructions) | Y= Yes; N =No |
31 | INJURED-IN-POD-FLAG | CHAR(1) | Injured during performance of duty indicator (Per CA-1 Report) | Y= Yes; N =No |
32 | COP-FLAG | CHAR(1) | Claimant utilized Continuation of Pay benefits (Per CA-1 Report) | Y= Yes; N =No |
33 | CNTRVTD-IND | CHAR(1) | COP claim controverted by agency (Per CA-1 Report) | Y= Yes; N =No |
34 | PAY-STOPPED-DT | DATE (8) | Date employee’s pay stopped | YYYYMMDD |
35 | DEPENDENT-FLAG | CHAR(1) | Employee has Dependent(s) | Y= Yes; N =No |
36 | PAY-GRADE | CHAR(4) | Grade at time of injury | e.g., GS09, WG10 |
37 | PAY-STEP | CHAR(4) | Step at time of injury |
|
38 | OCC-CODE | CHAR(5) | Indicates employee’s occupation code at time of injury | See Appendix |
39 | INJURY-TYPE-CODE | CHAR(3) | Indicates type of injury reported | See Appendix |
40 | INJURY-SOURCE-CODE | CHAR(4) | Indicates source of reported injury | See Appendix |
41 | DEPT-AGENCY-CODE | CHAR(6) | Agency Code and Agency Building Code | 4 digits plus 2 alpha-numeric |
42 | AGENCY-RECEIVED-DT | DATE (8) | Date CA-1/CA-2 claim was received by employing agency | YYYYMMDD |
43 | DOL-RECEIVED-DATE | DATE (8) | Date claim was received by OWCP | YYYYMMDD |
44 | DATE-CASE-CREATED | DATE (8) | Date the case was created by OWCP | YYYYMMDD |
45 | SFC-FLAG | CHAR(1) | Administrative acceptance and Short Form Closure of eligible traumatic injury case at time of creation | Y = Currently a Short Form Closure case; |
46 | SFC-REOPEN-CODE | CHAR(1) | Short Form Closure reopen code | See Appendix |
47 | SFC-REOPEN-DATE | DATE (8) | Short Form Closure reopen date | YYYYMMDD |
48 | REP-ACCPT-COND | CHAR(45) | Reported condition or accepted diagnosis | Narrative, or up to 6 ICD-9 codes |
49 | THIRD-PARTY-IND | CHAR(2) | Indicator of Third Party Status | See Appendix |
50 | THIRD-PARTY-DATE | DATE (8) | Third Party Status Date | YYYYMMDD |
CURR-ADJUD-STATUS | CHAR(2) | Current Adjudication Status | See Appendix | |
52 | CURR-ADJUD-STATUS-DATE | DATE (8) | Current Adjudication Status Date | YYYYMMDD |
Field # | Name | Field Type | Description | Value/Format |
---|---|---|---|---|
53 | CURR-CASE-STATUS | CHAR(2) | Current Case Status | See Appendix |
54 | CURR-CASE-STATUS-DATE | DATE (8) | Current Case Status Date | YYYYMMDD |
55 | PREV-CASE-STATUS | CHAR(2) | Previous Case Status | See Appendix |
56 | PREV-CASE-STATUS-DATE | DATE (8) | Previous Case Status Date | YYYYMMDD |
57 | PREV-ADJUD-STATUS | CHAR(2) | Previous Adjudication Status | See Appendix |
58 | PREV-ADJUD-DATE | DATE (8) | Previous Adjudication Status date | YYYYMMDD |
59 | INIT-ADJUD-STATUS | CHAR(2) | Initial Adjudication Status | See Appendix |
60 | INIT-ADJUD-DATE | DATE (8) | Initial Adjudication Status Date | YYYYMMDD |
61 | DATE-CLOSED | DATE (8) | Date the case was last closed (after previous not closed status) | YYYYMMDD |
62 | DATE-REOPENED | DATE (8) | Date the case was last reopened (after previous closed status) | YYYYMMDD |
63 | COMP-CLAIM-DATE | DATE (8) | First CA-7 Claim Received Date | YYYYMMDD |
64 | WAGE-LOSS-DATE | DATE (8) | Indicates the date wage loss began | YYYYMMDD |
65 | QCM-FLAG | CHAR(1) | Indicates case is under Quality Case Management (QCM) tracking | Y = Yes; N = No |
66 | RECURRENCE-NUMBER | CHAR(2) | Recurrence claim received number (last) | 00 – 99 |
67 | RTW-CODE | CHAR(2) | Indicates Return To Work information | See Appendix |
68 | RTW-DATE | DATE (8) | Return To Work Date | YYYYMMDD |
69 | PRM-FLAG | CHAR(1) | Indicates case is under Periodic Roll Management (PRM) tracking | Y = Yes; N = No |
70 | REHAB-IND | CHAR(1) | Indicates Vocational Rehabilitation Status | See Appendix |
71 | REHAB-DATE | DATE (8) | Vocational Rehabilitation Status Date | YYYYMMDD |
72 | RCE-ID | CHAR(3) | Responsible Claims Examiner Code | YYYYMMDD |
73 | SPECIAL_CASE_CD | CHAR(3) | Special Claims Indicator associated with the |
|
74 | REP_ACCPT_COND_10 | CHAR(70) | International Classification of Diseases code, revision 10 |
|
75 | DIST-OFFICE-NUMBER | CHAR(2) | District Office Number | See Appendix |
76 | DATE-LAST-CHANGE | DATE (8) | Date of last record update | YYYYMMDD |
Including 76 field delimiters, the maximum possible record length is 779 (col 26 changed to CHAR(1)).
APPENDIX
Anatomical Location Codes
A1 = Single Upper Arm | F1 = Single First Finger | R1 = Single Clavicle/Collar Bone |
APPENDIX
Nature of Injury Codes
99 = OTHER (DISEASE)
C9 = CARDIOVASCULAR DISEASE, OTHER
CA = ANGINA
CB = BLOOD DISORDER
CH = HYPERTENSION
CM = MYOCARDIAL INFARCTION
CP = VARICOSE VEINS, PHLEBITIS, THROMBOPHLEBITIS
CS = CEREBROVASCULAR ACCIDENT
D1 = PARALYSIS, ONE LIMB
DA = HEADACHES
DB = SEIZURES, CONVULSIONS
DC = COMA
DE = OCCUPATIONAL EXPOSURE TO CHEMICALS/TOXINS/BIOLOGICAL SUBSTANCE, ETC.
DF = GENERAL SYMPTOMS: SYNCOPE, DIZZINESS, VERTIGO, FATIGUE, NUMBNESS OF BODY PART
DH = HEARING LOSS
DI = LOSS OF VISION
DM = MENTAL, EMOTIONAL, NERVOUS CONDITIONS
DN = NERVE CONDITION (INCLUDING PARALYSIS) AFTER EXPOSURE TO TOXINS
DR = EFFECTS OF EXPOSURE TO RADIATION
DT = TUMORS, CANCER AND RELATED CONDITIONS
G9 = GASTROINTESTINAL CONDITION, NOT SPECIFIED
GD = DIARRHEA, WITH/WITHOUT VOMITING
GH = HERNIA, HIATAL
GO = HERNIA, OTHER
GP = ABDOMINAL PAIN
GU = ULCER, GASTRIC, DUODENAL, PEPTIC
M9 = MUSCULOSKELETAL CONDITION, OTHER
MA = ARTHRITIS/OSTEOARTHRITIS
MB = BACK SPRAIN/STRAIN, BACK PAIN, SUBLUXATION
MC = CARPAL TUNNEL SYNDROME/CUBITAL TUNNEL SYNDROME
MD = INTERVERTEBRAL DISC DISORDERS
MI = CONDITIONS OF TENDONS, ETC.
MK = CHONDROMALACIA
MP = PAIN/SWELLING/STIFFNESS/REDNESS IN JOINT
MS = PAIN/SWELLING/STIFFNESS/REDNESS NOT IN JOINT
OF = FOOD POISONING
OG = TOOTH AND GUM PROBLEMS
OL = HERNIA, INGUINAL
OP = PREGNANCY (PEACE CORPS ONLY)
R9 = RESPIRATORY CONDITION, OTHER
RA = ASBESTOSIS
RB = BRONCHITIS
RC = ASTHMA
RE = EMPHYSEMA
RP = PNEUMOCONIOSIS
RR = REACTION TO SMOKE, FUMES, CHEMICALS
RS = SILICOSIS
S9 = SKIN CONDITION, OTHER
SB = CONTACT DERMATITIS
SC = CHEMICAL
SL = CALLUS, CORN
T0 = NO INJURY STATED
T1 = NERVOUS SYSTEM INJURIES
T2 = ACOUSTIC TRAUMA
T3 = CARDIOVASCULAR CONDITIONS
T4 = MENTAL, EMOTIONAL, NERVOUS CONDITIONS
T5 = HEADACHES
T6 = DEATH SUDDEN/VIOLENT
T7 = GENERAL SYMPTOMS
T8 = TRAUMATIC INJURY - UNCLASS. (EXCEPT DISEASE, ILLNESS)
TA = AMPUTATION
TB = BACK SPRAIN/STRAIN, BACK PAIN, SUBLUXATION, IVD DISORDERS
TC = CONTUSION
TD = DISLOCATION
TE = INJURY DUE TO ENVIRONMENTAL CAUSES
TF = FRACTURE
TG = EFFECTS OF ELECTRICAL CURRENT
TH = INGUINAL HERNIA
TI = SKIN CONDITIONS: ALLERGY, ECZEMA, DERMATITIS
TJ = CRUSH INJURY
TK = CONCUSSION
TL = LACERATION
TM = EXPOSURE TO ALL CHEMICAL OR BIOLOGICAL CAUSES
TN = SUPERFICIAL WOUNDS
TO = PAIN, SWELLING, REDNESS, STIFFNESS, NOT IN JOINT
TP = PUNCTURE WOUND
TQ = GASTROINTESTINAL CONDITIONS
TR = RESPIRATORY CONDITIONS
TS = SPRAIN/STRAIN OF LIGAMENT, MUSCLE, TENDON, NOT BACK
TT = INJURIES TO TEETH
TU = BURNS
TV = FOREIGN BODY IN ANY BODY PART
TW = TB INCLUDING EXPOSURE AND POSITIVE SKIN TEST
TX = INFECTIOUS DISEASES: BACTERIA, VIRUSES, PARASITES
TY = INSECT BITE
TZ = PAIN/SWELLING/STIFFNESS/REDNESS IN JOINT
V1 = FEVER, WITH OR WITHOUT CHILLS, FATIGUE, ETC.
V9 = INFECTIOUS OR PARASITIC DISEASE, OTHER
VA = ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS)
VB = BRUCELLOSIS
VC = COCCIDIODOMYCOSIS
VD = ANTHRAX
VF = RABIES (INCLUDES EXPOSURE)
VH = HEPATITIS
VL = LYME DISEASE
VM = MALARIA
VP = PARASITIC DISEASES
VR = ROCKY MOUNTAIN SPOTTED FEVER
VS = STAPHYLOCOCCUS
VT = TB INCLUDING EXPOSURE AND POSITIVE SKIN TEST
APPENDIX
Cause of Injury Codes
00 = Legacy Case Use | 47 = Handling Tool Boxes |
APPENDIX
Occupation Codes
01 = Aeronautics Engineer | 51 =Meat Cutter |
APPENDIX
Injury Type Codes
100 = Struck | 320 = Caught in | 600 = Exertion |
APPENDIX
Source of Injury Codes
0100 = Building or Working Area | 0610 = Dust (Silica, Coal, Grain, Cotton) |
APPENDIX
Lost Time/No Lost Time Reopen Codes
1 = Reopened SFC: medical bills exceed $1500
2 = Reopened SFC: compensation claim received
3 = Reopened SFC: case controverted
4 = Reopened SFC: other reason
C = Reopened SFC: "referred" cop/rtw case with no rtw
U = Reopened SFC: Surgery required
V = Reopened SFC: Date of first treatment is less than DOI
X = Reopened SFC: Recurrence claim received
Y = Reopened SFC: RTW date is missing
Z = Reopened SFC: RTW = Less than regular duty full time restrictions within 14 days of TCM call
APPENDIX
Third Party Indicator Codes
00 = no third party potential
01 = identified as third party not referred to sol
02 = referred to solicitor
03 = usps case, responsibility of usps
04 = closed - minor not economical to pursue
05 = closed - other
06 = settled - no refund due
07 = settled - refund not received
08 = settled - refund received no credit remaining
09 = settled - refund received credit against future compensation
10 = closed - the applicable statute of limitation has expired
11 = closed - the negligent 3rd party can not be identified
12 = closed - the negligent 3rd party has left the jurisdiction and recovery can not be pursued
13 = closed - the negligent 3rd party has no assets from which recovery can be made
14 = closed - the 3rd party identified is clearly not liable
APPENDIX
Adjudication Status Codes
00 = No Status | D1 = Denied - Time Limitations Expired |
APPENDIX
Case Status Codes
C1 = Closed - No Time Lost | ON = Overpayment - Compensation Terminated |
APPENDIX
Return to Work Codes
FF = Full duty, full time | NL = No lost tine |
APPENDIX
Rehabilitation Indicator Codes
1 = Closed on referral | I = Plan Approved |
APPENDIX
District Office Number
01 = Boston
02 = New York
03 = Philadelphia
06 = Jacksonville
09 = Cleveland
10 = Chicago
11 = Kansas City
12 = Denver
13 = San Francisco
14 = Seattle
16 = Dallas
25 = Washington
50 = National Office
Last updated: 08/20/2020