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Segment
in
X12 Release 004040

DMG Demographic Information

To supply demographic information
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
1250
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
1
Code indicating the date format, time format, or date and time format
P0102
Codes (41)
02
Date Time Period
String (AN)
Conditional
1
35
1
Expression of a date, a time, or range of dates, times or dates and times
DMG02 is the date of birth.
03
Gender Code
Identifier (ID)
Optional
1
1
1
Code indicating the sex of the individual
Codes (7)
04
Marital Status Code
Identifier (ID)
Optional
1
1
1
Code defining the marital status of a person
Codes (12)
05
Composite Race or Ethnicity Information
Composite (composite)
Conditional
10
01
Race or Ethnicity Code
Identifier (ID)
Optional
1
1
-
Code indicating the racial or ethnic background of a person; it is normally self-reported; Under certain circumstances this information is collected for United States Government statistical purposes
Codes (23)
02
Code List Qualifier Code
Identifier (ID)
Conditional
1
3
-
Code identifying a specific industry code list
P0203
C056-02 and C056-03 are used to specify detailed information about race or ethnicity.
Codes (873)
03
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
06
Citizenship Status Code
Identifier (ID)
Optional
1
2
1
Code indicating citizenship status
Codes (18)
07
Country Code
Identifier (ID)
Optional
2
3
1
Code identifying the country
DMG07 is the country of citizenship.
08
Basis of Verification Code
Identifier (ID)
Optional
1
2
1
Code indicating the basis of verification
Codes (20)
09
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
DMG09 is the age in years.
10
Code List Qualifier Code
Identifier (ID)
Conditional
1
3
1
Code identifying a specific industry code list
P1011
Codes (873)
11
Industry Code
String (AN)
Conditional
1
30
1
Code indicating a code from a specific industry code list
C1105
DMG11 is used to specify how the information in DMG05, including repeats of C056, was collected.
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.