| Name | Value |
|---|---|
| FORM FIELD REFERENCE | CMS-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-PATIENT STREET ADDRESS 1-3 |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N Z F Z=1:1:3 S IBXDATA=IBXDATA_$S(Z>1:" ",1:"")_$G(^UTILITY("VAPA",$J,Z)) |
| FORMAT CODE DESCRIPTION | Concatenate all 3 lines of the address together, separated by a space. |