| Name | Value |
|---|---|
| FORM FIELD REFERENCE | CMS-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-DATE FIRST PRINTED |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N A,Z S Z=$$DATE31^IBCF2(IBXDATA,IBXIEN) S A=$$GETPRV^IBCEF83(IBXIEN,,3,"A6"),IBXDATA=A_$J("",11-$L(A))_Z |
| FORMAT CODE DESCRIPTION | Print credentials left justified and date right justified. Format date as MM/DD/YYYY. |