UB-04 (1278) IB FORM FIELD CONTENT (364.7)
Name
Value
FORM FIELD REFERENCE
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
DATA ELEMENT
N-PATIENT STREET ADDRESS 1-3
PAD CHARACTER
NO PAD REQUIRED
FORMAT CODE
S IBXDATA=$G(^UTILITY("VAPA",$J,1))_" "_$G(^UTILITY("VAPA",$J,2))_" "_$G(^UTILITY("VAPA",$J,3))
FORMAT CODE DESCRIPTION
Patient address - street address