UB-04 (1280)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE UB-04
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-PATIENT STATE
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$$GET1^DIQ(5,$S(+$$PTADDR^IBCEF(IBXIEN,25)>1:+$$PTADDR^IBCEF(IBXIEN,23),1:+IBXDATA),1)
FORMAT CODE DESCRIPTION
Patient address - state/province (2-char code)