| 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) |