| Name | Value |
|---|---|
| FORM FIELD REFERENCE | UB-04 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N CIEN S CIEN=+$$PTADDR^IBCEF(IBXIEN,25),IBXDATA=$S(CIEN>1:$$GET1^DIQ(779.004,CIEN,1.2),1:"") |
| FORMAT CODE DESCRIPTION | Patient address - country code. Printed if country is not USA, blank otherwise. |