LEGACY HCFA-1500 (299)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-SIMILAR ILLNESS DATE
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$$DATE^IBCF2(IBXDATA,1)
FORMAT CODE DESCRIPTION 
Format date as MM DD YYYY.