LEGACY HCFA-1500 (307)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-HCFA 1500 OUTSIDE LAB
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$S(IBXDATA:" ",1:$J("",5))_"X"