| Name | Value |
|---|---|
| FORM FIELD REFERENCE | LEGACY HCFA-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-FACILITY STREET ADDRESS 1 |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXSAVE("FSTREET1")=IBXDATA |
| FORMAT CODE DESCRIPTION | Save the data in the IBXSAVE array for later use. |