| Name | Value |
|---|---|
| NAME | ORAM SIGNATURE BLOCK NAME |
| DISPLAY TEXT | Signature Block Name or Clinic |
| VALUE TERM | Signature Block Name or Clinic |
| VALUE DATA TYPE | free text |
| VALUE DOMAIN | 1:45 |
| VALUE HELP | Answer must be 1-45 characters in length. |
| DESCRIPTION | Signing name to be used in the letter signature blocks. |
| ALLOWABLE ENTITIES |