GLOBAL MAP DATA DICTIONARY #364.7 -- IB FORM FIELD CONTENT FILE                                                   3/24/25    PAGE 1
STORED IN ^IBA(364.7,  (1688 ENTRIES)   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                                   (VERSION 2.0)   
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DO NOT delete entries or edit data in this file with VA File Manager.  
 
This is the file that contains the specific fields to be used to produce the associated form or screen.  If there is no insurance
company or bill type specified for an entry, this is assumed to be the default definition of the field.  
 
Entries in this file that are designated as having a SECURITY LEVEL of NATIONAL should not be deleted or edited.  


CROSS
REFERENCED BY: FORM FIELD REFERENCE(AINS), INSURANCE COMPANY(AINS1), FORM FIELD REFERENCE(AINTYP), INSURANCE COMPANY(AINTYP1), 
               BILL TYPE(AINTYP2), FORM FIELD REFERENCE(ATYPE), BILL TYPE(ATYPE1), FORM FIELD REFERENCE(B), DATA ELEMENT(C)

INDEXED BY:    FORM FIELD REFERENCE & SECURITY LEVEL & INSURANCE COMPANY & BILL TYPE (ALL)


^IBA(364.7,D0,0)= (#.01) FORM FIELD REFERENCE [1P:364.6] ^ (#.02) SECURITY LEVEL [2S] ^ (#.03) DATA ELEMENT [3P:364.5] ^ (#.04) 
               ==>SCREEN PROMPT [4F] ^ (#.05) INSURANCE COMPANY [5P:36] ^ (#.06) BILL TYPE [6S] ^ (#.07) PAD CHARACTER [7S] ^ 
               ==>(#.08) REQUIRED [8S] ^ (#.09) EDIT STATUS [9S] ^ (#.1) EDIT GROUP NUMBER [10N] ^ 
^IBA(364.7,D0,1)= (#1) FORMAT CODE [E1,245K] ^ 
^IBA(364.7,D0,3,0)=^364.73^^  (#3) FORMAT CODE DESCRIPTION
^IBA(364.7,D0,3,D1,0)= (#.01) FORMAT CODE DESCRIPTION [1W] ^ 


INPUT TEMPLATE(S):
^DIE(1485)= IBCE EDIT FIELD CONTENT    

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):