# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | name(+) | 0;1 | POINTER | 2 | B | This is the name of the patient. |
1 | street addr.1(+) | 0;2 | FREE TEXT | This is the patient street address 1. | ||
2 | street addr.2 | 0;3 | FREE TEXT | This is the patient address 2. | ||
3 | street addr.3 | 0;4 | FREE TEXT | This is the patient street address 3. | ||
4 | city(+) | 0;5 | FREE TEXT | This is the city of the patient address. | ||
5 | state(+) | 0;6 | POINTER | 5 | This is the state of the patient address. | |
6 | zip code(+) | 0;7 | FREE TEXT | This is the zip code of the patient address. | ||
99 | dfn# | 99;1 | NUMERIC | This is the DFN# number. |