70 lines
3.6 KiB
Plaintext
70 lines
3.6 KiB
Plaintext
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<%
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Response.Buffer = True
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sDSN = "dsn=Incident"
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ATYPE = trim(request.querystring("ATYPE"))
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If trim(request.querystring("ID")) <> Empty Then
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SET GENERAL = Server.CreateObject("ADODB.Recordset")
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GENERAL.ActiveConnection = sDSN
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GENERAL.Source = "Select * From Incident Where IncidentReportNumber=" & request.querystring("ID")
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GENERAL.CursorType = 0
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GENERAL.LockType = 3
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GENERAL.Open
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GENERAL_numRows = 0
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If GENERAL.EOF = True Then
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sError = "NF"
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Else
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InsuranceClaim = trim(GENERAL.Fields.Item("InsuranceClaim").value)
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IncidentReportNumber = trim(GENERAL.Fields.Item("IncidentReportNumber").value)
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CoverageYear = GENERAL.Fields.Item("CoverageYear").value
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IncidentOccurrenceDate = GENERAL.Fields.Item("IncidentOccurrenceDate").value
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ClaimStatus = trim(GENERAL.Fields.Item("ClaimStatus").value)
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IncidentReportedDate = GENERAL.Fields.Item("IncidentReportedDate").value
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SupportingDocuments = trim(GENERAL.Fields.Item("SupportingDocuments").value)
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LastName = trim(GENERAL.Fields.Item("LastName").value)
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FirstName = trim(GENERAL.Fields.Item("FirstName").value)
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Age = trim(GENERAL.Fields.Item("Age").value)
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Address = trim(GENERAL.Fields.Item("Address").value)
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City = trim(GENERAL.Fields.Item("City").value)
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Zip = trim(GENERAL.Fields.Item("Zip").value)
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HomePhone = trim(GENERAL.Fields.Item("HomePhone").value)
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WorkPhone = trim(GENERAL.Fields.Item("WorkPhone").value)
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DOB = GENERAL.Fields.Item("DOB").value
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Sex = trim(GENERAL.Fields.Item("Sex").value)
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SSN = trim(GENERAL.Fields.Item("SSN").value)
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InsuranceType = trim(GENERAL.Fields.Item("InsuranceType").value)
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Status = trim(GENERAL.Fields.Item("Status").value)
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NatureIncident = trim(GENERAL.Fields.Item("NatureIncident").value)
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ServiceType = trim(GENERAL.Fields.Item("ServiceType").value)
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ProgramInstructor = trim(GENERAL.Fields.Item("ProgramInstructor").value)
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Supervisor = trim(GENERAL.Fields.Item("Supervisor").value)
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LocationIncident = trim(GENERAL.Fields.Item("LocationIncident").value)
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LocationCode = trim(GENERAL.Fields.Item("LocationCode").value)
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WWW = trim(GENERAL.Fields.Item("WWW").value)
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InjuryOccur = trim(GENERAL.Fields.Item("InjuryOccur").value)
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InjuryComments = trim(GENERAL.Fields.Item("InjuryDescribe").value)
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DoTo = trim(GENERAL.Fields.Item("DueTo").value)
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DoToDescribe = trim(GENERAL.Fields.Item("DoToDescribe").value)
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FirstAidGiven = trim(GENERAL.Fields.Item("FirstAidGiven").value)
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FirstAidBy = trim(GENERAL.Fields.Item("FirstAidBy").value)
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Doctor = trim(GENERAL.Fields.Item("Doctor").value)
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DoctorAddress = trim(GENERAL.Fields.Item("DoctorAddress").value)
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Instructions = trim(GENERAL.Fields.Item("Instructions").value)
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DateReturn = GENERAL.Fields.Item("DateReturn").value
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FollowUpCare = trim(GENERAL.Fields.Item("FollowUpCare").value)
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NameWitness = trim(GENERAL.Fields.Item("NameWitness").value)
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Author = trim(GENERAL.Fields.Item("Author").value)
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CompletedBy = trim(GENERAL.Fields.Item("CompletedBy").value)
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DateComplete = GENERAL.Fields.Item("DateComplete").value
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CorrectiveAction = trim(GENERAL.Fields.Item("CorrectiveAction").value)
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Comments = trim(GENERAL.Fields.Item("Comments").value)
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GENERAL.Close
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Set General = Nothing
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End If
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End If
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%>
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THEN THE HTML
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<input type="text" name="FirstName" size="27" value="<%=FirstName%>" maxlength="15">
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AND SO ON...
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