| | 4 | <Field id='BatchCust1' type='string' length='30'></Field> |
|---|
| | 5 | <Field id='BatchCust2' type='string' length='30'></Field> |
|---|
| | 6 | <Field id='BatchCust3' type='string' length='30'></Field> |
|---|
| | 7 | <Field id='BatchCust4' type='string' length='30'></Field> |
|---|
| | 8 | <Field id='BatchCust5' type='string' length='30'></Field> |
|---|
| | 9 | <Field id='BatchDir' type='string' length='30'></Field> |
|---|
| | 10 | <Field id='BatchNo' type='number' length='10'></Field> |
|---|
| | 11 | <Field id='BatchPgCnt' type='number' length='10'></Field> |
|---|
| | 12 | <Field id='BatchPgDta' type='string' length='22'></Field> |
|---|
| | 13 | <Field id='BatchPgNo' type='number' length='10'></Field> |
|---|
| | 14 | <Field id='BatchRDate' type='string' length='30'></Field> |
|---|
| | 15 | <Field id='BatchScOpr' type='string' length='30'></Field> |
|---|
| | 16 | <Field id='BatchTrack' type='string' length='30'></Field> |
|---|
| | 17 | <Field id='CSID' type='string' length='30'><Value>Scan 1.TIF</Value></Field> |
|---|
| | 18 | <Field id='Form_Id' type='number' length='10'><Value>60499</Value></Field> |
|---|
| | 19 | <Field id='Form_Notes' type='string' length='4096'></Field> |
|---|
| | 20 | <Field id='Form_Pri' type='number' length='10'><Value>0</Value></Field> |
|---|
| | 21 | <Field id='Image_Seq' type='string' length='30'><Value>1 0</Value></Field> |
|---|
| | 22 | <Field id='Orig_File' type='string' length='128'><Value>\\In-peds-hsrdev1\Apps\TELEForm\sus\HBXC0E0000.TIF</Value></Field> |
|---|
| | 23 | <Field id='OrigPgSeq' type='string' length='128'><Value>0 1</Value></Field> |
|---|
| 5 | | <Field id='Suspense_File' type='string' length='30'><Value>OPI6V80000.TCT</Value></Field> |
|---|
| | 25 | <Field id='Remote_User' type='string' length='30'></Field> |
|---|
| | 26 | <Field id='Remote_Bid' type='number' length='10'><Value>0</Value></Field> |
|---|
| | 27 | <Field id='Remote_Cmp' type='string' length='30'></Field> |
|---|
| | 28 | <Field id='Remote_Fax' type='string' length='30'></Field> |
|---|
| | 29 | <Field id='Remote_Phn' type='string' length='30'></Field> |
|---|
| | 30 | <Field id='Remote_Uid' type='number' length='10'><Value>-1</Value></Field> |
|---|
| | 31 | <Field id='Route_To' type='string' length='30'></Field> |
|---|
| | 32 | <Field id='Suspense_File' type='string' length='30'><Value>7KQFB10000.TCT</Value></Field> |
|---|
| | 33 | <Field id='Time_Stamp' type='string' length='30'><Value>02/20/2008 03:27:53 PM</Value></Field> |
|---|
| | 34 | <Field id='Verify_Wks' type='string' length='30'><Value>IN-PEDS-HSR2403</Value></Field> |
|---|
| | 35 | <Field id='Question1' type='string' length='30'></Field> |
|---|
| | 36 | <Field id='Question3' type='string' length='30'></Field> |
|---|
| | 37 | <Field id='Question5' type='string' length='30'></Field> |
|---|
| | 38 | <Field id='Question7' type='string' length='30'></Field> |
|---|
| | 39 | <Field id='Question9' type='string' length='30'></Field> |
|---|
| | 40 | <Field id='Question11' type='string' length='30'></Field> |
|---|
| | 41 | <Field id='Question13' type='string' length='30'></Field> |
|---|
| | 42 | <Field id='Question15' type='string' length='30'></Field> |
|---|
| | 43 | <Field id='Question17' type='string' length='30'></Field> |
|---|
| | 44 | <Field id='Question19' type='string' length='30'></Field> |
|---|
| | 45 | <Field id='Question2' type='string' length='30'></Field> |
|---|
| | 46 | <Field id='Question4' type='string' length='30'></Field> |
|---|
| | 47 | <Field id='Question6' type='string' length='30'></Field> |
|---|
| | 48 | <Field id='Question8' type='string' length='30'></Field> |
|---|
| | 49 | <Field id='Question10' type='string' length='30'></Field> |
|---|
| | 50 | <Field id='Question12' type='string' length='30'></Field> |
|---|
| | 51 | <Field id='Question14' type='string' length='30'></Field> |
|---|
| | 52 | <Field id='Question16' type='string' length='30'></Field> |
|---|
| | 53 | <Field id='Question18' type='string' length='30'></Field> |
|---|
| | 54 | <Field id='Question20' type='string' length='30'></Field> |
|---|
| 25 | | <Field id='PSF_ID' type='string' length='30'><Value>2</Value></Field> |
|---|
| | 91 | <Field id='CurrentDate_SP' type='string' length='30'></Field> |
|---|
| | 92 | <Field id='Question19_SP' type='string' length='30'></Field> |
|---|
| | 93 | <Field id='Question20_SP' type='string' length='30'></Field> |
|---|
| | 94 | <Field id='Question18_SP' type='string' length='30'></Field> |
|---|
| | 95 | <Field id='Question17_SP' type='string' length='30'></Field> |
|---|
| | 96 | <Field id='Question15_SP' type='string' length='30'></Field> |
|---|
| | 97 | <Field id='Question16_SP' type='string' length='30'></Field> |
|---|
| | 98 | <Field id='Question14_SP' type='string' length='30'></Field> |
|---|
| | 99 | <Field id='Question13_SP' type='string' length='30'></Field> |
|---|
| | 100 | <Field id='Question11_SP' type='string' length='30'></Field> |
|---|
| | 101 | <Field id='Question12_SP' type='string' length='30'></Field> |
|---|
| | 102 | <Field id='Question10_SP' type='string' length='30'></Field> |
|---|
| | 103 | <Field id='Question8_SP' type='string' length='30'></Field> |
|---|
| | 104 | <Field id='Question6_SP' type='string' length='30'></Field> |
|---|
| | 105 | <Field id='Question9_SP' type='string' length='30'></Field> |
|---|
| | 106 | <Field id='Question7_SP' type='string' length='30'></Field> |
|---|
| | 107 | <Field id='Question5_SP' type='string' length='30'></Field> |
|---|
| | 108 | <Field id='Question3_SP' type='string' length='30'></Field> |
|---|
| | 109 | <Field id='Question4_SP' type='string' length='30'></Field> |
|---|
| | 110 | <Field id='Question2_SP' type='string' length='30'></Field> |
|---|
| | 111 | <Field id='Question1_SP' type='string' length='30'></Field> |
|---|
| | 112 | <Field id='LastName_2' type='string' length='30'></Field> |
|---|
| | 113 | <Field id='DOB_SP' type='string' length='30'></Field> |
|---|
| | 114 | <Field id='MRN_2_SP' type='string' length='30'></Field> |
|---|
| | 115 | <Field id='Age_SP' type='string' length='30'></Field> |
|---|
| | 116 | <Field id='PSF_ID' type='string' length='30'><Value>457</Value></Field> |
|---|
| | 117 | <Field id='PSF_ID2' type='string' length='30'></Field> |
|---|
| | 118 | <Field id='Test_Hidden_field1' type='string' length='30'><Value>This is the Default Text</Value></Field> |
|---|
| | 119 | <Field id='Test_HIdden_field2' type='string' length='30'></Field> |
|---|
| | 120 | <Field id='QuestionEntry_3' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 121 | <Field id='QuestionEntry_5' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 122 | <Field id='QuestionEntry_7' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 123 | <Field id='QuestionEntry_9' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 124 | <Field id='QuestionEntry_11' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 125 | <Field id='QuestionEntry_13' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 126 | <Field id='QuestionEntry_15' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 127 | <Field id='QuestionEntry_17' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 128 | <Field id='QuestionEntry_19' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 129 | <Field id='QuestionEntry_2' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 130 | <Field id='QuestionEntry_4' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 131 | <Field id='QuestionEntry_6' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 132 | <Field id='QuestionEntry_8' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 133 | <Field id='QuestionEntry_10' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 134 | <Field id='QuestionEntry_12' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 135 | <Field id='QuestionEntry_14' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 136 | <Field id='QuestionEntry_16' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 137 | <Field id='QuestionEntry_18' type='string' length='1'><Value>Y</Value></Field> |
|---|
| | 138 | <Field id='QuestionEntry_20' type='string' length='1'><Value>N</Value></Field> |
|---|
| | 139 | <Field id='QuestionEntry1_2' type='string' length='1'></Field> |
|---|
| | 140 | <Field id='QuestionEntry_3_2' type='string' length='1'></Field> |
|---|
| | 141 | <Field id='QuestionEntry_5_2' type='string' length='1'></Field> |
|---|
| | 142 | <Field id='QuestionEntry_7_2' type='string' length='1'></Field> |
|---|
| | 143 | <Field id='QuestionEntry_9_2' type='string' length='1'></Field> |
|---|
| | 144 | <Field id='QuestionEntry_11_2' type='string' length='1'></Field> |
|---|
| | 145 | <Field id='QuestionEntry_13_2' type='string' length='1'></Field> |
|---|
| | 146 | <Field id='QuestionEntry_15_2' type='string' length='1'></Field> |
|---|
| | 147 | <Field id='QuestionEntry_17_2' type='string' length='1'></Field> |
|---|
| | 148 | <Field id='QuestionEntry_19_2' type='string' length='1'></Field> |
|---|
| | 149 | <Field id='QuestionEntry_2_2' type='string' length='1'></Field> |
|---|
| | 150 | <Field id='QuestionEntry_4_2' type='string' length='1'></Field> |
|---|
| | 151 | <Field id='QuestionEntry_6_2' type='string' length='1'></Field> |
|---|
| | 152 | <Field id='QuestionEntry_8_2' type='string' length='1'></Field> |
|---|
| | 153 | <Field id='QuestionEntry_10_2' type='string' length='1'></Field> |
|---|
| | 154 | <Field id='QuestionEntry_12_2' type='string' length='1'></Field> |
|---|
| | 155 | <Field id='QuestionEntry_14_2' type='string' length='1'></Field> |
|---|
| | 156 | <Field id='QuestionEntry_16_2' type='string' length='1'></Field> |
|---|
| | 157 | <Field id='QuestionEntry_18_2' type='string' length='1'></Field> |
|---|
| | 158 | <Field id='QuestionEntry_20_2' type='string' length='1'></Field> |
|---|
| | 159 | <Field id='HearL_Cho1' type='string' length='1'><Value>P</Value></Field> |
|---|
| | 160 | <Field id='HearL_Cho_2' type='string' length='1'><Value>F</Value></Field> |
|---|
| | 161 | <Field id='HearL_Cho_3' type='string' length='1'><Value>P</Value></Field> |
|---|
| | 162 | <Field id='HearL_Cho_4' type='string' length='1'><Value>F</Value></Field> |
|---|
| | 163 | <Field id='HearR_Cho1' type='string' length='1'><Value>P</Value></Field> |
|---|
| | 164 | <Field id='HearR_Cho_2' type='string' length='1'><Value>F</Value></Field> |
|---|
| | 165 | <Field id='HearR_Cho_3' type='string' length='1'><Value>P</Value></Field> |
|---|
| | 166 | <Field id='HearR_Cho_4' type='string' length='1'><Value>F</Value></Field> |
|---|