1.0
After Hours Claim Form (AHCLMPCON) +
AHCLM.PCON
N
PCON
After Hours Claim Form
1
0
0
1
N
C:\\HLINK\\FF_out
F
JScript
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
M001007
20151127143006
SFE
KENSURFACEPRO
M
20151127150325
SFE
KENSURFACEPRO
M
0
0
0
AHCLM.PCON
1
1
F
DIRTY.WF
N
0
0
0
0
0
0
0
0
D
1
AHCLM.PCON
2
2
F
STATE.WF
N
0
1
0
0
0
0
0
0
D
2
AHCLM.PCON
3
3
F
STATEX.WF
N
0
1
0
0
0
0
0
0
D
3
AHCLM.PCON
4
4
F
SENDHL.WF
N
0
1
0
0
0
0
0
0
D
4
AHCLM.PCON
4
CONSENT.WF
Yes
C
50.00
1
AHCLM.PCON
4
SENDHL.WF
Yes
C
50.00
1
AHCLM.PCON
LOCALITY
Locality
WRHN
1
AHCLM.PCON
LOCATION
Location of Code
Procon
2
AHCLM.PCON
LOCALITY
WRHN
AHCLM.PCON
LOCATION
Local
AHCLM.PCON
LOCATION
Procon
AHCLM.PCON
LOCATION
Test
WF
Web Form Generic Fields
0
20110131115827
SFE
PROCON-KEN
M
20140512164430
SFE
PROCON2
M
0
DIRTY.WF
WF
Field to use to make form dirty
*
20110131115907
SFE
PROCON-KEN
M
20140512164512
SFE
PROCON2
M
0
SENDHL.WF
WF
Send to HealthLink
*
20131014143220
SFE
PROCON2
M
20131014143245
SFE
PROCON2
M
0
STATE.WF
WF
Hidden field to store state
*
20071107114241
NA
NA
M
20081007121843
NA
NA
M
0
STATEX.WF
WF
Hidden field to store eXtra state
*
20081007121834
NA
NA
M
20081007122145
NA
NA
M
0
DIRTY.WF
T
1
1
SENDHL.WF
B
8
1
STATE.WF
T
8
1
STATEX.WF
T
8
1
SENDHL.WF
Yes
1