1.0
Health Check Claim Form (HCCFPCON) +
HCCF.PCON
N
PCON
Health Check Claim Form
1
0
0
1
N
n:\\phi\\advforms\\out
F
JScript
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
M001007
20141020100701
SFE
PROCON2
M
20150219152712
SFE
PROCON2
M
0
0
0
PCON
Procon Limited
20140331135348
SFE
PROCON2
M
20140331135348
SFE
PROCON2
M
0
HCCF.PCON
1
1
F
DIRTY.WF
N
0
1
0
0
0
0
0
0
D
1
HCCF.PCON
2
3
F
STATE.WF
N
0
1
0
0
0
0
0
0
D
2
HCCF.PCON
3
4
F
STATEX.WF
N
0
1
0
0
0
0
0
0
D
3
HCCF.PCON
4
2
F
SENDHL.WF
N
0
1
0
0
0
0
0
0
D
4
HCCF.PCON
4
SENDHL.WF
Yes
HC
34.00
1
HCCF.PCON
LOCALITY
Locality
WRHN
1
HCCF.PCON
LOCATION
Location of Code
Procon
2
HCCF.PCON
LOCALITY
WRHN
HCCF.PCON
LOCATION
Local
HCCF.PCON
LOCATION
Procon
HCCF.PCON
Location of Code
Local
HCCF.PCON
Location of Code
Procon
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