<% ' FP_ASP ASP Automatically generated by a FrontPage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Session.LCID = 1033 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("index_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "Results", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(8) Dim arFormDBFields0(8) Dim arFormValues0(8) arFormFields0(0) = "Contact_Organization" arFormDBFields0(0) = "Contact_Organization" arFormValues0(0) = Request("Contact_Organization") arFormFields0(1) = "Contact_Title" arFormDBFields0(1) = "Contact_Title" arFormValues0(1) = Request("Contact_Title") arFormFields0(2) = "Contact_FullName" arFormDBFields0(2) = "Contact_FullName" arFormValues0(2) = Request("Contact_FullName") arFormFields0(3) = "Hypoxia" arFormDBFields0(3) = "Hypoxia" arFormValues0(3) = Request("Hypoxia") arFormFields0(4) = "Bradycardia" arFormDBFields0(4) = "Bradycardia" arFormValues0(4) = Request("Bradycardia") arFormFields0(5) = "Hypotension" arFormDBFields0(5) = "Hypotension" arFormValues0(5) = Request("Hypotension") arFormFields0(6) = "Hypertension" arFormDBFields0(6) = "Hypertension" arFormValues0(6) = Request("Hypertension") arFormFields0(7) = "Tachycardia" arFormDBFields0(7) = "Tachycardia" arFormValues0(7) = Request("Tachycardia") FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 If Request.ServerVariables("REMOTE_HOST") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name" End If If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type" End If FP_SaveFieldToDB fp_rs, Now, "Timestamp" If Request.ServerVariables("REMOTE_USER") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_USER"), "User_name" End If fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close FP_FormConfirmation "text/html; charset=windows-1252",_ "Form Confirmation",_ "Thank you for submitting the following information:",_ "index.htm",_ "Return to the form." End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> Survey Page
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Definitions Survey

<% Function FP_SaveFormFields(rs, rgFormFields, rgDBFields) On Error Resume Next Err.Clear Dim i For i = 0 To UBound(rgFormFields) FP_SaveFormField rs, rgFormFields(i), rgDBFields(i) Next Err.Clear End Function Function FP_SaveFormField(rs, strField, strDBField) On Error Resume Next Err.Clear If (Request.Form(strField)) = "" And rs(strDBField).Type <> adBoolean Then Exit Function End If FP_SaveFieldToDB rs, Request.Form(strField), strDBField Err.Clear End Function Function FP_SaveFieldToDB(rs, strField, strDBField) On Error Resume Next Err.Clear Dim fp_Debug fp_Debug = False Select Case rs(strDBField).Type Case adInteger Or adBigInt Or adUnsignedTinyInt Or adUnsignedSmallInt Or adUnsignedInt Or adUnsignedBigInt rs(strDBField) = CInt(strField) Case adSingle Or adDecimal Or adNumeric rs(strDBField) = CSng(strField) Case adDouble rs(strDBField) = CDbl(strField) Case adCurrency rs(strDBField) = CCur(strField) Case adBoolean rs(strDBField) = CBool(strField) Case adDate Or adDBDate Or adDBTime or adDBTimeStamp rs(strDBField) = CDate(strField) Case Else rs(strDBField) = CStr(strField) End Select If fp_Debug Then strError = "Cannot save value """ & strField & """ to database field """ & strDBField & """" Else strError = "Cannot save value to database field" End If FP_DumpError strErrorUrl, strError Err.Clear End Function Function FP_EncodeOutput(str) FP_EncodeOutput = str FP_EncodeOutput = Replace(FP_EncodeOutput,"&","^^@^^") FP_EncodeOutput = Server.HTMLEncode(FP_EncodeOutput) FP_EncodeOutput = Replace(FP_EncodeOutput,"^^@^^","&") End Function Function FP_FormConfirmation(szCharset, szTitle, szmsg1, szUrl, szMsg2) On Error Resume Next Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & szTitle & "" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write "

" & szTitle & "

" & vbCrLf Response.Write "

" & szMsg1 &"

" & vbCrLf Response.Write "

" & vbCrLf For Each item in Request.Form If item <> "VTI-GROUP" Then Response.Write "" & item & "" & ": " & FP_EncodeOutput(Request.Form(item)) & "
" & vbCrLf End If Next Response.Write "

" & vbCrLf Response.Write "

" & szMsg2 & "

" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") Response.End End Function Function FP_FormConfirmationFromArrays(szCharset, szTitle, szmsg1, szUrl, szMsg2, rgDBFields, rgDBValues) On Error Resume Next Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & szTitle & "" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write "

" & szTitle & "

" & vbCrLf Response.Write "

" & szMsg1 &"

" & vbCrLf Response.Write "

" & vbCrLf For j = 0 To UBound(rgDBFields) - 1 Response.Write "" & rgDBFields(j) & "" & ": " & FP_EncodeOutput(rgDBValues(j)) & "
" & vbCrLf Next Response.Write "

" & vbCrLf Response.Write "

" & szMsg2 & "

" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") Response.End End Function Function FP_DumpError(strErrorUrl, strMsg) On Error Resume Next Dim fp_Debug fp_Debug = False If Err.Number <> 0 Then fp_conn.Close Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") If strErrorUrl <> "" Then Response.Redirect strErrorUrl Else Response.Write " " & Server.HTMLEncode(strMsg) & "

" if fp_Debug Then Response.Write "Error Description: " & Server.HTMLEncode(Err.Description) & "

" Response.Write "Error Number: " & Server.HTMLEncode(Err.Number) & "

" Response.Write "Error Source: " & Server.HTMLEncode(Err.Source) & "

" End If Response.End End If End if End Function %>

Please provide the following contact information:

Name
Title
Organization

Enter your definition of hypotension for this patient.


Enter your definition of hypertension for this patient.


Enter your definition of tachycardia for this patient.


Enter your definition of bradycardia for this patient.


Enter your definition of hypoxia for this patient.


Nathaniel Greene.
Copyright © 2007 [Duke University School of Medicine]. All rights reserved.
Revised: 09/24/07