hpricot 0.5-mswin32 → 0.6-mswin32
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- data/CHANGELOG +13 -1
- data/README +4 -1
- data/Rakefile +111 -75
- data/ext/hpricot_scan/HpricotScanService.java +1340 -0
- data/ext/hpricot_scan/hpricot_common.rl +76 -0
- data/ext/hpricot_scan/hpricot_scan.c +2435 -2181
- data/ext/hpricot_scan/hpricot_scan.java.rl +363 -0
- data/ext/hpricot_scan/hpricot_scan.rl +3 -70
- data/lib/hpricot.rb +1 -0
- data/lib/hpricot/blankslate.rb +63 -0
- data/lib/hpricot/builder.rb +200 -0
- data/lib/hpricot/elements.rb +143 -32
- data/lib/hpricot/inspect.rb +7 -3
- data/lib/hpricot/parse.rb +128 -101
- data/lib/hpricot/tag.rb +23 -15
- data/lib/hpricot/tags.rb +164 -0
- data/lib/hpricot/traverse.rb +93 -33
- data/lib/hpricot/xchar.rb +94 -0
- data/lib/i686-linux/hpricot_scan.so +0 -0
- data/test/files/pace_application.html +1320 -0
- data/test/files/tenderlove.html +16 -0
- data/test/files/why.xml +19 -0
- data/test/load_files.rb +1 -1
- data/test/test_alter.rb +65 -0
- data/test/test_builder.rb +24 -0
- data/test/test_parser.rb +92 -4
- data/test/test_preserved.rb +20 -0
- data/test/test_xml.rb +13 -0
- metadata +34 -14
- data/lib/hpricot/text.rb +0 -115
- data/lib/hpricot_scan.so +0 -0
data/lib/hpricot/traverse.rb
CHANGED
@@ -34,6 +34,17 @@ module Hpricot
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output("", :preserve => true)
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end
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36
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37
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+
def index(name)
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38
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i = 0
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return i if name == "*"
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children.each do |x|
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return i if (x.respond_to?(:name) and name == x.name) or
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(x.text? and name == "text()")
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i += 1
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end
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-1
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end
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+
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# Puts together an array of neighboring nodes based on their proximity
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# to this node. So, for example, to get the next node, you could use
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# <tt>nodes_at(1). Or, to get the previous node, use <tt>nodes_at(1)</tt>.
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@@ -46,11 +57,19 @@ module Hpricot
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def nodes_at(*pos)
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sib = parent.children
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i, si = 0, sib.index(self)
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pos.map! do |r|
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if r.is_a?(Range) and r.begin.is_a?(String)
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r = Range.new(parent.index(r.begin)-si, parent.index(r.end)-si, r.exclude_end?)
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end
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r
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end
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p pos
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Elements[*
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sib.select do |x|
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-
sel =
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-
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-
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sel =
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case i - si when *pos
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true
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end
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i += 1
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sel
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end
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@@ -59,35 +78,51 @@ module Hpricot
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# Returns the node neighboring this node to the south: just below it.
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# This method includes text nodes and comments and such.
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-
def
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def next
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sib = parent.children
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sib[sib.index(self) + 1] if parent
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end
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alias_method :next_node, :next
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# Returns to node neighboring this node to the north: just above it.
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# This method includes text nodes and comments and such.
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-
def
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def previous
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sib = parent.children
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x = sib.index(self) - 1
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sib[x] if sib and x >= 0
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end
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alias_method :previous_node, :previous
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# Find all preceding nodes.
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def preceding
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sibs = parent.children
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si = sibs.index(self)
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return Elements[*sibs[0...si]]
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end
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# Find all nodes which follow the current one.
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def following
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sibs = parent.children
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si = sibs.index(self) + 1
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return Elements[*sibs[si...sibs.length]]
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end
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# Adds elements immediately after this element, contained in the +html+ string.
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-
def after(html)
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-
parent.insert_after(Hpricot.make(html), self)
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def after(html = nil, &blk)
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parent.insert_after(Hpricot.make(html, &blk), self)
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end
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# Adds elements immediately before this element, contained in the +html+ string.
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-
def before(html)
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parent.
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def before(html = nil, &blk)
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parent.insert_before(Hpricot.make(html, &blk), self)
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end
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# Replace this element and its contents with the nodes contained
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# in the +html+ string.
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-
def swap(html)
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def swap(html = nil, &blk)
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parent.altered!
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parent.replace_child(self, Hpricot.make(html))
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parent.replace_child(self, Hpricot.make(html, &blk))
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end
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def get_subnode(*indexes)
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@@ -116,26 +151,29 @@ module Hpricot
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alias_method :innerText, :inner_text
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# Builds an HTML string from the contents of this node.
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-
def
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if
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-
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def html(inner = nil, &blk)
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if inner or blk
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altered!
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case inner
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when Array
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self.children = inner
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else
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self.children = Hpricot.make(inner, &blk)
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end
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reparent self.children
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else
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if respond_to? :children
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children.map { |x| x.output("") }.join
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end
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end
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end
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alias_method :inner_html, :html
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alias_method :innerHTML, :inner_html
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# Inserts new contents into the current node, based on
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# the HTML contained in string +inner+.
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def inner_html=(inner)
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-
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case inner
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when String, IO
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-
self.children = Hpricot.parse(inner).children
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when Array
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self.children = inner
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when nil
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self.children = []
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-
end
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reparent self.children
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html(inner || [])
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end
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alias_method :innerHTML=, :inner_html=
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@@ -197,6 +235,9 @@ module Hpricot
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# containing the matching nodes. If +blk+ is given, it
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# is used to iterate through the matching set.
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def search(expr, &blk)
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if Range === expr
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return Elements.expand(at(expr.begin), at(expr.end), expr.exclude_end?)
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end
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last = nil
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nodes = [self]
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done = []
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@@ -210,7 +251,7 @@ module Hpricot
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when %r!^/?\.\.!
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last = expr = $'
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nodes.map! { |node| node.parent }
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when %r!^[>/]
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when %r!^[>/]\s*!
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last = expr = $'
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nodes = Elements[*nodes.map { |node| node.children if node.respond_to? :children }.flatten.compact]
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when %r!^\+!
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@@ -364,6 +405,22 @@ module Hpricot
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sib[x] if sib and x >= 0
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end
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# Find all preceding sibling elements. Like the other "sibling" methods, this weeds
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# out text and comment nodes.
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def preceding_siblings()
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sibs = parent.containers
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si = sibs.index(self)
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return Elements[*sibs[0...si]]
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end
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# Find sibling elements which follow the current one. Like the other "sibling" methods, this weeds
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# out text and comment nodes.
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def following_siblings()
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sibs = parent.containers
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si = sibs.index(self) + 1
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return Elements[*sibs[si...sibs.length]]
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end
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+
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# Puts together an array of neighboring sibling elements based on their proximity
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# to this element.
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#
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@@ -412,7 +469,7 @@ module Hpricot
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def insert_after(nodes, ele)
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case nodes
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when Array
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nodes.
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nodes.reverse_each { |n| insert_after(n, ele) }
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else
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reparent nodes
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idx = children.index(ele)
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@@ -508,7 +565,7 @@ module Hpricot
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# +each_hyperlink_uri+ traverses hyperlinks such as HTML href attribute
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# of A element.
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#
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# It yields Hpricot::Text
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# It yields Hpricot::Text and URI for each hyperlink.
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#
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# The URI objects are created with a base URI which is given by
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# HTML BASE element or the argument ((|base_uri|)).
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@@ -533,7 +590,7 @@ module Hpricot
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# +each_hyperlink+ traverses hyperlinks such as HTML href attribute
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# of A element.
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#
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# It yields Hpricot::Text
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# It yields Hpricot::Text.
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#
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# Note that +each_hyperlink+ yields HTML href attribute of BASE element.
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def each_hyperlink # :yields: text
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@@ -738,22 +795,25 @@ module Hpricot
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module Elem::Trav
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def has_attribute?(name)
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self.
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self.raw_attributes && self.raw_attributes.has_key?(name.to_s)
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end
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def get_attribute(name)
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self.
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a = self.raw_attributes && self.raw_attributes[name.to_s]
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a = Hpricot.uxs(a) if a
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a
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end
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alias_method :[], :get_attribute
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def set_attribute(name, val)
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altered!
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self.
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self.
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self.raw_attributes ||= {}
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self.raw_attributes[name.to_s] = Hpricot.xs(val)
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end
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alias_method :[]=, :set_attribute
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def remove_attribute(name)
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name = name.to_s
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if has_attribute? name
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altered!
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self.
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self.raw_attributes.delete(name)
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end
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end
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end
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@@ -0,0 +1,94 @@
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#!/usr/bin/env ruby
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# The XChar library is provided courtesy of Sam Ruby (See
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# http://intertwingly.net/stories/2005/09/28/xchar.rb)
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# --------------------------------------------------------------------
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######################################################################
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module Hpricot
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####################################################################
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# XML Character converter, from Sam Ruby:
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# (see http://intertwingly.net/stories/2005/09/28/xchar.rb).
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#
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module XChar # :nodoc:
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# See
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# http://intertwingly.net/stories/2004/04/14/i18n.html#CleaningWindows
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# for details.
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CP1252 = { # :nodoc:
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128 => 8364, # euro sign
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130 => 8218, # single low-9 quotation mark
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131 => 402, # latin small letter f with hook
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132 => 8222, # double low-9 quotation mark
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133 => 8230, # horizontal ellipsis
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134 => 8224, # dagger
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135 => 8225, # double dagger
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136 => 710, # modifier letter circumflex accent
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137 => 8240, # per mille sign
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138 => 352, # latin capital letter s with caron
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139 => 8249, # single left-pointing angle quotation mark
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140 => 338, # latin capital ligature oe
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142 => 381, # latin capital letter z with caron
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145 => 8216, # left single quotation mark
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146 => 8217, # right single quotation mark
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147 => 8220, # left double quotation mark
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148 => 8221, # right double quotation mark
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149 => 8226, # bullet
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150 => 8211, # en dash
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151 => 8212, # em dash
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152 => 732, # small tilde
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153 => 8482, # trade mark sign
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154 => 353, # latin small letter s with caron
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155 => 8250, # single right-pointing angle quotation mark
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+
156 => 339, # latin small ligature oe
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158 => 382, # latin small letter z with caron
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159 => 376, # latin capital letter y with diaeresis
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}
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+
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# See http://www.w3.org/TR/REC-xml/#dt-chardata for details.
|
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PREDEFINED = {
|
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+
34 => '"', # quotation mark
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53
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38 => '&', # ampersand
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60 => '<', # left angle bracket
|
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62 => '>' # right angle bracket
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}
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PREDEFINED_U = PREDEFINED.inject({}) { |hsh, (k, v)| hsh[v] = k; hsh }
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+
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# See http://www.w3.org/TR/REC-xml/#charsets for details.
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VALID = [
|
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0x9, 0xA, 0xD,
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(0x20..0xD7FF),
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(0xE000..0xFFFD),
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(0x10000..0x10FFFF)
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]
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end
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+
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class << self
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# XML escaped version of chr
|
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def xchr(str)
|
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n = XChar::CP1252[str] || str
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case n when *XChar::VALID
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XChar::PREDEFINED[n] or (n<128 ? n.chr : "&##{n};")
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else
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'*'
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end
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end
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+
|
79
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# XML escaped version of to_s
|
80
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def xs(str)
|
81
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str.to_s.unpack('U*').map {|n| xchr(n)}.join # ASCII, UTF-8
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rescue
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str.to_s.unpack('C*').map {|n| xchr(n)}.join # ISO-8859-1, WIN-1252
|
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+
end
|
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+
|
86
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# XML unescape
|
87
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+
def uxs(str)
|
88
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str.to_s.
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gsub(/\&\w+;/) { |x| (XChar::PREDEFINED_U[x] || ??).chr }.
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gsub(/\&\#(\d+);/) { [$1.to_i].pack("U*") }
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end
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end
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end
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Binary file
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@@ -0,0 +1,1320 @@
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1
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+
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2
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<html>
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3
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<head>
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4
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<meta name="GENERATOR" content="Microsoft Visual Studio 6.0">
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5
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+
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6
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7
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<script language="javascript1.2">
|
8
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function DateCheck(frmMo, frmDy, frmYr)
|
9
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{
|
10
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var returnCode;
|
11
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+
var cdtStr, fdtStr;
|
12
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+
var cdt = new Date();
|
13
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//cdtStr = cdt.getYear().toString() + ZeroPad(cdt.getMonth() + 1, 2).toString() + ZeroPad(cdt.getDate(), 2).toString()
|
14
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+
cdtStr = 20070205
|
15
|
+
fdtStr = frmYr + ZeroPad(frmMo, 2) + ZeroPad(frmDy, 2);
|
16
|
+
var frmDate = ZeroPad(frmMo, 2) + '/' + ZeroPad(frmDy, 2) + '/' + frmYr;
|
17
|
+
compareDate = new Date(frmDate);
|
18
|
+
var newDate = ZeroPad(compareDate.getMonth() + 1, 2) + '/' + ZeroPad(compareDate.getDate(), 2) + '/' + frmYr;
|
19
|
+
if (frmDate != newDate)
|
20
|
+
{
|
21
|
+
alert(frmDate + ' is not a valid date!');
|
22
|
+
returnCode = false;
|
23
|
+
}
|
24
|
+
else
|
25
|
+
{
|
26
|
+
if (fdtStr > cdtStr)
|
27
|
+
{
|
28
|
+
alert(frmDate + ' is an invalid BirthDate (greater than current date).\n\nYou have entered: ' + frmDate + ' as a birthdate.\n' + cdtStr + ' is the current date.\n');
|
29
|
+
returnCode = false;
|
30
|
+
}
|
31
|
+
else
|
32
|
+
returnCode = true;
|
33
|
+
}
|
34
|
+
|
35
|
+
return (returnCode);
|
36
|
+
}
|
37
|
+
|
38
|
+
function AutoTabCheck(obj, frmObj)
|
39
|
+
{
|
40
|
+
if (obj.value.length == obj.maxLength)
|
41
|
+
{
|
42
|
+
start = obj.id.length - 2;
|
43
|
+
incre = parseInt(obj.id.substr(start, 2));
|
44
|
+
NewIDnum = ZeroPad(incre + 1, 2);
|
45
|
+
NewID = obj.id.substr(0, start) + NewIDnum;
|
46
|
+
newObj = eval(frmObj.id + "." + NewID);
|
47
|
+
newObj.focus();
|
48
|
+
}
|
49
|
+
}
|
50
|
+
|
51
|
+
function CancelOutWizard()
|
52
|
+
{
|
53
|
+
var leaving = confirm("Clicking [OK] will exit the wizard without submitting, all data will be lost.\nClick [Cancel] to remain here.");
|
54
|
+
if (leaving)
|
55
|
+
window.location.replace('http://pacecares.fhsc.com/default.asp');
|
56
|
+
}
|
57
|
+
|
58
|
+
function allMoney(num)
|
59
|
+
{
|
60
|
+
numSet = "0123456789.";
|
61
|
+
for (x=0;x<=num.length;x++)
|
62
|
+
{
|
63
|
+
charX = num.substr(x, 1);
|
64
|
+
if (numSet.indexOf(charX) == -1)
|
65
|
+
{
|
66
|
+
leftS = num.substring(0, x);
|
67
|
+
rightS = num.substr(x+1);
|
68
|
+
num = leftS + rightS;
|
69
|
+
x--;
|
70
|
+
}
|
71
|
+
}
|
72
|
+
return(num);
|
73
|
+
}
|
74
|
+
|
75
|
+
function allNum(num)
|
76
|
+
{
|
77
|
+
numSet = "0123456789";
|
78
|
+
for (x=0;x<=num.length;x++)
|
79
|
+
{
|
80
|
+
charX = num.substr(x, 1);
|
81
|
+
if (numSet.indexOf(charX) == -1)
|
82
|
+
{
|
83
|
+
leftS = num.substring(0, x);
|
84
|
+
rightS = num.substr(x+1);
|
85
|
+
num = leftS + rightS;
|
86
|
+
x--;
|
87
|
+
}
|
88
|
+
}
|
89
|
+
return(num);
|
90
|
+
}
|
91
|
+
|
92
|
+
function isAlphaNum(str)
|
93
|
+
{
|
94
|
+
alphaSet = "ABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789";
|
95
|
+
newstr = str.toUpperCase();
|
96
|
+
for (x=0; x<newstr.length; x++)
|
97
|
+
{
|
98
|
+
if (alphaSet.indexOf(newstr.substr(x, 1)) == -1)
|
99
|
+
{
|
100
|
+
x = newstr.length;
|
101
|
+
return false;
|
102
|
+
}
|
103
|
+
}
|
104
|
+
return true;
|
105
|
+
}
|
106
|
+
|
107
|
+
function ZeroPad(str, pre)
|
108
|
+
{
|
109
|
+
var x;
|
110
|
+
var workstr;
|
111
|
+
for (x=1; x<pre; x++)
|
112
|
+
{
|
113
|
+
workstr = "0".concat("0");
|
114
|
+
}
|
115
|
+
return (workstr.concat(str).substr(workstr.concat(str).length-pre));
|
116
|
+
}
|
117
|
+
|
118
|
+
function Right(str, retlen)
|
119
|
+
{
|
120
|
+
if (retlen >= str.length)
|
121
|
+
return (str);
|
122
|
+
else
|
123
|
+
return (str.substr(str.length - retlen));
|
124
|
+
}
|
125
|
+
|
126
|
+
function HighlightField(FldStyle)
|
127
|
+
{
|
128
|
+
FldStyle.borderColor = "blue";
|
129
|
+
FldStyle.backgroundColor = "LightSteelBlue";
|
130
|
+
}
|
131
|
+
|
132
|
+
function UnHighlightField(FldStyle)
|
133
|
+
{
|
134
|
+
FldStyle.borderColor = "";
|
135
|
+
FldStyle.backgroundColor = "";
|
136
|
+
}
|
137
|
+
|
138
|
+
function AddTotalsthenSubmit(j)
|
139
|
+
{
|
140
|
+
xx = 0, yrvalue = 0, spvalue = 0;
|
141
|
+
while (xx<7)
|
142
|
+
{
|
143
|
+
xx++;
|
144
|
+
tot = eval("document.frmPace.Tot_Income" + xx);
|
145
|
+
sp = eval("document.frmPace.Sp_Income" + xx);
|
146
|
+
yr = eval("document.frmPace.Yr_Income" + xx);
|
147
|
+
tvalue = parseFloat(yr.value) + parseFloat(sp.value);
|
148
|
+
yrvalue = yrvalue + parseFloat(yr.value);
|
149
|
+
spvalue = spvalue + parseFloat(sp.value);
|
150
|
+
tot.value = Math.round(tvalue * Math.pow(10, 2)) / Math.pow(10, 2);
|
151
|
+
if (xx == 6)
|
152
|
+
{
|
153
|
+
document.frmPace.Yr_Income7.value = Math.round(yrvalue * Math.pow(10, 2)) / Math.pow(10, 2);
|
154
|
+
document.frmPace.Sp_Income7.value = Math.round(spvalue * Math.pow(10, 2)) / Math.pow(10, 2);
|
155
|
+
}
|
156
|
+
}
|
157
|
+
}
|
158
|
+
|
159
|
+
function IndividualEdits(Indv, obj, NoFocus)
|
160
|
+
{
|
161
|
+
var Status = true;
|
162
|
+
frm6Obj = document.frmSect06;
|
163
|
+
|
164
|
+
switch(Indv)
|
165
|
+
{
|
166
|
+
case "ssn":
|
167
|
+
val = obj.value;
|
168
|
+
if (isAlphaNum(val))
|
169
|
+
{
|
170
|
+
obj.value = val;
|
171
|
+
if (val.length > 1 && val.length != 9)
|
172
|
+
{
|
173
|
+
alert('SSN can contain a combination 9 numerics and/or letters.');
|
174
|
+
if (!NoFocus)
|
175
|
+
obj.focus();
|
176
|
+
Status = false;
|
177
|
+
}
|
178
|
+
}
|
179
|
+
else
|
180
|
+
{
|
181
|
+
Status = false;
|
182
|
+
}
|
183
|
+
break;
|
184
|
+
|
185
|
+
case "areacode":
|
186
|
+
val = obj.value;
|
187
|
+
newNum = allNum(val);
|
188
|
+
obj.value = newNum;
|
189
|
+
if (newNum.length > 1 && newNum.length != 3)
|
190
|
+
{
|
191
|
+
alert('area code must contain 3 numerics.');
|
192
|
+
if (!NoFocus)
|
193
|
+
obj.focus();
|
194
|
+
Status = false;
|
195
|
+
}
|
196
|
+
break;
|
197
|
+
|
198
|
+
case "phone":
|
199
|
+
val = obj.value;
|
200
|
+
newNum = allNum(val);
|
201
|
+
obj.value = newNum;
|
202
|
+
if (newNum.length > 1 && newNum.length != 7)
|
203
|
+
{
|
204
|
+
alert('phone trunk must contain 7 numerics.');
|
205
|
+
if (!NoFocus)
|
206
|
+
obj.focus();
|
207
|
+
Status = false;
|
208
|
+
}
|
209
|
+
break;
|
210
|
+
|
211
|
+
case "zip":
|
212
|
+
val = obj.value;
|
213
|
+
newNum = allNum(val);
|
214
|
+
obj.value = newNum;
|
215
|
+
if (newNum.length > 1 && newNum.length != 5)
|
216
|
+
{
|
217
|
+
alert('zip code must contain 5 numerics.');
|
218
|
+
obj.focus();
|
219
|
+
Status = false;
|
220
|
+
}
|
221
|
+
break;
|
222
|
+
|
223
|
+
case "zip4":
|
224
|
+
val = obj.value;
|
225
|
+
newNum = allNum(val);
|
226
|
+
obj.value = newNum;
|
227
|
+
if (newNum.length > 1 && newNum.length != 4)
|
228
|
+
{
|
229
|
+
alert('zip code suffix must contain 4 numerics.');
|
230
|
+
obj.focus();
|
231
|
+
Status = false;
|
232
|
+
}
|
233
|
+
break;
|
234
|
+
|
235
|
+
case "money":
|
236
|
+
val = obj.value;
|
237
|
+
newNum = allMoney(val);
|
238
|
+
obj.value = newNum;
|
239
|
+
if (newNum.length > 7)
|
240
|
+
{
|
241
|
+
alert('Money field can contain no more than 7 numerics including decimals.');
|
242
|
+
obj.focus();
|
243
|
+
Status = false;
|
244
|
+
}
|
245
|
+
break;
|
246
|
+
|
247
|
+
case "divYear":
|
248
|
+
val = obj.value;
|
249
|
+
if (frm6Obj.Yr_mstat[0].checked || frm6Obj.Yr_mstat[1].checked)
|
250
|
+
{
|
251
|
+
obj.value = '';
|
252
|
+
}
|
253
|
+
break;
|
254
|
+
|
255
|
+
case "marStat":
|
256
|
+
if (frm6Obj.Yr_mstat[0].checked || frm6Obj.Yr_mstat[1].checked)
|
257
|
+
{
|
258
|
+
frm6Obj.DSyear.value = '';
|
259
|
+
}
|
260
|
+
break;
|
261
|
+
default:
|
262
|
+
}
|
263
|
+
|
264
|
+
return Status;
|
265
|
+
}
|
266
|
+
|
267
|
+
function HelpWindows(Proof)
|
268
|
+
{
|
269
|
+
switch(Proof)
|
270
|
+
{
|
271
|
+
case "Age":
|
272
|
+
alert("Valid Proofs of Age:\n" +
|
273
|
+
"(note: The following examples are acceptable documents but not limited to:)\n\n" +
|
274
|
+
"- Birth Certificate/foreign birth certificate\n" +
|
275
|
+
"- Baptismal Record\n" +
|
276
|
+
"- Valid Driver's License\n" +
|
277
|
+
"- Social Security Document\n" +
|
278
|
+
"- Insurance Policy (not an insurance application)\n" +
|
279
|
+
"- Photocopy of previous PACE/PACENET card\n" +
|
280
|
+
"- Passport\n" +
|
281
|
+
"- Military Discharge Papers");
|
282
|
+
break;
|
283
|
+
case "Addr":
|
284
|
+
alert("Valid Proofs of Residency:\n" +
|
285
|
+
"(note: The following examples are acceptable documents but not limited to:)\n\n" +
|
286
|
+
"- Valid Driver's License/Owner's Card\n" +
|
287
|
+
"- Utility reciepts\n" +
|
288
|
+
"- Pre-printed rent reciepts\n" +
|
289
|
+
"- Social Security correspondence\n" +
|
290
|
+
"- Nursing Home residents may submit a letter on the facility's stationery stating the admission date and signed by the director or administrator\n" +
|
291
|
+
"- Local, state, or federal income tax return with a pre-printed name and address label");
|
292
|
+
break;
|
293
|
+
case "Income":
|
294
|
+
alert("Valid Proofs of Income:\n" +
|
295
|
+
"(note: The following examples are acceptable documents but not limited to:)\n\n" +
|
296
|
+
"- PA-40 or an IRS 1040 income tax return\n" +
|
297
|
+
"- Income tax return schedules (B, C, D, etc.)\n" +
|
298
|
+
"- Social Security 1099 form (only document accepted for Social Security income\n" +
|
299
|
+
"- Benefit letter stating SSI payments\n" +
|
300
|
+
"- RRB-1099 and RRB-1099R forms (Railroad)\n" +
|
301
|
+
"- Pension/Annuities/IRA 1099 forms\n" +
|
302
|
+
"- W-2 forms (wages)\n" +
|
303
|
+
"- Bank statement (last month of previous year)\n" +
|
304
|
+
"- Court Order");
|
305
|
+
break;
|
306
|
+
default:
|
307
|
+
}
|
308
|
+
}
|
309
|
+
|
310
|
+
function FieldFriendlyDisc(field)
|
311
|
+
{
|
312
|
+
switch(field)
|
313
|
+
{
|
314
|
+
case "Yr_lastname":
|
315
|
+
FriendlyName = "Applicant Last Name";
|
316
|
+
break;
|
317
|
+
case "Yr_firstname":
|
318
|
+
FriendlyName = "Applicant First Name";
|
319
|
+
break;
|
320
|
+
case "Yr_address":
|
321
|
+
FriendlyName = "Applicant Street Address";
|
322
|
+
break;
|
323
|
+
case "Yr_City":
|
324
|
+
FriendlyName = "Applicant City";
|
325
|
+
break;
|
326
|
+
case "Yr_State":
|
327
|
+
FriendlyName = "Applicant 2-digit State Code";
|
328
|
+
break;
|
329
|
+
case "Yr_zip01":
|
330
|
+
FriendlyName = "Applicant 5-digit Zip Code";
|
331
|
+
break;
|
332
|
+
case "Yr_zip02":
|
333
|
+
FriendlyName = "Applicant 4-digit Zip Code suffix";
|
334
|
+
break;
|
335
|
+
case "Yr_race":
|
336
|
+
FriendlyName = "Applicant Ethnicity Code";
|
337
|
+
break;
|
338
|
+
case "Yr_rtype":
|
339
|
+
FriendlyName = "Applicant Residence Type";
|
340
|
+
break;
|
341
|
+
case "Yr_Mo":
|
342
|
+
FriendlyName = "Applicant Birth Month";
|
343
|
+
break;
|
344
|
+
case "Yr_Day":
|
345
|
+
FriendlyName = "Applicant Birth Day of Month";
|
346
|
+
break;
|
347
|
+
case "Yr_Year":
|
348
|
+
FriendlyName = "Applicant Birth Year";
|
349
|
+
break;
|
350
|
+
case "Yr_ssn":
|
351
|
+
FriendlyName = "Applicant Social Security Number";
|
352
|
+
break;
|
353
|
+
case "Yr_phone01":
|
354
|
+
FriendlyName = "Applicant 3-digit Area Code";
|
355
|
+
break;
|
356
|
+
case "Yr_phone7":
|
357
|
+
FriendlyName = "Applicant 7-digit Telephone Number";
|
358
|
+
break;
|
359
|
+
case "Yr_mstat":
|
360
|
+
FriendlyName = "Marital Status";
|
361
|
+
break;
|
362
|
+
case "Sp_lastname":
|
363
|
+
FriendlyName = "Spouse Last Name";
|
364
|
+
break;
|
365
|
+
case "Sp_firstname":
|
366
|
+
FriendlyName = "Spouse First Name";
|
367
|
+
break;
|
368
|
+
case "Sp_address":
|
369
|
+
FriendlyName = "Spouse Street Address";
|
370
|
+
break;
|
371
|
+
case "Sp_City":
|
372
|
+
FriendlyName = "Spouse City";
|
373
|
+
break;
|
374
|
+
case "Sp_State":
|
375
|
+
FriendlyName = "Spouse 2-digit State Code";
|
376
|
+
break;
|
377
|
+
case "Sp_zip01":
|
378
|
+
FriendlyName = "Spouse 5-digit Zip Code";
|
379
|
+
break;
|
380
|
+
case "Sp_zip02":
|
381
|
+
FriendlyName = "Spouse 4-digit Zip Code suffix";
|
382
|
+
break;
|
383
|
+
case "Sp_race":
|
384
|
+
FriendlyName = "Spouse Ethnicity Code";
|
385
|
+
break;
|
386
|
+
case "Sp_rtype":
|
387
|
+
FriendlyName = "Spouse Residence Type";
|
388
|
+
break;
|
389
|
+
case "Sp_Mo":
|
390
|
+
FriendlyName = "Spouse Birth Month";
|
391
|
+
break;
|
392
|
+
case "Sp_Day":
|
393
|
+
FriendlyName = "Spouse Birth Day of Month";
|
394
|
+
break;
|
395
|
+
case "Sp_Year":
|
396
|
+
FriendlyName = "Spouse Birth Year";
|
397
|
+
break;
|
398
|
+
case "Sp_ssn":
|
399
|
+
FriendlyName = "Spouse Social Security Number";
|
400
|
+
break;
|
401
|
+
case "Sp_phone01":
|
402
|
+
FriendlyName = "Spouse 3-digit Area Code";
|
403
|
+
break;
|
404
|
+
case "Sp_phone7":
|
405
|
+
FriendlyName = "Spouse 7-digit Telephone Number";
|
406
|
+
break;
|
407
|
+
case "DSyear":
|
408
|
+
FriendlyName = "Year of Divorce or Separation";
|
409
|
+
break;
|
410
|
+
case "yrPOA_name":
|
411
|
+
FriendlyName = "Applicant Power of Attorney name";
|
412
|
+
break;
|
413
|
+
case "yrPOA_address":
|
414
|
+
FriendlyName = "Applicant Power of Attorney address";
|
415
|
+
break;
|
416
|
+
case "yrPOA_city":
|
417
|
+
FriendlyName = "Applicant Power of Attorney city";
|
418
|
+
break;
|
419
|
+
case "yrPOA_state":
|
420
|
+
FriendlyName = "Applicant Power of Attorney state";
|
421
|
+
break;
|
422
|
+
case "yrPOA_zip01":
|
423
|
+
FriendlyName = "Applicant Power of Attorney 5-digit Zip Code";
|
424
|
+
break;
|
425
|
+
case "yrPOA_zip02":
|
426
|
+
FriendlyName = "Applicant Power of Attorney 4-digit Zip Code suffix";
|
427
|
+
break;
|
428
|
+
case "yrPOA_phone01":
|
429
|
+
FriendlyName = "Applicant Power of Attorney area code";
|
430
|
+
break;
|
431
|
+
case "yrPOA_phone02":
|
432
|
+
FriendlyName = "Applicant Power of Attorney 3-digit section of phone number";
|
433
|
+
break;
|
434
|
+
case "yrPOA_phone03":
|
435
|
+
FriendlyName = "Applicant Power of Attorney 4-digit section of phone number";
|
436
|
+
break;
|
437
|
+
case "yrPOA_year":
|
438
|
+
FriendlyName = "Applicant Power of Attorney Year Assigned";
|
439
|
+
break;
|
440
|
+
case "spPOA_name":
|
441
|
+
FriendlyName = "Spouse Power of Attorney name";
|
442
|
+
break;
|
443
|
+
case "spPOA_address":
|
444
|
+
FriendlyName = "Spouse Power of Attorney address";
|
445
|
+
break;
|
446
|
+
case "spPOA_city":
|
447
|
+
FriendlyName = "Spouse Power of Attorney city";
|
448
|
+
break;
|
449
|
+
case "spPOA_state":
|
450
|
+
FriendlyName = "Spouse Power of Attorney state";
|
451
|
+
break;
|
452
|
+
case "spPOA_zip01":
|
453
|
+
FriendlyName = "Spouse Power of Attorney 5-digit Zip Code";
|
454
|
+
break;
|
455
|
+
case "spPOA_zip02":
|
456
|
+
FriendlyName = "Spouse Power of Attorney 4-digit Zip Code suffix";
|
457
|
+
break;
|
458
|
+
case "spPOA_phone01":
|
459
|
+
FriendlyName = "Spouse Power of Attorney area code";
|
460
|
+
break;
|
461
|
+
case "spPOA_phone02":
|
462
|
+
FriendlyName = "Spouse Power of Attorney 3-digit section of phone number";
|
463
|
+
break;
|
464
|
+
case "spPOA_phone03":
|
465
|
+
FriendlyName = "Spouse Power of Attorney 4-digit section of phone number";
|
466
|
+
break;
|
467
|
+
case "spPOA_year":
|
468
|
+
FriendlyName = "Spouse Power of Attorney Year Assigned";
|
469
|
+
break;
|
470
|
+
case "Scan01":
|
471
|
+
FriendlyName = "Valid Proof of Age Image";
|
472
|
+
break;
|
473
|
+
case "Scan02":
|
474
|
+
FriendlyName = "Valid Proof of Residence Image";
|
475
|
+
break;
|
476
|
+
case "Scan03":
|
477
|
+
FriendlyName = "Valid Proof of Income Image";
|
478
|
+
break;
|
479
|
+
default:
|
480
|
+
FriendlyName = field + ' [discription missing]';
|
481
|
+
}
|
482
|
+
|
483
|
+
return (FriendlyName + ' is a required field.');
|
484
|
+
}
|
485
|
+
|
486
|
+
function RequiredFields(page)
|
487
|
+
{
|
488
|
+
errmsg = "";
|
489
|
+
blnReqFlds = false;
|
490
|
+
Statchecked = false;
|
491
|
+
|
492
|
+
switch(page)
|
493
|
+
{
|
494
|
+
case "002":
|
495
|
+
frmObj = document.frmSect02;
|
496
|
+
for (i=0; i<frmObj.length; i++)
|
497
|
+
{
|
498
|
+
switch (frmObj.elements[i].id)
|
499
|
+
{
|
500
|
+
case "Yr_lastname":
|
501
|
+
case "Yr_firstname":
|
502
|
+
case "Yr_address":
|
503
|
+
case "Yr_City":
|
504
|
+
case "Yr_State":
|
505
|
+
case "Yr_zip01":
|
506
|
+
if (frmObj.elements[i].value.length < 1)
|
507
|
+
{
|
508
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
509
|
+
HighlightField(frmObj.elements[i].style);
|
510
|
+
blnReqFlds = true;
|
511
|
+
}
|
512
|
+
else
|
513
|
+
{
|
514
|
+
UnHighlightField(frmObj.elements[i].style);
|
515
|
+
}
|
516
|
+
break;
|
517
|
+
default:
|
518
|
+
}
|
519
|
+
}
|
520
|
+
break;
|
521
|
+
case "003":
|
522
|
+
frmObj = document.frmSect03;
|
523
|
+
for (i=0; i<frmObj.length; i++)
|
524
|
+
{
|
525
|
+
switch (frmObj.elements[i].id)
|
526
|
+
{
|
527
|
+
case "Yr_Mo":
|
528
|
+
case "Yr_Day":
|
529
|
+
case "Yr_Year":
|
530
|
+
if (frmObj.elements[i].value.length < 1 || frmObj.elements[i].value == 0)
|
531
|
+
{
|
532
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
533
|
+
HighlightField(frmObj.elements[i].style);
|
534
|
+
blnReqFlds = true;
|
535
|
+
}
|
536
|
+
else
|
537
|
+
{
|
538
|
+
UnHighlightField(frmObj.elements[i].style);
|
539
|
+
}
|
540
|
+
break;
|
541
|
+
case "Yr_BDate":
|
542
|
+
if (frmObj.Yr_Mo.value > 0 && frmObj.Yr_Day.value > 0 && frmObj.Yr_Year.value > 0)
|
543
|
+
{
|
544
|
+
if (DateCheck(frmObj.Yr_Mo.value, frmObj.Yr_Day.value, frmObj.Yr_Year.value) == false)
|
545
|
+
blnReqFlds = true;
|
546
|
+
}
|
547
|
+
break;
|
548
|
+
case "Yr_ssn":
|
549
|
+
frmObj.elements[i].value = frmObj.Yr_ssn01.value + frmObj.Yr_ssn02.value + frmObj.Yr_ssn03.value;
|
550
|
+
if (frmObj.elements[i].value.length < 1)
|
551
|
+
{
|
552
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
553
|
+
HighlightField(frmObj.Yr_ssn01.style);
|
554
|
+
HighlightField(frmObj.Yr_ssn02.style);
|
555
|
+
HighlightField(frmObj.Yr_ssn03.style);
|
556
|
+
blnReqFlds = true;
|
557
|
+
}
|
558
|
+
else
|
559
|
+
{
|
560
|
+
UnHighlightField(frmObj.Yr_ssn01.style);
|
561
|
+
UnHighlightField(frmObj.Yr_ssn02.style);
|
562
|
+
UnHighlightField(frmObj.Yr_ssn03.style);
|
563
|
+
if (IndividualEdits('ssn', frmObj.elements[i], true) == false)
|
564
|
+
{
|
565
|
+
frmObj.Yr_ssn01.focus();
|
566
|
+
blnReqFlds = true;
|
567
|
+
}
|
568
|
+
}
|
569
|
+
break;
|
570
|
+
/* 09/01/2002 - Now, remove requirement on AreaCode and Phone
|
571
|
+
case "Yr_phone01":
|
572
|
+
if (frmObj.elements[i].value.length < 1 || frmObj.elements[i].value == 0)
|
573
|
+
{
|
574
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
575
|
+
HighlightField(frmObj.elements[i].style);
|
576
|
+
blnReqFlds = true;
|
577
|
+
}
|
578
|
+
else
|
579
|
+
{
|
580
|
+
UnHighlightField(frmObj.elements[i].style);
|
581
|
+
if (IndividualEdits('areacode', frmObj.elements[i], true) == false)
|
582
|
+
{
|
583
|
+
frmObj.elements[i].focus();
|
584
|
+
blnReqFlds = true;
|
585
|
+
}
|
586
|
+
}
|
587
|
+
break;
|
588
|
+
*/
|
589
|
+
case "Yr_phone7":
|
590
|
+
frmObj.elements[i].value = frmObj.Yr_phone02.value + frmObj.Yr_phone03.value;
|
591
|
+
if (IndividualEdits('phone', frmObj.elements[i], true) == false)
|
592
|
+
{
|
593
|
+
frmObj.Yr_phone02.focus();
|
594
|
+
blnReqFlds = true;
|
595
|
+
}
|
596
|
+
break;
|
597
|
+
/*
|
598
|
+
if (frmObj.elements[i].value.length < 1)
|
599
|
+
{
|
600
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
601
|
+
HighlightField(frmObj.Yr_phone02.style);
|
602
|
+
HighlightField(frmObj.Yr_phone03.style);
|
603
|
+
blnReqFlds = true;
|
604
|
+
}
|
605
|
+
else
|
606
|
+
{
|
607
|
+
UnHighlightField(frmObj.Yr_phone02.style);
|
608
|
+
UnHighlightField(frmObj.Yr_phone03.style);
|
609
|
+
if (IndividualEdits('phone', frmObj.elements[i], true) == false)
|
610
|
+
{
|
611
|
+
frmObj.Yr_phone02.focus();
|
612
|
+
blnReqFlds = true;
|
613
|
+
}
|
614
|
+
}
|
615
|
+
break;
|
616
|
+
*/
|
617
|
+
default:
|
618
|
+
}
|
619
|
+
}
|
620
|
+
break;
|
621
|
+
case "004":
|
622
|
+
frmObj = document.frmSect04;
|
623
|
+
for (i=0; i<frmObj.length; i++)
|
624
|
+
{
|
625
|
+
switch (frmObj.elements[i].id)
|
626
|
+
{
|
627
|
+
case "Sp_lastname":
|
628
|
+
case "Sp_firstname":
|
629
|
+
case "Sp_address":
|
630
|
+
case "Sp_City":
|
631
|
+
case "Sp_State":
|
632
|
+
case "Sp_zip01":
|
633
|
+
if (frmObj.elements[i].value.length < 1)
|
634
|
+
{
|
635
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
636
|
+
HighlightField(frmObj.elements[i].style);
|
637
|
+
blnReqFlds = true;
|
638
|
+
}
|
639
|
+
else
|
640
|
+
{
|
641
|
+
UnHighlightField(frmObj.elements[i].style);
|
642
|
+
}
|
643
|
+
break;
|
644
|
+
default:
|
645
|
+
}
|
646
|
+
}
|
647
|
+
break;
|
648
|
+
case "005":
|
649
|
+
frmObj = document.frmSect05;
|
650
|
+
for (i=0; i<frmObj.length; i++)
|
651
|
+
{
|
652
|
+
switch (frmObj.elements[i].id)
|
653
|
+
{
|
654
|
+
case "Sp_Mo":
|
655
|
+
case "Sp_Day":
|
656
|
+
case "Sp_Year":
|
657
|
+
if (frmObj.elements[i].value.length < 1 || frmObj.elements[i].value == 0)
|
658
|
+
{
|
659
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
660
|
+
HighlightField(frmObj.elements[i].style);
|
661
|
+
blnReqFlds = true;
|
662
|
+
}
|
663
|
+
else
|
664
|
+
{
|
665
|
+
UnHighlightField(frmObj.elements[i].style);
|
666
|
+
}
|
667
|
+
break;
|
668
|
+
case "Sp_BDate":
|
669
|
+
if (frmObj.Sp_Mo.value > 0 && frmObj.Sp_Day.value > 0 && frmObj.Sp_Year.value > 0)
|
670
|
+
{
|
671
|
+
if (DateCheck(frmObj.Sp_Mo.value, frmObj.Sp_Day.value, frmObj.Sp_Year.value) == false)
|
672
|
+
blnReqFlds = true;
|
673
|
+
}
|
674
|
+
break;
|
675
|
+
case "Sp_ssn":
|
676
|
+
frmObj.elements[i].value = frmObj.Sp_ssn01.value + frmObj.Sp_ssn02.value + frmObj.Sp_ssn03.value;
|
677
|
+
if (frmObj.elements[i].value.length < 1)
|
678
|
+
{
|
679
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
680
|
+
HighlightField(frmObj.Sp_ssn01.style);
|
681
|
+
HighlightField(frmObj.Sp_ssn02.style);
|
682
|
+
HighlightField(frmObj.Sp_ssn03.style);
|
683
|
+
blnReqFlds = true;
|
684
|
+
}
|
685
|
+
else
|
686
|
+
{
|
687
|
+
UnHighlightField(frmObj.Sp_ssn01.style);
|
688
|
+
UnHighlightField(frmObj.Sp_ssn02.style);
|
689
|
+
UnHighlightField(frmObj.Sp_ssn03.style);
|
690
|
+
if (IndividualEdits('ssn', frmObj.elements[i], true) == false)
|
691
|
+
{
|
692
|
+
frmObj.Sp_ssn01.focus();
|
693
|
+
blnReqFlds = true;
|
694
|
+
}
|
695
|
+
}
|
696
|
+
break;
|
697
|
+
/* 09/01/2002 - Now, remove requirement on AreaCode and Phone
|
698
|
+
case "Sp_phone01":
|
699
|
+
if (frmObj.elements[i].value.length < 1 || frmObj.elements[i].value == 0)
|
700
|
+
{
|
701
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
702
|
+
HighlightField(frmObj.elements[i].style);
|
703
|
+
blnReqFlds = true;
|
704
|
+
}
|
705
|
+
else
|
706
|
+
{
|
707
|
+
UnHighlightField(frmObj.elements[i].style);
|
708
|
+
if (IndividualEdits('areacode', frmObj.elements[i], true) == false)
|
709
|
+
{
|
710
|
+
frmObj.elements[i].focus();
|
711
|
+
blnReqFlds = true;
|
712
|
+
}
|
713
|
+
}
|
714
|
+
break;
|
715
|
+
*/
|
716
|
+
case "Sp_phone7":
|
717
|
+
frmObj.elements[i].value = frmObj.Sp_phone02.value + frmObj.Sp_phone03.value;
|
718
|
+
if (IndividualEdits('phone', frmObj.elements[i], true) == false)
|
719
|
+
{
|
720
|
+
frmObj.Sp_phone02.focus();
|
721
|
+
blnReqFlds = true;
|
722
|
+
}
|
723
|
+
break;
|
724
|
+
/*
|
725
|
+
if (frmObj.elements[i].value.length < 1)
|
726
|
+
{
|
727
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
728
|
+
HighlightField(frmObj.Sp_phone02.style);
|
729
|
+
HighlightField(frmObj.Sp_phone03.style);
|
730
|
+
blnReqFlds = true;
|
731
|
+
}
|
732
|
+
else
|
733
|
+
{
|
734
|
+
UnHighlightField(frmObj.Sp_phone02.style);
|
735
|
+
UnHighlightField(frmObj.Sp_phone03.style);
|
736
|
+
if (IndividualEdits('phone', frmObj.elements[i], true) == false)
|
737
|
+
{
|
738
|
+
frmObj.Sp_phone02.focus();
|
739
|
+
blnReqFlds = true;
|
740
|
+
}
|
741
|
+
}
|
742
|
+
break;
|
743
|
+
*/
|
744
|
+
default:
|
745
|
+
}
|
746
|
+
}
|
747
|
+
break;
|
748
|
+
|
749
|
+
case "006":
|
750
|
+
frmObj = document.frmSect06;
|
751
|
+
for (i=0; i<frmObj.length; i++)
|
752
|
+
{
|
753
|
+
switch (frmObj.elements[i].id)
|
754
|
+
{
|
755
|
+
case "Yr_rtype":
|
756
|
+
if (frmObj.elements[i].value.length < 1)
|
757
|
+
{
|
758
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
759
|
+
HighlightField(frmObj.elements[i].style);
|
760
|
+
blnReqFlds = true;
|
761
|
+
}
|
762
|
+
else
|
763
|
+
{
|
764
|
+
UnHighlightField(frmObj.elements[i].style);
|
765
|
+
}
|
766
|
+
break;
|
767
|
+
default:
|
768
|
+
switch (frmObj.elements[i].id)
|
769
|
+
{
|
770
|
+
case "Yr_mstat":
|
771
|
+
if (frmObj.elements[i].value.length < 1)
|
772
|
+
{
|
773
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
774
|
+
HighlightField(frmObj.elements[i].style);
|
775
|
+
blnReqFlds = true;
|
776
|
+
}
|
777
|
+
else
|
778
|
+
{
|
779
|
+
UnHighlightField(frmObj.elements[i].style);
|
780
|
+
}
|
781
|
+
break;
|
782
|
+
case "DSyear":
|
783
|
+
if (frmObj.Yr_mstat.value == '3' || frmObj.Yr_mstat.value == '4')
|
784
|
+
{
|
785
|
+
if (frmObj.elements[i].value.length < 1)
|
786
|
+
{
|
787
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
788
|
+
HighlightField(frmObj.elements[i].style);
|
789
|
+
blnReqFlds = true;
|
790
|
+
}
|
791
|
+
else
|
792
|
+
{
|
793
|
+
UnHighlightField(frmObj.elements[i].style);
|
794
|
+
}
|
795
|
+
}
|
796
|
+
default:
|
797
|
+
}
|
798
|
+
}
|
799
|
+
}
|
800
|
+
break;
|
801
|
+
case "007":
|
802
|
+
frmObj = document.frmSect07;
|
803
|
+
for (i=0; i<frmObj.length; i++)
|
804
|
+
{
|
805
|
+
switch (frmObj.elements[i].id)
|
806
|
+
{
|
807
|
+
case "Sp_rtype":
|
808
|
+
if (frmObj.elements[i].value.length < 1)
|
809
|
+
{
|
810
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.elements[i].id) + "\n";
|
811
|
+
HighlightField(frmObj.elements[i].style);
|
812
|
+
blnReqFlds = true;
|
813
|
+
}
|
814
|
+
else
|
815
|
+
{
|
816
|
+
UnHighlightField(frmObj.elements[i].style);
|
817
|
+
}
|
818
|
+
break;
|
819
|
+
default:
|
820
|
+
}
|
821
|
+
}
|
822
|
+
break;
|
823
|
+
case "008":
|
824
|
+
frmObj = document.frmSect08;
|
825
|
+
Inc01 = frmObj.Tot_Income1;
|
826
|
+
Inc02 = frmObj.Tot_Income2;
|
827
|
+
Inc03 = frmObj.Tot_Income3;
|
828
|
+
Inc04 = frmObj.Tot_Income4;
|
829
|
+
Inc05 = frmObj.Tot_Income5;
|
830
|
+
Inc06 = frmObj.Tot_Income6;
|
831
|
+
spInc01 = frmObj.sp_Tot_Income1;
|
832
|
+
spInc02 = frmObj.sp_Tot_Income2;
|
833
|
+
spInc03 = frmObj.sp_Tot_Income3;
|
834
|
+
spInc04 = frmObj.sp_Tot_Income4;
|
835
|
+
spInc05 = frmObj.sp_Tot_Income5;
|
836
|
+
spInc06 = frmObj.sp_Tot_Income6;
|
837
|
+
tvalue = 0;
|
838
|
+
tvalue = tvalue + parseFloat(Inc01.value) + parseFloat(Inc02.value);
|
839
|
+
tvalue = tvalue + parseFloat(Inc03.value) + parseFloat(Inc04.value);
|
840
|
+
tvalue = tvalue + parseFloat(Inc05.value) + parseFloat(Inc06.value);
|
841
|
+
tvalue = tvalue + parseFloat(spInc01.value) + parseFloat(spInc02.value);
|
842
|
+
tvalue = tvalue + parseFloat(spInc03.value) + parseFloat(spInc04.value);
|
843
|
+
tvalue = tvalue + parseFloat(spInc05.value) + parseFloat(spInc06.value);
|
844
|
+
|
845
|
+
frmObj.Tot_Income7.value = Math.round(tvalue * Math.pow(10, 2)) / Math.pow(10, 2);
|
846
|
+
blnReqFlds = false;
|
847
|
+
break;
|
848
|
+
|
849
|
+
case "888":
|
850
|
+
//There is a bug here. Since boolean value can be
|
851
|
+
//changed on just either Applicant or spouse being
|
852
|
+
//correct, only having one correct can bypass the check.
|
853
|
+
//SIW 07.21.2004
|
854
|
+
frmObj = document.frmSect888;
|
855
|
+
if ((frmObj.CertFirstA.value == frmObj.hdn888AF.value) && (frmObj.CertLastA.value == frmObj.hdn888AL.value) && (frmObj.CertMiA.value == frmObj.hdn888AM.value))
|
856
|
+
{
|
857
|
+
blnReqFlds = false;
|
858
|
+
}
|
859
|
+
else
|
860
|
+
{
|
861
|
+
errmsg = errmsg + "The entered name must exactly match that entered for the Applicant." + "\n";
|
862
|
+
blnReqFlds = true;
|
863
|
+
}
|
864
|
+
|
865
|
+
if (frmObj.hdn888SF.value.length > 0)
|
866
|
+
{
|
867
|
+
if ((frmObj.CertFirstS.value == frmObj.hdn888SF.value) && (frmObj.CertLastS.value == frmObj.hdn888SL.value) && (frmObj.CertMiS.value == frmObj.hdn888SM.value))
|
868
|
+
{
|
869
|
+
blnReqFlds = false;
|
870
|
+
}
|
871
|
+
else
|
872
|
+
{
|
873
|
+
errmsg = errmsg + "The entered name must exactly match that entered for the Spouse." + "\n";
|
874
|
+
blnReqFlds = true;
|
875
|
+
}
|
876
|
+
}
|
877
|
+
break;
|
878
|
+
|
879
|
+
case "009":
|
880
|
+
frmObj = document.frmSect09;
|
881
|
+
for (i=0; i<frmObj.length; i++)
|
882
|
+
{
|
883
|
+
switch (frmObj.elements[i].id)
|
884
|
+
{
|
885
|
+
case "yrPOA_check":
|
886
|
+
if (frmObj.yrPOA_check.checked)
|
887
|
+
{
|
888
|
+
if (frmObj.yrPOA_name.value.length < 1)
|
889
|
+
{
|
890
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_name.id) + "\n";
|
891
|
+
HighlightField(frmObj.yrPOA_name.style);
|
892
|
+
blnReqFlds = true;
|
893
|
+
}
|
894
|
+
else
|
895
|
+
{
|
896
|
+
UnHighlightField(frmObj.yrPOA_name.style);
|
897
|
+
}
|
898
|
+
if (frmObj.yrPOA_address.value.length < 1)
|
899
|
+
{
|
900
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_address.id) + "\n";
|
901
|
+
HighlightField(frmObj.yrPOA_address.style);
|
902
|
+
blnReqFlds = true;
|
903
|
+
}
|
904
|
+
else
|
905
|
+
{
|
906
|
+
UnHighlightField(frmObj.yrPOA_address.style);
|
907
|
+
}
|
908
|
+
if (frmObj.yrPOA_city.value.length < 1)
|
909
|
+
{
|
910
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_city.id) + "\n";
|
911
|
+
HighlightField(frmObj.yrPOA_city.style);
|
912
|
+
blnReqFlds = true;
|
913
|
+
}
|
914
|
+
else
|
915
|
+
{
|
916
|
+
UnHighlightField(frmObj.yrPOA_city.style);
|
917
|
+
}
|
918
|
+
if (frmObj.yrPOA_state.value.length < 1)
|
919
|
+
{
|
920
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_state.id) + "\n";
|
921
|
+
HighlightField(frmObj.yrPOA_state.style);
|
922
|
+
blnReqFlds = true;
|
923
|
+
}
|
924
|
+
else
|
925
|
+
{
|
926
|
+
UnHighlightField(frmObj.yrPOA_state.style);
|
927
|
+
}
|
928
|
+
if (frmObj.yrPOA_zip01.value.length < 1)
|
929
|
+
{
|
930
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_zip01.id) + "\n";
|
931
|
+
HighlightField(frmObj.yrPOA_zip01.style);
|
932
|
+
blnReqFlds = true;
|
933
|
+
}
|
934
|
+
else
|
935
|
+
{
|
936
|
+
UnHighlightField(frmObj.yrPOA_zip01.style);
|
937
|
+
}
|
938
|
+
//yrPOAyr = frmObj.yrPOA_year;
|
939
|
+
//valYear = yrPOAyr.options[yrPOAyr.selectedIndex].value;
|
940
|
+
//if (valYear.length < 1)
|
941
|
+
//{
|
942
|
+
// errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_year.id) + "\n";
|
943
|
+
// HighlightField(frmObj.yrPOA_year.style);
|
944
|
+
// blnReqFlds = true;
|
945
|
+
//}
|
946
|
+
//else
|
947
|
+
//{
|
948
|
+
// UnHighlightField(frmObj.yrPOA_year.style);
|
949
|
+
//}
|
950
|
+
/*
|
951
|
+
if (frmObj.yrPOA_phone01.value.length < 1)
|
952
|
+
{
|
953
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_phone01.id) + "\n";
|
954
|
+
HighlightField(frmObj.yrPOA_phone01.style);
|
955
|
+
blnReqFlds = true;
|
956
|
+
}
|
957
|
+
else
|
958
|
+
{
|
959
|
+
UnHighlightField(frmObj.yrPOA_phone01.style);
|
960
|
+
}
|
961
|
+
if (frmObj.yrPOA_phone02.value.length < 1)
|
962
|
+
{
|
963
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_phone02.id) + "\n";
|
964
|
+
HighlightField(frmObj.yrPOA_phone02.style);
|
965
|
+
blnReqFlds = true;
|
966
|
+
}
|
967
|
+
else
|
968
|
+
{
|
969
|
+
UnHighlightField(frmObj.yrPOA_phone02.style);
|
970
|
+
}
|
971
|
+
if (frmObj.yrPOA_phone03.value.length < 1)
|
972
|
+
{
|
973
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.yrPOA_phone03.id) + "\n";
|
974
|
+
HighlightField(frmObj.yrPOA_phone03.style);
|
975
|
+
blnReqFlds = true;
|
976
|
+
}
|
977
|
+
else
|
978
|
+
{
|
979
|
+
UnHighlightField(frmObj.yrPOA_phone03.style);
|
980
|
+
}
|
981
|
+
*/
|
982
|
+
}
|
983
|
+
break;
|
984
|
+
case "yrPOA_phone10":
|
985
|
+
frmObj.elements[i].value = frmObj.yrPOA_phone01.value;
|
986
|
+
if (IndividualEdits('areacode', frmObj.elements[i], true) == false)
|
987
|
+
{
|
988
|
+
frmObj.yrPOA_phone01.focus();
|
989
|
+
blnReqFlds = true;
|
990
|
+
}
|
991
|
+
frmObj.elements[i].value = frmObj.yrPOA_phone02.value + frmObj.yrPOA_phone03.value;
|
992
|
+
if (IndividualEdits('phone', frmObj.elements[i], true) == false)
|
993
|
+
{
|
994
|
+
frmObj.yrPOA_phone02.focus();
|
995
|
+
blnReqFlds = true;
|
996
|
+
}
|
997
|
+
if (blnReqFlds == false)
|
998
|
+
frmObj.elements[i].value = frmObj.yrPOA_phone01.value + frmObj.yrPOA_phone02.value + frmObj.yrPOA_phone03.value;
|
999
|
+
break;
|
1000
|
+
default:
|
1001
|
+
}
|
1002
|
+
}
|
1003
|
+
break;
|
1004
|
+
case "010":
|
1005
|
+
frmObj = document.frmSect10;
|
1006
|
+
for (i=0; i<frmObj.length; i++)
|
1007
|
+
{
|
1008
|
+
switch (frmObj.elements[i].id)
|
1009
|
+
{
|
1010
|
+
case "spPOA_check":
|
1011
|
+
if (frmObj.spPOA_check.checked)
|
1012
|
+
{
|
1013
|
+
if (frmObj.spPOA_name.value.length < 1)
|
1014
|
+
{
|
1015
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_name.id) + "\n";
|
1016
|
+
HighlightField(frmObj.spPOA_name.style);
|
1017
|
+
blnReqFlds = true;
|
1018
|
+
}
|
1019
|
+
else
|
1020
|
+
{
|
1021
|
+
UnHighlightField(frmObj.spPOA_name.style);
|
1022
|
+
}
|
1023
|
+
if (frmObj.spPOA_address.value.length < 1)
|
1024
|
+
{
|
1025
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_address.id) + "\n";
|
1026
|
+
HighlightField(frmObj.spPOA_address.style);
|
1027
|
+
blnReqFlds = true;
|
1028
|
+
}
|
1029
|
+
else
|
1030
|
+
{
|
1031
|
+
UnHighlightField(frmObj.spPOA_address.style);
|
1032
|
+
}
|
1033
|
+
if (frmObj.spPOA_city.value.length < 1)
|
1034
|
+
{
|
1035
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_city.id) + "\n";
|
1036
|
+
HighlightField(frmObj.spPOA_city.style);
|
1037
|
+
blnReqFlds = true;
|
1038
|
+
}
|
1039
|
+
else
|
1040
|
+
{
|
1041
|
+
UnHighlightField(frmObj.spPOA_city.style);
|
1042
|
+
}
|
1043
|
+
if (frmObj.spPOA_state.value.length < 1)
|
1044
|
+
{
|
1045
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_state.id) + "\n";
|
1046
|
+
HighlightField(frmObj.spPOA_state.style);
|
1047
|
+
blnReqFlds = true;
|
1048
|
+
}
|
1049
|
+
else
|
1050
|
+
{
|
1051
|
+
UnHighlightField(frmObj.spPOA_state.style);
|
1052
|
+
}
|
1053
|
+
if (frmObj.spPOA_zip01.value.length < 1)
|
1054
|
+
{
|
1055
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_zip01.id) + "\n";
|
1056
|
+
HighlightField(frmObj.spPOA_zip01.style);
|
1057
|
+
blnReqFlds = true;
|
1058
|
+
}
|
1059
|
+
else
|
1060
|
+
{
|
1061
|
+
UnHighlightField(frmObj.spPOA_zip01.style);
|
1062
|
+
}
|
1063
|
+
//spPOAyr = frmObj.spPOA_year;
|
1064
|
+
//valYear = spPOAyr.options[spPOAyr.selectedIndex].value;
|
1065
|
+
//if (valYear.length < 1)
|
1066
|
+
//{
|
1067
|
+
// errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_year.id) + "\n";
|
1068
|
+
// HighlightField(frmObj.spPOA_year.style);
|
1069
|
+
// blnReqFlds = true;
|
1070
|
+
//}
|
1071
|
+
//else
|
1072
|
+
//{
|
1073
|
+
// UnHighlightField(frmObj.spPOA_year.style);
|
1074
|
+
//}
|
1075
|
+
/*
|
1076
|
+
if (frmObj.spPOA_phone01.value.length < 1)
|
1077
|
+
{
|
1078
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_phone01.id) + "\n";
|
1079
|
+
HighlightField(frmObj.spPOA_phone01.style);
|
1080
|
+
blnReqFlds = true;
|
1081
|
+
}
|
1082
|
+
else
|
1083
|
+
{
|
1084
|
+
UnHighlightField(frmObj.spPOA_phone01.style);
|
1085
|
+
}
|
1086
|
+
if (frmObj.spPOA_phone02.value.length < 1)
|
1087
|
+
{
|
1088
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_phone02.id) + "\n";
|
1089
|
+
HighlightField(frmObj.spPOA_phone02.style);
|
1090
|
+
blnReqFlds = true;
|
1091
|
+
}
|
1092
|
+
else
|
1093
|
+
{
|
1094
|
+
UnHighlightField(frmObj.spPOA_phone02.style);
|
1095
|
+
}
|
1096
|
+
if (frmObj.spPOA_phone03.value.length < 1)
|
1097
|
+
{
|
1098
|
+
errmsg = errmsg + FieldFriendlyDisc(frmObj.spPOA_phone03.id) + "\n";
|
1099
|
+
HighlightField(frmObj.spPOA_phone03.style);
|
1100
|
+
blnReqFlds = true;
|
1101
|
+
}
|
1102
|
+
else
|
1103
|
+
{
|
1104
|
+
UnHighlightField(frmObj.spPOA_phone03.style);
|
1105
|
+
}
|
1106
|
+
*/
|
1107
|
+
}
|
1108
|
+
break;
|
1109
|
+
case "spPOA_phone10":
|
1110
|
+
frmObj.elements[i].value = frmObj.spPOA_phone01.value;
|
1111
|
+
if (IndividualEdits('areacode', frmObj.elements[i], true) == false)
|
1112
|
+
{
|
1113
|
+
frmObj.spPOA_phone01.focus();
|
1114
|
+
blnReqFlds = true;
|
1115
|
+
}
|
1116
|
+
frmObj.elements[i].value = frmObj.spPOA_phone02.value + frmObj.spPOA_phone03.value;
|
1117
|
+
if (IndividualEdits('phone', frmObj.elements[i], true) == false)
|
1118
|
+
{
|
1119
|
+
frmObj.spPOA_phone02.focus();
|
1120
|
+
blnReqFlds = true;
|
1121
|
+
}
|
1122
|
+
if (blnReqFlds == false)
|
1123
|
+
frmObj.elements[i].value = frmObj.spPOA_phone01.value + frmObj.spPOA_phone02.value + frmObj.spPOA_phone03.value;
|
1124
|
+
break;
|
1125
|
+
default:
|
1126
|
+
}
|
1127
|
+
}
|
1128
|
+
break;
|
1129
|
+
case "011":
|
1130
|
+
frmObj = document.frmSect11;
|
1131
|
+
for (i=0; i<frmObj.length; i++)
|
1132
|
+
{
|
1133
|
+
switch (frmObj.elements[i].id)
|
1134
|
+
{
|
1135
|
+
case "yr_prepphone10":
|
1136
|
+
frmObj.elements[i].value = frmObj.yr_prepphone01.value;
|
1137
|
+
if (IndividualEdits('areacode', frmObj.elements[i], true) == false)
|
1138
|
+
{
|
1139
|
+
frmObj.yr_prepphone01.focus();
|
1140
|
+
blnReqFlds = true;
|
1141
|
+
}
|
1142
|
+
frmObj.elements[i].value = frmObj.yr_prepphone02.value + frmObj.yr_prepphone03.value;
|
1143
|
+
if (IndividualEdits('phone', frmObj.elements[i], true) == false)
|
1144
|
+
{
|
1145
|
+
frmObj.yr_prepphone02.focus();
|
1146
|
+
blnReqFlds = true;
|
1147
|
+
}
|
1148
|
+
if (blnReqFlds == false)
|
1149
|
+
frmObj.elements[i].value = frmObj.yr_prepphone01.value + frmObj.yr_prepphone02.value + frmObj.yr_prepphone03.value;
|
1150
|
+
break;
|
1151
|
+
default:
|
1152
|
+
}
|
1153
|
+
}
|
1154
|
+
break;
|
1155
|
+
//case "012":
|
1156
|
+
// frmObj = document.frmSect12;
|
1157
|
+
// for (i=0; i<frmObj.length; i++)
|
1158
|
+
// {
|
1159
|
+
// switch (frmObj.elements[i].id)
|
1160
|
+
// {
|
1161
|
+
// case "sp_prepphone10":
|
1162
|
+
// frmObj.elements[i].value = frmObj.sp_prepphone01.value;
|
1163
|
+
// if (IndividualEdits('areacode', frmObj.elements[i], true) == false)
|
1164
|
+
// {
|
1165
|
+
// frmObj.sp_prepphone01.focus();
|
1166
|
+
// blnReqFlds = true;
|
1167
|
+
// }
|
1168
|
+
// frmObj.elements[i].value = frmObj.sp_prepphone02.value + frmObj.sp_prepphone03.value;
|
1169
|
+
// if (IndividualEdits('phone', frmObj.elements[i], true) == false)
|
1170
|
+
// {
|
1171
|
+
// frmObj.sp_prepphone02.focus();
|
1172
|
+
// blnReqFlds = true;
|
1173
|
+
// }
|
1174
|
+
// if (blnReqFlds == false)
|
1175
|
+
// frmObj.elements[i].value = frmObj.sp_prepphone01.value + frmObj.sp_prepphone02.value + frmObj.sp_prepphone03.value;
|
1176
|
+
// break;
|
1177
|
+
// }
|
1178
|
+
// }
|
1179
|
+
// break;
|
1180
|
+
default:
|
1181
|
+
}
|
1182
|
+
|
1183
|
+
if (blnReqFlds)
|
1184
|
+
{
|
1185
|
+
if (errmsg.length > 0)
|
1186
|
+
alert(errmsg);
|
1187
|
+
}
|
1188
|
+
return(blnReqFlds);
|
1189
|
+
}
|
1190
|
+
|
1191
|
+
function GoSubmit(frmObj)
|
1192
|
+
{
|
1193
|
+
if (RequiredFields(frmObj.hdnfrm.value) == false)
|
1194
|
+
{
|
1195
|
+
frmObj.submit();
|
1196
|
+
}
|
1197
|
+
}
|
1198
|
+
|
1199
|
+
function popUp(url)
|
1200
|
+
{
|
1201
|
+
sealWin=window.open(url,"win",'toolbar=0,location=0,directories=0,status=1,menubar=1,scrollbars=1,resizable=1,width=500,height=450');
|
1202
|
+
self.name = "mainWin";
|
1203
|
+
}
|
1204
|
+
|
1205
|
+
function AddPrepName(Obj)
|
1206
|
+
{
|
1207
|
+
var typeObj = Obj.id;
|
1208
|
+
var frmObj = Obj.form;
|
1209
|
+
if (typeObj.substr(0, 2) == "yr")
|
1210
|
+
{
|
1211
|
+
frmObj.yr_prepname.value = frmObj.hdnPrepAppFirst.value + ' ' + frmObj.hdnPrepAppLast.value;
|
1212
|
+
frmObj.yr_prepphone01.value = frmObj.hdnPrepAppAC.value;
|
1213
|
+
frmObj.yr_prepphone02.value = frmObj.hdnPrepAppPhone.value.substr(0, 3);
|
1214
|
+
frmObj.yr_prepphone03.value = frmObj.hdnPrepAppPhone.value.substr(3, 4);
|
1215
|
+
}
|
1216
|
+
else
|
1217
|
+
{
|
1218
|
+
frmObj.sp_prepname.value = frmObj.hdnPrepSpFirst.value + ' ' + frmObj.hdnPrepSpLast.value;
|
1219
|
+
frmObj.sp_prepphone01.value = frmObj.hdnPrepSpAC.value;
|
1220
|
+
frmObj.sp_prepphone02.value = frmObj.hdnPrepSpPhone.value.substr(0, 3);
|
1221
|
+
frmObj.sp_prepphone03.value = frmObj.hdnPrepSpPhone.value.substr(3, 4);
|
1222
|
+
}
|
1223
|
+
}
|
1224
|
+
</script>
|
1225
|
+
</head>
|
1226
|
+
<body bgcolor=GhostWhite>
|
1227
|
+
|
1228
|
+
<table border=0 cellpadding=0 cellspacing=0 width="600" align=center>
|
1229
|
+
<tr>
|
1230
|
+
<td width="50%" align=center>
|
1231
|
+
<img src="/images/NewColorLogo.gif" border=0
|
1232
|
+
align=absmiddle alt="First Health Services Corporation logo"
|
1233
|
+
title="First Health Services Corporation logo">
|
1234
|
+
</td>
|
1235
|
+
<td width="50%" align=center valign=middle>
|
1236
|
+
<img src="/images/PaPACE.gif" border=0
|
1237
|
+
align=absmiddle alt="Pennsylvania Department of Aging logo"
|
1238
|
+
title="Pennsylvania Department of Aging logo">
|
1239
|
+
</td>
|
1240
|
+
</tr>
|
1241
|
+
<tr>
|
1242
|
+
<td width="50%" valign=top nowrap>
|
1243
|
+
<b><font size=3 face="Arial">
|
1244
|
+
PACE/PACENET Enrollment</font></b>
|
1245
|
+
</td>
|
1246
|
+
<td width="50%" valign=top nowrap>
|
1247
|
+
<b><font size=2 face="Arial">
|
1248
|
+
Need Assistance?<br>
|
1249
|
+
Call: Inside PA <font color="Red">1-800-225-7223</font> Outside PA <font color="Red">717-651-3600</font><br>
|
1250
|
+
Email: <a href="mailto:PACECares@fhsc.com"
|
1251
|
+
title="Email: PACECares@fhsc.com">PACECares@fhsc.com</a>
|
1252
|
+
</font></b>
|
1253
|
+
</td>
|
1254
|
+
</tr>
|
1255
|
+
</table>
|
1256
|
+
|
1257
|
+
|
1258
|
+
<form id="frmSect11" name="frmSect11" method=get
|
1259
|
+
enctype="multipart/form-data" action="PaceWizardDataSet.asp">
|
1260
|
+
<table border=2 cellpadding=0 cellspacing=0 width="600" bgcolor="#000066" align=center>
|
1261
|
+
<tr><td>
|
1262
|
+
<table border=0 cellpadding=0 cellspacing=0 width="100%" bgcolor="#000066" align=center>
|
1263
|
+
<tr>
|
1264
|
+
<td width="100%" colspan=3><br></td>
|
1265
|
+
</tr>
|
1266
|
+
<tr bgcolor="LightGrey">
|
1267
|
+
<td width="100%" colspan=3 valign=top>
|
1268
|
+
<font size=3><b>
|
1269
|
+
<input type="checkbox" id="yrprep_check" name="yrprep_check"
|
1270
|
+
onClick="AddPrepName(this)">Check if same
|
1271
|
+
as Applicant</b></font>
|
1272
|
+
</td>
|
1273
|
+
</tr>
|
1274
|
+
<tr bgcolor="LightGrey">
|
1275
|
+
<td width="20%" nowrap><font size=3><b>Preparer's Name</b></font></td>
|
1276
|
+
<td width="80%" colspan=2 valign=bottom nowrap>
|
1277
|
+
<input id="yr_prepname" name="yr_prepname" size=30 maxlength=100>
|
1278
|
+
<font size=3><b>Preparer's Phone</b></font>
|
1279
|
+
(<input id="yr_prepphone01" name="yr_prepphone01" size=3 maxlength=3
|
1280
|
+
onKeyUp="AutoTabCheck(this, this.form)">)
|
1281
|
+
<input id="yr_prepphone02" name="yr_prepphone02" size=3 maxlength=3
|
1282
|
+
onKeyUp="AutoTabCheck(this, this.form)">-<input
|
1283
|
+
id="yr_prepphone03" name="yr_prepphone03" size=4 maxlength=4>
|
1284
|
+
<input type="hidden" id="yr_prepphone10" name="yr_prepphone10">
|
1285
|
+
<input type="hidden" id="hdnPrepAppLast" name="hdnPrepAppLast" value="Doe">
|
1286
|
+
<input type="hidden" id="hdnPrepAppFirst" name="hdnPrepAppFirst" value="John">
|
1287
|
+
<input type="hidden" id="hdnPrepAppAC" name="hdnPrepAppAC" value="215">
|
1288
|
+
<input type="hidden" id="hdnPrepAppPhone" name="hdnPrepAppPhone" value="5551212">
|
1289
|
+
</td>
|
1290
|
+
</tr>
|
1291
|
+
<tr>
|
1292
|
+
<td width="100%" align=center nowrap colspan=3><br>
|
1293
|
+
<font color="white" size=3><b>Please enter the Preparer's Name & Phone #.<br>
|
1294
|
+
When you are done, click on 'Continue'.<br></b></font>
|
1295
|
+
</td>
|
1296
|
+
</tr>
|
1297
|
+
<tr>
|
1298
|
+
<td width="100%" align=right nowrap colspan=3><br><br>
|
1299
|
+
<input type="button" value="Continue" id=button2 name=button2
|
1300
|
+
onClick="Javascript:GoSubmit(document.frmSect11)">
|
1301
|
+
<input type="button" value="Cancel" id=button1 name=button1
|
1302
|
+
onClick="Javascript:CancelOutWizard()">
|
1303
|
+
<input type="hidden" value="011" id="hdnfrm" name="hdnfrm">
|
1304
|
+
<br><br>
|
1305
|
+
</td>
|
1306
|
+
</tr>
|
1307
|
+
</table>
|
1308
|
+
</td></tr>
|
1309
|
+
</table>
|
1310
|
+
<!--
|
1311
|
+
|
1312
|
+
<input type="hidden" id="hdnSpouse" name="hdnSpouse"
|
1313
|
+
value="2">
|
1314
|
+
<input type="hidden" id="hdnRecIDwr" name="hdnRecIDwr"
|
1315
|
+
value="45791">
|
1316
|
+
<input type="hidden" id="hdnMiscInfo" name="hdnMiscInfo"
|
1317
|
+
value="BFC">
|
1318
|
+
</form>
|
1319
|
+
</body>
|
1320
|
+
</html>
|