You can't put them together like this:
If Highest_Evidence eq 'Confirmatory' or 'Presumptive';
This causes the error, as it is not the way to do such a comparison.
This is what you do want:
if Highest_Evidence eq 'Confirmatory' or Highest_Evidence eq 'Presumptive';
Alternatively, you could use:
if highest_evidence in ('Confirmatory','Presumptive');
Please, from now on, please present the LOG by copying the log as text (not as a screen capture), and then pasting it into the window that appears when you click on the </> icon. FROM NOW ON, DO NOT SKIP THIS STEP.
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Paige Miller