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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | CUI-Release-v2.2.0-source.zip\CUI-Release-v2.2.0-source\app\views\consultations | show.html.haml | Thu Jun 15 19:04:28 2017 UTC |
| 2 | CUI-Release-v2.2.0-source.zip\CUI-Release-v2.2.0-source\app\views\consultations | show.html.haml | Fri Aug 4 16:49:19 2017 UTC |
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| Changed | 1 | 2 |
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| Character case | Differences in character case are significant |
| Line endings | Differences in line endings (CR and LF characters) are ignored |
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| 1 | = provide( :title, 'C onsultatio n Details' ) | |
| 2 | .row.cpp | |
| 3 | .columns .small-12 | |
| 4 | .tb_di v{:content => ""} | |
| 5 | .row | |
| 6 | .col umns.small -12 | |
| 7 | %button.ri ght.usa-bu tton{ onclick: " window.loc ation.href = 'http:/ / DNS s
|
|
| 8 | ty pe: "butto n"} Open J oint Legac y Viewer | |
| 9 | .row | |
| 10 | .col umns.small -12 | |
| 11 | .i nfo-card.d ark | |
| 12 | .row | |
| 13 | .columns .small-12 | |
| 14 | %h3{:s tyle=>'mar gin-left:. 5em;'} #{@ consultati on.veteran .first_nam e} #{@cons ultation.v eteran.mid dle_name} #{@consult ation.vete ran.last_n ame} | |
| 15 | .row | |
| 16 | .columns .small-12. large-1 | |
| 17 | = labe l_tag 'con sult', cla ss: 'inlin e right' d o | |
| 18 | Cons ult: | |
| 19 | .columns .small-12. large-11 | |
| 20 | %span{ :class => 'form-info ', :style => 'font-s ize: 1em;' } #{@consu ltation.ca re_categor y.title} # #{@consult ation.cons ultation_n umber} | |
| 21 | .row | |
| 22 | .columns .small-12. large-1 | |
| 23 | = labe l_tag 'sta tus', clas s: 'inline right' do | |
| 24 | Stat us: | |
| 25 | .columns .small-12. large-11 | |
| 26 | %span{ :class => 'form-info ', :style => 'font-s ize: 1em;' } Status h ere | |
| 27 | ||
| 28 | .row | |
| 29 | .col umns.small -12 | |
| 30 | #c onsultatio n_error_ex planation | |
| 31 | - if @cons ultation.e rrors.any? | |
| 32 | %div | |
| 33 | - erro r_count = @consultat ion.errors .count | |
| 34 | %h3= e rror_count .to_s + " error".plu ralize(err or_count) + " prohib ited this consultati on from be ing added: " | |
| 35 | %ul | |
| 36 | - @c onsultatio n.errors.f ull_messag es.each do |msg| | |
| 37 | %l i= " * " + msg | |
| 38 | = form _for [@con sultation] do |f| | |
| 39 | %h2 Veteran in formation | |
| 40 | %hr. line/ | |
| 41 | .row | |
| 42 | .c olumns.sma ll-12.larg e-6 | |
| 43 | %span.form -info-labe l | |
| 44 | SSN | |
| 45 | %span{:c lass => 'f orm-info'} #{@consul tation.vet eran.forma tted_ssn} | |
| 46 | %span.form -info-labe l | |
| 47 | Date of birth | |
| 48 | %span{:c lass => 'f orm-info'} #{@consul tation.vet eran.conte nt['date_o f_birth']} | |
| 49 | %span.form -info-labe l | |
| 50 | Other he alth insur ance | |
| 51 | %div | |
| 52 | - ['Un known', 'N o', 'Yes'] .each do | value_opt| | |
| 53 | - is _selected = health_i nsurace_se lected?(@c onsultatio n, value_o pt) | |
| 54 | = ra dio_button _tag :have _other_ins urance, va lue_opt, i s_selected , readonly : :readonl y, disable d: !is_sel ected || n il, role: "radio", : aria => {c hecked: "f alse"}, cl ass: 'radi o-inline' | |
| 55 | = la bel_tag "h ave_other_ insurance_ #{value_op t}", value _opt, styl e: "color: #222; out line: none ;" | |
| 56 | - if healt h_insurace _selected? (@consulta tion, "Yes ") | |
| 57 | %span.fo rm-info-la bel | |
| 58 | If yes , name of other heal th insuran ce: | |
| 59 | %span{ :class => 'form-info '} #{@cons ultation.v eteran.oth er_health_ insurance_ name} | |
| 60 | .row | |
| 61 | .c olumns.sma ll-12.larg e-6 | |
| 62 | %h2 Catego ry of Care | |
| 63 | %hr.line/ | |
| 64 | .row | |
| 65 | .columns .small-12 | |
| 66 | = f.la bel :consu ltation_nu mber do | |
| 67 | Cons ultation N umber | |
| 68 | = f. text_field :consulta tion_numbe r, {:requi red => tru e} | |
| 69 | .row | |
| 70 | .columns .small-12 | |
| 71 | = f.la bel :care_ category_i d do | |
| 72 | Cate gory of Ca re | |
| 73 | = f. select :ca re_categor y_id, opti ons_from_c ollection_ for_select (CareCateg ory.all, : id, :title , @consult ation.care _category_ id), {incl ude_blank: 'Select.. .'}, {:req uired => t rue} | |
| 74 | .row | |
| 75 | .columns .small-12 | |
| 76 | =field _set_tag ' Request pr iority' do | |
| 77 | = f. radio_butt on :urgent _priority, false, ch ecked: urg ent_priori ty_selecte d?(@consul tation, fa lse), role : "radio", class: 'r adio-inlin e', :aria => {checke d: "false" }, :requir ed => true | |
| 78 | = f. label :urg ent_priori ty, 'Routi ne', value : 'false', style: "c olor: #222 ; outline: none;" | |
| 79 | = f. radio_butt on :urgent _priority, true, che cked: urge nt_priorit y_selected ?(@consult ation, tru e), role: "radio", c lass: 'rad io-inline' , :aria => {checked: "false"}, :required => true | |
| 80 | = f. label :urg ent_priori ty, 'Urgen t', value: 'true', s tyle: "col or: #222; outline: n one;" | |
| 81 | .row | |
| 82 | .columns .small-12 | |
| 83 | = labe l_tag 'dat e_range' d o | |
| 84 | Peri od of vali dity | |
| 85 | .row | |
| 86 | .f orm_field_ wrapper.co lumns.larg e-5 | |
| 87 | = f.text_f ield :vali d_from, va lue: forma tted_date_ simple(@co nsultation .valid_fro m, current _user, :sl ashes), | |
| 88 | pl aceholder: '(Date)', class: 'd ate-field from_date' , :require d => true | |
| 89 | .f orm_field_ wrapper.co lumns.larg e-2.to_lab el | |
| 90 | %span | |
| 91 | To | |
| 92 | .f orm_field_ wrapper.co lumns.larg e-5 | |
| 93 | = f.text_f ield :vali d_to, valu e: formatt ed_date_si mple(@cons ultation.v alid_to, c urrent_use r, :slashe s), | |
| 94 | plac eholder: ' (Date)', c lass: 'dat e-field to _date', :r equired => true | |
| 95 | .row | |
| 96 | .columns .small-12 | |
| 97 | = f.la bel :consu ltation_or der_id do | |
| 98 | Orde r | |
| 99 | = f. select :co nsultation _order_id, options_f rom_collec tion_for_s elect(Cons ultationOr der.all, : id, :title , @consult ation.cons ultation_o rder_id), {include_b lank: 'Sel ect...'}, {:required => true} | |
| 100 | .c olumns.sma ll-12.larg e-6 | |
| 101 | %h2 Orderi ng Physici an | |
| 102 | %hr.line/ | |
| 103 | .row | |
| 104 | .columns .small-12 | |
| 105 | = labe l_tag :req uesting_pr ovider_npi do | |
| 106 | NPI (for Non-V A) | |
| 107 | = te xt_field_t ag :reques ting_provi der_npi, " #{@orderin g_provider .npi}", cl ass: :'con sultation- npi' | |
| 108 | = f. hidden_fie ld :orderi ng_provide r_id, data : {fieldna me: 'id'} | |
| 109 | .row | |
| 110 | .columns .small-12 | |
| 111 | = f.la bel :order ing_physic ian_name d o | |
| 112 | Orde ring Physi cian | |
| 113 | = f. text_field :ordering _physician _name, dat a: {fieldn ame: 'phys ician_name '}, value: "#{@order ing_provid er.physici an_name}", :required => true | |
| 114 | .row | |
| 115 | .columns .small-12 | |
| 116 | = f.la bel :reque sting_prov ider_telep hone do | |
| 117 | Tele phone Numb er | |
| 118 | = f. text_field :requesti ng_provide r_telephon e, data: { fieldname: 'phone'}, value: "# {@ordering _provider. phone}", : required = > true | |
| 119 | .row | |
| 120 | .columns .small-12 | |
| 121 | = f.la bel :reque sting_prov ider_fax d o | |
| 122 | Fax Number | |
| 123 | = f. text_field :requesti ng_provide r_fax, dat a: {fieldn ame: 'fax' }, value: "#{@orderi ng_provide r.fax}", : required = > true | |
| 124 | .row | |
| 125 | .columns .small-12 | |
| 126 | = f.la bel :reque sting_prov ider_conta ct_name do | |
| 127 | Cont act Name | |
| 128 | = f. text_field :requesti ng_provide r_contact_ name, data : {fieldna me: 'name' }, value: "#{@orderi ng_provide r.name}" | |
| 129 | .row | |
| 130 | .c olumns.sma ll-12 | |
| 131 | %input.rig ht.usa-but ton{:type= >"submit", :value=>" Submit Cha nges to Co nsultation "} | |
| 132 | .row | |
| 133 | #f ilter_data .small-12. columns | |
| 134 | %h2 Referr als | |
| 135 | %hr.line/ | |
| 136 | %table#vha UserConsDa ta.data-ta ble.usa-ta ble-border less.nav-l ist | |
| 137 | %thead | |
| 138 | %tr | |
| 139 | %th{ role: "col umnheader" } | |
| 140 | Re ferral | |
| 141 | %th{ role: "col umnheader" } | |
| 142 | Au thorizatio n# | |
| 143 | %th{ role: "col umnheader" } | |
| 144 | Co mmunity Pr ovider | |
| 145 | %th{ role: "col umnheader" } | |
| 146 | Da te | |
| 147 | %th{ role: "col umnheader" } | |
| 148 | St atus | |
| 149 | %tbody.d tCursor | |
| 150 | - @con sultation. referrals. includes(: referral_t ype, :prov ider, :ref erral_stat us).each d o |child_r eferral| | |
| 151 | %tr{ :id => "#{ child_refe rral.id}"} | |
| 152 | %t d | |
| 153 | = child_re ferral.ref erral_type .try :titl e | |
| 154 | %t d | |
| 155 | = child_re ferral.aut horization _number | |
| 156 | %t d | |
| 157 | = Provider DataPresen ter.new(ch ild_referr al).name | |
| 158 | %t d | |
| 159 | = child_re ferral.cre ated_at.st rftime('%F ') | |
| 160 | %t d | |
| 161 | = child_re ferral.ref erral_stat us.name | |
| 162 | .row | |
| 163 | .sma ll-12.colu mns | |
| 164 | %h 2 Add New Referral | |
| 165 | %h r.line/ | |
| 166 | = form_for([ @referral] , url: con sultation_ add_referr al_path(@c onsultatio n)) do |f| | |
| 167 | .row | |
| 168 | .columns .small-12 | |
| 169 | = f.la bel :refer ral_type_i d do | |
| 170 | Refe rral type | |
| 171 | = f. select :re ferral_typ e_id, opti ons_from_c ollection_ for_select (ReferralT ype.all, : id, :title ), {includ e_blank: ' Select Ref erral Type '}, {:requ ired => tr ue} | |
| 172 | .row | |
| 173 | .columns .small-12 | |
| 174 | = f.la bel :autho rization_n umber do | |
| 175 | Auth orization number | |
| 176 | = f. text_field :authoriz ation_numb er, :requi red => tru e | |
| 177 | .row | |
| 178 | .columns .small-12 | |
| 179 | = f.la bel :provi der_id do | |
| 180 | Prov ider | |
| 181 | = f. select :pr ovider_id, options_f rom_collec tion_for_s elect(Prov ider.all, :id, :name ), {includ e_blank: " Use Orderi ng Provide r: #{@orde ring_provi der.name}" }, {:requi red => tru e} | |
| 182 | .row | |
| 183 | .columns .small-12 | |
| 184 | = butt on_tag 'Ad d Referral ', class: 'button-us a right' |
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