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| # | Location | File | Last Modified |
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| 1 | Fri Jun 9 19:51:37 2017 UTC | ||
| 2 | eHealth_Exch (eHealth Exchange Enhancements) Build 3 docs & code_May_2017.zip\VAP_CIF_CODE0502.zip\VAP_CIF_CODE0502\VAP_CIF_CODE0502\nvap-web\src\main\webapp\WEB-INF\web\admin\organization | add.jsp | Fri Apr 21 20:15:58 2017 UTC |
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| 1 | <%-- | |||||
| 2 | Docume nt : add | |||||
| 3 | Create d on : Mar 17, 2016, 6:25:38 A M | |||||
| 4 | Author : Joh ann Sonnen berg | |||||
| 5 | NOTE : DEP RECATED AS OF VAP-32 8 | |||||
| 6 | --%> | |||||
| 7 | ||||||
| 8 | <%@page im port="gov. va.nvap.we b.user.Use rHelper"%> | |||||
| 9 | <%@page co ntentType= "text/html " pageEnco ding="UTF- 8"%> | |||||
| 10 | <%@taglib uri="http: //java.sun .com/jsp/j stl/core" prefix="c" %> | |||||
| 11 | <%@taglib tagdir="/W EB-INF/tag s/cpp" pre fix="cpp" %> | |||||
| 12 | ||||||
| 13 | <!DOCTYPE HTML PUBLI C "-//W3C/ /DTD HTML 4.01 Trans itional//E N" "http:/ /www.w3.or g/TR/html4 /loose.dtd "> | |||||
| 14 | ||||||
| 15 | <html lang ="en"> | |||||
| 16 | <head> | |||||
| 17 | <t itle>Veter ans Author izations a nd Prefere nces Admin </title> | |||||
| 18 | <% @include f ile="../.. /metaCommo n.jsp" %> | |||||
| 19 | <% @include f ile="../.. /reportCom mon.jsp" % > | |||||
| 20 | <s cript lang uage="Java Script"> | |||||
| 21 | $(docume nt).ready( function() { | |||||
| 22 | $('. orgOptions ').on('cha nge', func tion(event ) { | |||||
| 23 | var link = $(this); // link th at trigger ed the mod al | |||||
| 24 | var key = link.data( 'org-optio n'); // ex tract info from data -* attribu tes | |||||
| 25 | ||||||
| 26 | if(key === 'trustedS ource') | |||||
| 27 | { | |||||
| 28 | if($(t his).is(': checked')) //if it c hanges and IS checke d show it | |||||
| 29 | { | |||||
| 30 | $( '#trustedS ourceWarni ng').show( ); | |||||
| 31 | } else { | |||||
| 32 | $( '#trustedS ourceWarni ng').hide( ); | |||||
| 33 | } | |||||
| 34 | } | |||||
| 35 | ||||||
| 36 | if(key === 'consumer Only') //i f it chang es and IS checked sh ow it | |||||
| 37 | { | |||||
| 38 | if($(t his).is(': checked')) | |||||
| 39 | { | |||||
| 40 | $( '#consumer OnlyWarnin g').show() ; | |||||
| 41 | } else { | |||||
| 42 | $( '#consumer OnlyWarnin g').hide() ; | |||||
| 43 | } | |||||
| 44 | } | |||||
| 45 | }); | |||||
| 46 | }); | |||||
| 47 | </ script> | |||||
| 48 | </head > | |||||
| 49 | ||||||
| 50 | <body> | |||||
| 51 | <% | |||||
| 52 | String use rName = Us erHelper.g etUserName (request); | |||||
| 53 | %> | |||||
| 54 | <j sp:include page="../ ../header. jsp"> | |||||
| 55 | <jsp:par am name="u serName" v alue="<%=u serName%>" /> | |||||
| 56 | </ jsp:includ e> | |||||
| 57 | <t able borde r="0" cell padding="0 " cellspac ing="0" wi dth="100%" summary=" table is u sed for la yout purpo ses" id="m ain-conten t-table"> | |||||
| 58 | <tbody> | |||||
| 59 | <tr> | |||||
| 60 | <jsp:inclu de page=". ./../leftM enu.jsp"> | |||||
| 61 | <jsp:p aram name= "userName" value="<% =userName% >" /> | |||||
| 62 | </jsp:incl ude> | |||||
| 63 | <td id="co ntent-va"> <a name="c ontent-are a"></a> | |||||
| 64 | <p cla ss="title- bar"><!-- START: SIT E NAME --> Partner Or ganization s<!-- END: SITE NAME --></p> | |||||
| 65 | <cpp:e rrors /> | |||||
| 66 | <table border="0 " cellpadd ing="0" ce llspacing= "0" width= "100%" sum mary="tabl e is used for layout purposes" > | |||||
| 67 | <t body> | |||||
| 68 | <tr> | |||||
| 69 | <td id="conten t-main"> | |||||
| 70 | <table wid th="100%" summary="T his table is used fo r layout p urposes"> | |||||
| 71 | <tr> | |||||
| 72 | <t d> | |||||
| 73 | <div cla ss="form-c ontainer"> | |||||
| 74 | <for m name="fr mAddOrgani zation" id ="frmAddOr ganization " action=" Organizati onHandler. do_sec?add Complete=t rue" metho d="post"> | |||||
| 75 | <fieldset> | |||||
| 76 | <legen d>Add Part ner Organi zation</le gend> | |||||
| 77 | <div i d="errorMe ssage" cla ss="errors " style="d isplay: no ne;"></div > | |||||
| 78 | <div> | |||||
| 79 | <l abel for=" orgName" c lass="widt h-120">Nam e</label> | |||||
| 80 | <i nput type= "text" nam e="orgName " id="orgN ame" maxle ngth="255" required /> <i clas s="fa fa-a sterisk va p-required "></i> | |||||
| 81 | </div> | |||||
| 82 | <div> | |||||
| 83 | <l abel for=" orgPhone" class="wid th-120">Ph one</label > | |||||
| 84 | <i nput type= "text" nam e="orgPhon e" id="org Phone" max length="25 5" /> | |||||
| 85 | </div> | |||||
| 86 | <div> | |||||
| 87 | <l abel for=" orgPrefix" class="wi dth-120">P refix</lab el> | |||||
| 88 | <i nput type= "text" nam e="orgPref ix" id="or gPrefix" m axlength=" 255" requi red /> <i class="fa fa-asteris k vap-requ ired"></i> | |||||
| 89 | </div> | |||||
| 90 | <div> | |||||
| 91 | <l abel for=" orgContact " class="w idth-120"> Contact</l abel> | |||||
| 92 | <i nput type= "text" nam e="orgCont act" id="o rgContact" maxlength ="255" /> | |||||
| 93 | </div> | |||||
| 94 | <div> | |||||
| 95 | <l abel for=" orgDomain" class="wi dth-120">D omain</lab el> | |||||
| 96 | <i nput type= "text" nam e="orgDoma in" id="or gDomain" m axlength=" 255" requi red /> <i class="fa fa-asteris k vap-requ ired"></i> | |||||
| 97 | </div> | |||||
| 98 | <div> | |||||
| 99 | <l abel for=" orgNumber" class="wi dth-120">N umber</lab el> | |||||
| 100 | <i nput type= "text" nam e="orgNumb er" id="or gNumber" m axlength=" 255" requi red /> <i class="fa fa-asteris k vap-requ ired"></i> | |||||
| 101 | </div> | |||||
| 102 | <div> | |||||
| 103 | <l abel for=" orgOid" cl ass="width -120">Orga nization I D</label> | |||||
| 104 | <i nput type= "text" nam e="orgOid" id="orgOi d" maxleng th="255" r equired /> <i class= "fa fa-ast erisk vap- required"> </i> | |||||
| 105 | </div> | |||||
| 106 | <div c lass="no-p adding"> | |||||
| 107 | <d iv class=" width-140 pull-left" ></div> | |||||
| 108 | <d iv class=" pull-left" ><input ty pe="checkb ox" name=" isTrustedC linicalSou rce" id="i sTrustedCl inicalSour ce" value= "Y" class= "orgOption s" data-or g-option=" trustedSou rce" /></d iv> | |||||
| 109 | <d iv class=" pull-left" ><label cl ass="text- left" for= "isTrusted ClinicalSo urce">Trus ted Clinic al Source< /label></d iv> | |||||
| 110 | <d iv class=" pull-left bg-warning " style="d isplay: no ne;" id="t rustedSour ceWarning" >WARNING: Clinical d ata submit ted from t his partne r will be input into VistA wit hout a cli nician's r eview.</di v> <!-- if checked s how this - -> | |||||
| 111 | <d iv class=" clearfix"> </div> | |||||
| 112 | </div> | |||||
| 113 | <div c lass="no-p adding"> | |||||
| 114 | <d iv class=" width-140 pull-left" ></div> | |||||
| 115 | <d iv class=" pull-left" ><input ty pe="checkb ox" name=" orgConsume rOnly" id= "orgConsum erOnly" va lue="Y" cl ass="orgOp tions" dat a-org-opti on="consum erOnly" /> </div> | |||||
| 116 | <d iv class=" pull-left" ><label cl ass="text- left" for= "orgConsum erOnly">Co nsumer Onl y</label>< /div> | |||||
| 117 | <d iv class=" pull-left bg-warning " style="d isplay: no ne;" id="c onsumerOnl yWarning"> WARNING: T his partne r will not be able t o submit c linical do cuments to VA system s.</div> < !-- if che cked show this --> | |||||
| 118 | <d iv class=" clearfix"> </div> | |||||
| 119 | </div> | |||||
| 120 | </fieldset > | |||||
| 121 | <div> | |||||
| 122 | <input name="btn Save" id=" btnSearch" alt="Save " class="b utton" typ e="submit" value="Sa ve" />&nbs p; | |||||
| 123 | <butto n type="bu tton" oncl ick="locat ion.href=' Organizati onHandler. do_sec?lis t=true';"> Cancel</bu tton> | |||||
| 124 | </div> | |||||
| 125 | </fo rm> | |||||
| 126 | </div> | |||||
| 127 | </ td> | |||||
| 128 | </tr> | |||||
| 129 | </table> | |||||
| 130 | </td > | |||||
| 131 | </tr> | |||||
| 132 | </ tbody> | |||||
| 133 | </tabl e> | |||||
| 134 | <%@inc lude file= "../../foo ter.jsp" % > | |||||
| 135 | </td> | |||||
| 136 | </tr > | |||||
| 137 | </tbody> | |||||
| 138 | </ table> | |||||
| 139 | </body > | |||||
| 140 | </html> |
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