4450. EPMO Open Source Coordination Office Redaction File Detail Report

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4450.1 Files compared

#	Location	File	Last Modified
1			Fri Jun 9 19:51:38 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	authorizeNwHINOrgRestrictions.jsp	Fri Apr 21 20:03:30 2017 UTC

4450.2 Comparison summary

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4450.3 Comparison options

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4450.5 Comparison detail

				1		<%@page co ntentType= "text/html " pageEnco ding="UTF- 8"%>
				2		<%@taglib uri="http: //java.sun .com/jsp/j stl/core" prefix="c" %>
				3		<%@taglib uri="http: //java.sun .com/jsp/j stl/functi ons" prefi x="fn"%>
				4		<%@taglib uri="http: //java.sun .com/jsp/j stl/fmt" p refix="fmt "%>
				5		<%@taglib tagdir="/W EB-INF/tag s/cpp" pre fix="cpp"% >
				6		<%@taglib tagdir="/W EB-INF/tag s/date" pr efix="date "%>
				7
				8		<script ty pe="text/j avascript" >
				9		jQuery (document) .ready(fun ction () {
				10		se tFocus(mul tiSelectLi stForm.aut henticatin gFacility) ;
				11		op t.init(doc ument.mult iSelectLis tForm);
				12		});
				13		</script>
				14
				15		<div>
				16		<p cla ss="detail Text">
				17		Th e Veteran has a righ t to reque st the
				18		De partment o f Veterans Affairs ( VA) to res trict or l imit the
				19		sh aring of h is/her ele ctronic he alth infor mation thr ough
				20		<c :out value ="${organi zationName }"/> by de signating which non- VA healthc are provid er organiz ations
				21		he /she does NOT wish t o receive their info rmation. A restricti on
				22		re quest may be filed e ven if the Veteran d oes not ha ve an auth orization
				23		on file perm itting the disclosur e of his/h er health informatio n to
				24		no n-VA healt hcare prov ider organ izations. Note that until an
				25		au thorizatio n is on fi le, the re striction request wi ll remain in an
				26		<s trong>inac tive</stro ng> status . Any rest riction re quest subm itted will apply
				27		ON LY to the sharing of electroni c health i nformation through
				28		<s trong><c:o ut value=" ${organiza tionName}" /></strong >.
				29		</p>
				30		<p cla ss="detail Text">
				31		In dicate whi ch non-VA health car e provider
				32		or ganization participa ting in <c :out value ="${organi zationName }"/> the V eteran doe s
				33		NO T wish to receive th eir electr onic healt h informat ion. By
				34		co mpleting t he Restric tion on VA Form 10-0 525a, the Veteran is
				35		re stricting the VA fro m sharing his/her he alth infor mation for
				36		tr eatment pu rposes wit h the non- VA health care provi der
				37		or ganization s particip ating in < c:out valu e="${organ izationNam e}"/> and partnering with VA.
				38		</p>
				39		<p cla ss="detail Text">
				40		Th e VA will not share the Vetera n health
				41		in formation with the s elected no n-VA healt h care pro vider
				42		or ganization s through <c:out val ue="${orga nizationNa me}"/> eve n if the V eteran lat er
				43		si gns an aut horization .
				44		</p>
				45		</div>
				46		<div class ="form-con tainer">
				47		<field set>
				48		<l egend>Rest rict</lege nd>
				49		<d iv>
				50		<input c hecked tit le="Choose the radio button to select Ve teran Auth orizes sha ring of he alth recor ds with <c :out value ="${organi zationName }"/> provi ders and o rganizatio ns with th e followin g exclusio ns:" type= "radio" na me="consen tGroup" id ="consentG roup" valu e="authori zeExclusio n" onClick ="formShow ('multiSel ectAuthori zeForm')" />
				51		<label c lass="vap- reg-label" for="cons entGroup">
				52		Vete ran Restri cts sharin g of healt h records with <c:ou t value="$ {organizat ionName}"/ >
				53		prov iders and organizati ons with t he followi ng exclusi ons:
				54		</label>
				55		<br /> < br />
				56		</ div>
				57		<f orm name=" multiSelec tListForm" id="multi SelectList Form" acti on="Patien tDetails.d o_sec" met hod="POST" enctype=" multipart/ form-data" onsubmit= "return do Submit(thi s)">
				58		<input t ype="hidde n" name="i cn" value= "<c:out va lue="${pat ientDemogr aphics.icn }"/>" />
				59		<input t ype="hidde n" name="r equestId" value="<c: out value= "${request Id}"/>" />
				60		<input t ype="hidde n" name="n ewLeft" va lue="" />
				61		<input t ype="hidde n" name="n ewRight" v alue="" />
				62		<input t ype="hidde n" name="c onsentType " value="N wHIN Organ ization Re striction Authorizat ion" />
				63		<input t ype="hidde n" name="p urposeOfUs e" value=" TREATMENT" />
				64
				65		<div id= "multiSele ctAuthoriz eForm">
				66		<tab le bgcolor ="#eff2ff" >
				67		<tr>
				68		<td co lspan="3">
				69		Th ere must b e at least one non-V A health c are
				70		pr ovider org anization -- other t han Depart ment of De fense
				71		(D oD) --- in the "All Providers and Organi zations <s trong>(unr estricted) </strong>"
				72		se lection bo x AND at l east one n on-VA heal th care pr ovider
				73		or ganization in the "< c:out valu e="${organ izationNam e}"/> Prov iders and Organizati ons
				74		wh o will NOT have acce ss to the records <s trong>(res tricted)</ strong>" b ox.
				75		<b r /> <br / >
				76		<p class="de tailText">
				77		* NOTE: You cannot restrict DoD, VA pa tient info rmation is always sh ared with the DoD.
				78		<br /> < br />
				79		</ p>
				80		</td>
				81		</tr>
				82		<tr>
				83		<td>
				84		<l abel class ="vap-reg- label" for ="list1">
				85		<strong> All Provid ers and Or ganization s (unrestr icted)</st rong>
				86		</ label>
				87		</td>
				88		<td>&n bsp;   &nbs p;</td>
				89		<td>
				90		<l abel for=" list2" cla ss="vap-re g-label">
				91		<strong> <c:out val ue="${orga nizationNa me}"/> Pro viders and Organizat ions who w ill NOT ha ve access to the rec ords (rest ricted)</s trong>
				92		</ label>
				93		</td>
				94		</tr>
				95		<tr>
				96		<td>
				97		<s elect styl e="width: 310px;" cl ass="listS elect" nam e="list1" id="list1" multiple= "multiple" size="10" onDblClic k="opt.tra nsferRight ();enableR estrictAft erValidati on('signat ureDate', 'option1', 'list1', 'list2', ' Authorize' );">
				98		<c:forEa ch var="r" items="${ allowedOrg anizations }">
				99		<c:c hoose>
				100		<c:when te st="${r.or gNumber eq '200DOD' }">
				101		<optio n value="< c:out valu e="${r.org Number}"/> ">* <c:out value="${ r.orgName} "/> & nbsp;&nbsp ; &nb sp;</optio n>
				102		</c:when>
				103		<c:otherwi se>
				104		<optio n value="< c:out valu e="${r.org Number}"/> "><c:out v alue="${r. orgName}"/ > &nb sp; & nbsp;&nbsp ;</option>
				105		</c:otherw ise>
				106		</c: choose>
				107		</c:forE ach>
				108		</ select>
				109		</td>
				110		<td va lign="midd le" align= "left">
				111		<i nput style ="width: 1 25px; heig ht: 30px;" TYPE="but ton" title ="Move all the Organ izations t o the righ t box" cla ss="midBut ton" name= "right" va lue="Move All >&g t;" onclic k="opt.tra nsferAllRi ght();enab leRestrict AfterValid ation('sig natureDate ', 'option 1', 'list1 ', 'list2' , 'Authori ze');" />
				112		<b r />
				113		<i nput type= "button" t itle="Move the Selec ted Organi zations to the right box" clas s="midButt on" style= "width: 12 5px; heigh t: 30px;" name="righ t" value=" Move Selec ted >" onclick="o pt.transfe rRight();e nableRestr ictAfterVa lidation(' signatureD ate', 'opt ion1', 'li st1', 'lis t2', 'Auth orize');" />
				114		<b r /> <br / >
				115		<i nput type= "button" t itle="Move the selec ted Organi zations to the left box" class ="midButto nLeft" sty le="width: 125px; he ight: 30px ;" name="l eft" value ="< Mov e Selected " onclick= "opt.trans ferLeft(); enableRest rictAfterV alidation( 'signature Date', 'op tion1', 'l ist1', 'li st2', 'Aut horize');" />
				116		<b r />
				117		<i nput type= "button" t itle="Clea r all sele ctions" cl ass="midBu tton" name ="left" st yle="width : 125px; h eight: 30p x;" value= "Clear" on click="opt .transferA llLeft();d isableObje ct('Author ize');" />
				118		</td>
				119		<td>
				120		<s elect name ="list2" c lass="list Select" mu ltiple="mu ltiple" si ze="10" id ="list2" o nDblClick= "opt.trans ferLeft(); enableRest rictAfterV alidation( 'signature Date', 'op tion1', 'l ist1', 'li st2', 'Aut horize');" style="wi dth: 310px ;"></selec t>
				121		</td>
				122		</tr>
				123		</ta ble>
				124		<br /> <br />
				125		</div>
				126		<div>
				127		<lab el for="au thenticati ngFacility ">
				128		Authentica ting Facil ity<img al t="Require d field" s rc="res/st ar-icon_gr ey_bg.png" />
				129		</la bel>
				130		<sel ect id="au thenticati ngFacility " name="us erFacility " style="w idth: 250p x; overflo w: auto;">
				131		<c:forEach var="f" i tems="${al lowedFacil ities}">
				132		<optio n value="< c:out valu e="${f.fac ilityStati on}"/>"
				133		<c :choose>
				134		<c:when test="${f. facilitySt ation eq d efaultUser Facility.f acilitySta tion}">
				135		sele cted
				136		</c:when >
				137		<c:when test="${co okie.facil ity.value == f.facil ityStation }">
				138		sele cted
				139		</c:when >
				140		</ c:choose>>
				141		<c :choose>
				142		<c:when test="${f. facilityNa me != ''}" >
				143		<c:o ut value=" ${f.facili tyName}"/>
				144		</c:when >
				145		<c:other wise>
				146		${fn :split(f.f acilityDns , '.')[0]}
				147		</c:othe rwise>
				148		</ c:choose>
				149		(< c:out valu e="${f.fac ilityStati on}"/>)
				150		</opti on>
				151		</c:forEac h>
				152		</se lect>
				153		<br /> <br />
				154		</div>
				155		<div>
				156		<lab el for="op tion1">
				157		10-0525a F orm Valida tion
				158		<img alt=" Required f ield" src= "res/star- icon_grey_ bg.png" />
				159		</la bel>
				160		<inp ut type="c heckbox" t itle="sele ct Form Va lidation c heckbox if Restricti on Form 10 -0525a was received and valida ted. requi red field" onclick=" enableRest rictAfterV alidation( 'signature Date', 'op tion1', 'l ist1', 'li st2', 'Aut horize');" name="opt ion1" id=" option1" v alue="Rest riction Fo rm Receive d and Vali dated" />
				161		Rest riction Fo rm Receive d and Vali dated &nbs p; <br /> <br />
				162		</div>
				163		<div>
				164		<lab el for="si gnatureDat e">
				165		Patient Si gnature Da te
				166		<img alt=" Required f ield" src= "res/star- icon_grey_ bg.png" />
				167		</la bel>
				168		<dat e:date id= "signature Date" name ="signatur eDate" onk eyup="enab leRestrict AfterValid ation('sig natureDate ', 'option 1', 'list1 ', 'list2' , 'Authori ze');"/> < i>mm/dd/yy yy</i>
				169		<br /><br />
				170		</div>
				171		<c:choos e>
				172		<c:w hen test=" ${isFormUp loadAllowe d}">
				173		<div>
				174		<label for="file ">
				175		Up load Conse nt Form<br />
				176		<i ><span sty le="font-w eight: nor mal;">(Max file size : <c:out v alue="${ma xFileUploa dSize/1000 000}"/> me gabytes)</ span> </i>
				177		</labe l>
				178		<input title="Br owse and U pload Cons ent Form" name="uplo aded" type ="file" id ="file" ac cept="appl ication/pd f" />
				179		</div>
				180		</c: when>
				181		</c:choo se>
				182		<div>
				183		<lab el for="co mments">Co mments</la bel>
				184		<tex tarea id=" comments" name="comm ents" styl e="width: 300px; hei ght: 60px; "></textar ea>
				185		<br />
				186		</div>
				187		<br />
				188		<div ali gn="center ">
				189		<inp ut id="Aut horize" cl ass="butto n" type="s ubmit" dis abled="dis abled" val ue="Restri ct" name=" optIn" tit le="Restri ct" />
				190		</div>
				191		</ form>
				192		</fiel dset>
				193		</div>