4451. EPMO Open Source Coordination Office Redaction File Detail Report

Produced by Araxis Merge on 6/9/2017 3:51:38 PM Eastern Daylight Time. See www.araxis.com for information about Merge. This report uses XHTML and CSS2, and is best viewed with a modern standards-compliant browser. For optimum results when printing this report, use landscape orientation and enable printing of background images and colours in your browser.

4451.1 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 authorizeSSA.jsp Fri Apr 21 20:03:30 2017 UTC

4451.2 Comparison summary

Description Between
Files 1 and 2
Text Blocks Lines
Unchanged 0 0
Changed 0 0
Inserted 1 139
Removed 0 0

4451.3 Comparison options

Whitespace
Character case Differences in character case are significant
Line endings Differences in line endings (CR and LF characters) are ignored
CR/LF characters Not shown in the comparison detail

4451.4 Active regular expressions

No regular expressions were active.

4451.5 Comparison detail

        1   <%@taglib  uri="http: //java.sun .com/jsp/j stl/core"  prefix="c" %>
        2   <%@taglib  uri="http: //java.sun .com/jsp/j stl/functi ons" prefi x="fn"%>
        3   <%@taglib  uri="http: //java.sun .com/jsp/j stl/fmt" p refix="fmt "%>
        4   <%@taglib  tagdir="/W EB-INF/tag s/cpp" pre fix="cpp"% >
        5   <%@taglib  tagdir="/W EB-INF/tag s/date" pr efix="date "%>
        6  
        7   <div>
        8       <p cla ss="detail Notice">
        9           By  completin g the 10-5 345 SSA Au thorizatio n 
        10           fo rm, the Ve teran is a uthorizing  VA to sha re his/her  health in formation 
        11           fo r coverage  purposes  with the S ocial Secu rity Admin istration  (SSA) via 
        12           <c :out value ="${organi zationName }"/> for d isability  determinat ion.  The  authorizat ion will 
        13           re main in ef fect for t he period  of two yea rs from th e date of  Veteran's  signature.
        14       </p>
        15   </div>
        16  
        17   <div class ="form-con tainer">
        18       <field set>
        19           <l egend>Auth orize</leg end>
        20           <f orm name=" multiSelec tListForm"  id="multi SelectList Form" acti on="Patien tDetails.d o_sec" met hod="POST"  enctype=" multipart/ form-data"  onsubmit= "return do Submit(thi s)">
        21                <input t ype="radio " name="co nsentGroup " id ="con sentGroup"  value="au thorizeAll " onClick= "formHide( 'multiSele ctAuthoriz eForm')" c hecked />
        22                <label f or="consen tGroup" st yle="text- align: lef t; width:  auto; marg in-right:  0px; paddi ng-right:  0px; float : none; di splay: inl ine;">Auth orized: </ label>
        23                The Vete ran author izes the s haring of  your elect ronic heal th informa tion with 
        24                SSA via  <c:out val ue="${orga nizationNa me}"/> for  coverage  purposes.  The VA wil l immediat ely 
        25                share Ve teran elec tronic hea lth inform ation. 
        26                <br /> < br /> <br  />
        27                <input t ype="hidde n" name="i cn" value= "<c:out va lue="${pat ientDemogr aphics.icn }"/>" /> 
        28                <input t ype="hidde n" name="r equestId"  value="<c: out value= "${request Id}"/>" />  
        29                <input t ype="hidde n" name="n ewLeft" va lue="" /> 
        30                <input t ype="hidde n" name="n ewRight" v alue="" />  
        31                <input t ype="hidde n" name="c onsentType " value="S SA Authori zation" />
        32                <input t ype="hidde n" name="p urposeOfUs e" value=" COVERAGE"  />
        33                <input t ype="hidde n" name="e xpirationY ears" valu e="2" />
        34                <input t ype="hidde n" id="isD elayed" na me="isDela yed" value ="<c:out v alue="${de layedSSAAu th}"/>" />
        35                <div id= "columndiv " style="m argin:0px  auto; widt h:100%">
        36                    <div  id="colum n1" style= "float:lef t; margin: 0; width:6 5%;">
        37                         <div>
        38                             <label  for="auth enticating Facility">
        39                                 Au thenticati ng Facilit y<img alt= "Required  field" src ="res/star -icon_grey _bg.png" / >
        40                             </labe l> 
        41                             <selec t id="auth enticating Facility"  name="user Facility"  style="wid th: 250px;  overflow:  auto;">
        42                                 <c :forEach v ar="f" ite ms="${allo wedFacilit ies}">
        43                                      <option  value="<c: out value= "${f.facil ityStation }"/>"
        44                                          <c:c hoose>
        45                                               <c:when te st="${f.fa cilityStat ion eq def aultUserFa cility.fac ilityStati on}">
        46                                                   select ed
        47                                               </c:when>
        48                                               <c:when te st="${cook ie.facilit y.value ==  f.facilit yStation}" >
        49                                                   select ed
        50                                               </c:when>
        51                                          </c: choose>>
        52                                          <c:c hoose>
        53                                               <c:when te st="${f.fa cilityName  != ''}">
        54                                                   <c:out  value="${ f.facility Name}"/>
        55                                             < /c:when>
        56                                               <c:otherwi se>
        57                                                   ${fn:s plit(f.fac ilityDns,  '.')[0]}
        58                                               </c:otherw ise>
        59                                          </c: choose>
        60                                          (<c: out value= "${f.facil ityStation }"/>)
        61                                      </option >
        62                                 </ c:forEach>
        63                             </sele ct> 
        64                             <br />  <br />
        65                         </div>
        66                         <div>
        67                             <label  for="opti on1">
        68                                 10 -5345 Form  Validatio n
        69                                 <i mg alt="Re quired fie ld" src="r es/star-ic on_grey_bg .png" />
        70                             </labe l> 
        71                             <input  type="che ckbox" tit le="select  Form Vali dation che ckbox if A uthorizati on Form 10 -5345 was  received a nd validat ed. requir ed field"  onclick="e nableAutho rizeAfterV alidation( 'signature Date', 'op tion1', 'A uthorize') ;" name="o ption1" va lue="Autho rization F orm Receiv ed and Val idated" id ="option1"  />
        72                             Author ization Fo rm Receive d and Vali dated
        73                             <br />  <br />
        74                         </div>
        75                         <div>
        76                             <label  for="sign atureDate" >
        77                                 Pa tient Sign ature Date
        78                                 <i mg alt="Re quired fie ld" src="r es/star-ic on_grey_bg .png" /> 
        79                             </labe l> 
        80                             <date: date id="s ignatureDa te" name=" signatureD ate" onkey up="enable AuthorizeA fterValida tion('sign atureDate' , 'option1 ', 'Author ize');"/>  <i>mm/dd/y yyy</i>
        81                             <br /> <br />
        82                         </div>
        83                         <c:choose>
        84                             <c:whe n test="${ isFormUplo adAllowed} ">
        85                                 <d iv>
        86                                      <label f or="file">
        87                                          Uplo ad Consent  Form <br  /> 
        88                                          <i>< span style ="font-wei ght: norma l;">(Max f ile size:  <c:out val ue="${maxF ileUploadS ize/100000 0}"/> mega bytes)</sp an> </i> 
        89                                      </label>
        90                                      <input t itle="Brow se and Upl oad Consen t Form" na me="upload ed" type=" file" id=" file" acce pt="applic ation/pdf"  />
        91                                 </ div>
        92                             </c:wh en>
        93                         </c:choose >
        94                    </di v>
        95                    <div  id="delay edFields"  style="dis play:block ;">
        96                         <div id="c olumn2" st yle="float :left; mar gin:0; wid th:10%;">
        97                             <b>-OR -</b>
        98                         </div>
        99                         <div id="c olumn3" st yle="float :left; mar gin:0; wid th:25%;">
        100                             <input  type="che ckbox" tit le="Select  if author ization is  delayed"  onclick="e nableDelay edReasons( );" name=" delayedVal ue" value= "Delay thi s authoriz ation" id= "delayedVa lue" />
        101                             <label  for="dela yedValue"  style="flo at: none;  display: i nline;">
        102                                 De lay this a uthorizati on
        103                             </labe l> 
        104                             <br />  <br />
        105                             <div s tyle="visi bility: hi dden" id=" delayReaso ns">
        106                                <la bel id="re asonsLabel " name="re asonsLabel " style="t ext-align:  left">
        107                                     Reason fo r delay
        108                                     <img alt= "Required  field" src ="res/star -icon_grey _bg.png" / >
        109                                 </ label>
        110                                <in put type=" hidden" na me="collec tedReasons " id="coll ectedReaso ns" />
        111                                <in put type=" checkbox"  title="For m not sign ed" aria-l abelledby= "reasonsLa bel" name= "reasonsFo rDelay" id ="reasonsF orDelay1"  onclick="c ollectDela yedReasons (this); en ableAuthor izeAfterVa lidation(' delayedVal ue', 'reas onsForDela y', 'Autho rize');" v alue="1" / >
        112                                For m not sign ed<br/>
        113                                <in put type=" checkbox"  title="For m content  altered" a ria-labell edby="reas onsLabel"  name="reas onsForDela y" id="rea sonsForDel ay2" oncli ck="collec tDelayedRe asons(this ); enableA uthorizeAf terValidat ion('delay edValue',  'reasonsFo rDelay', ' Authorize' );" value= "2" />
        114                                For m content  altered<br />
        115                                <in put type=" checkbox"  title="Dem ographic c hanges" ar ia-labelle dby="reaso nsLabel" n ame="reaso nsForDelay " id="reas onsForDela y3" onclic k="collect DelayedRea sons(this) ; enableAu thorizeAft erValidati on('delaye dValue', ' reasonsFor Delay', 'A uthorize') ;" value=" 3" />
        116                                Dem ographic c hanges<br/ >
        117                                <in put type=" checkbox"  title="Pri vacy Offic er review"  aria-labe lledby="re asonsLabel " name="re asonsForDe lay" id="r easonsForD elay4" onc lick="coll ectDelayed Reasons(th is); enabl eAuthorize AfterValid ation('del ayedValue' , 'reasons ForDelay',  'Authoriz e');" valu e="4" />
        118                                Pri vacy Offic er review< br/>
        119                                <in put type=" checkbox"  title="Sig nature ver ification"  aria-labe lledby="re asonsLabel " name="re asonsForDe lay" id="r easonsForD elay5" onc lick="coll ectDelayed Reasons(th is); enabl eAuthorize AfterValid ation('del ayedValue' , 'reasons ForDelay',  'Authoriz e');" valu e="5" />
        120                                Sig nature ver ification< br/>
        121                                <in put type=" checkbox"  title="Pow er of Atto rney not o n file" ar ia-labelle dby="reaso nsLabel" n ame="reaso nsForDelay " id="reas onsForDela y6" onclic k="collect DelayedRea sons(this) ; enableAu thorizeAft erValidati on('delaye dValue', ' reasonsFor Delay', 'A uthorize') ;" value=" 6" />
        122                                Pow er of Atto rney not o n file
        123                            </div>
        124                         </div>
        125                    </di v>
        126                </div> 
        127                <br/><br />
        128                <div>
        129                    <lab el for="co mments">Co mments</la bel>
        130                    <tex tarea id=" comments"  name="comm ents" styl e="width:  300px; hei ght: 60px; "></textar ea>
        131                    <br  />
        132                </div>      
        133                <br />
        134                <div ali gn="center ">
        135                    <inp ut id="Aut horize" cl ass="butto n" type="s ubmit" dis abled="dis abled" val ue="Author ize" name= "optIn" ti tle="Autho rize" />
        136                </div>
        137           </ form>
        138       </fiel dset>
        139   </div>

Araxis Merge (but not the data content of this report) is Copyright © 1993-2016 Araxis Ltd (www.araxis.com). All rights reserved.