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| 1 | Fri Jun 9 19:51:39 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 | commentForm.jsp | Fri Apr 21 20:03:30 2017 UTC |
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| 1 | <%-- | |||||
| 2 | Docume nt : com mentForm | |||||
| 3 | Create d on : Dec 17, 2015, 1:24:09 P M | |||||
| 4 | Author : Joh ann Sonnen berg | |||||
| 5 | --%> | |||||
| 6 | <%@page co ntentType= "text/html " pageEnco ding="UTF- 8"%> | |||||
| 7 | <%@taglib uri="http: //java.sun .com/jsp/j stl/core" prefix="c" %> | |||||
| 8 | <%@taglib uri="http: //java.sun .com/jsp/j stl/functi ons" prefi x="fn"%> | |||||
| 9 | <%@taglib uri="http: //java.sun .com/jsp/j stl/fmt" p refix="fmt "%> | |||||
| 10 | <%@taglib tagdir="/W EB-INF/tag s/cpp" pre fix="cpp"% > | |||||
| 11 | <%@taglib tagdir="/W EB-INF/tag s/date" pr efix="date "%> | |||||
| 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> | |||||
| 16 | <head> | |||||
| 17 | <% @include f ile="metaC ommon.jsp" %> | |||||
| 18 | <t itle>Veter ans Author ization & Preference s - Add Co mment</tit le> | |||||
| 19 | </head > | |||||
| 20 | <body> | |||||
| 21 | <d iv class=" form-conta iner"> | |||||
| 22 | <form na me="commen tForm" id= "commentFo rm" action ="PatientD etails.do_ sec" metho d="POST" o nsubmit="r eturn doSu bmit(this) "> | |||||
| 23 | <inp ut type="h idden" nam e="consent Id" value= "<c:out va lue="${con sentId}"/> " /> | |||||
| 24 | <inp ut type="h idden" nam e="consent Type" valu e="<c:out value="${c onsentType }"/>" /> | |||||
| 25 | <inp ut type="h idden" nam e="delayed ConsentId" value="<c :out value ="${delaye dConsentId }"/>" /> | |||||
| 26 | <div > | |||||
| 27 | <label for ="comments " style="w hite-space : nowrap;" >Enter a n ew comment for this consent:</ label> | |||||
| 28 | <textarea id="commen ts" name=" comments" style="wid th: 620px; height: 8 0px;" requ ired></tex tarea> | |||||
| 29 | <br /> | |||||
| 30 | </di v> | |||||
| 31 | <br /> | |||||
| 32 | <div align="ce nter"> | |||||
| 33 | <input id= "addCommen t" class=" button" ty pe="submit " value="A dd Comment " name="ad dComment" alt="Add C omment" /> | |||||
| 34 | </di v> | |||||
| 35 | </form> | |||||
| 36 | </ div> | |||||
| 37 | </body > | |||||
| 38 | </html> |
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