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| 1 | Fri Jun 9 19:51:44 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 | patientCommentForm.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, Darr en Henders on | |||||
| 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="patien tCommentFo rm" id="de tailsComme ntForm" ac tion="Pati entDetails .do_sec" m ethod="POS T" onsubmi t="return doSubmit(t his)"> | |||||
| 23 | <inp ut type="h idden" nam e="patient Ien" value ="<c:out v alue="${pa tientIen}" />" /> | |||||
| 24 | <div > | |||||
| 25 | <label for ="patientC omments" s tyle="whit e-space: n owrap;">En ter a new comment fo r this pat ient:</lab el> | |||||
| 26 | <textarea id="patien tComments" name="com ments" sty le="width: 620px; he ight: 80px ;" require d></textar ea> | |||||
| 27 | <br /> | |||||
| 28 | </di v> | |||||
| 29 | <br /> | |||||
| 30 | <div align="ce nter"> | |||||
| 31 | <input id= "addPatien tComment" class="but ton" type= "submit" v alue="Add Comment" n ame="addPa tientComme nt" alt="A dd Comment " /> | |||||
| 32 | </di v> | |||||
| 33 | </form> | |||||
| 34 | </ div> | |||||
| 35 | </body > | |||||
| 36 | </html> |
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