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| # | Location | File | Last Modified |
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| 1 | Fri Jun 9 19:51:45 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 | patientDemographics.jsp | Fri Apr 21 20:03:30 2017 UTC |
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| 1 | <%-- | |||||
| 2 | Docume nt : Pat ient Demog raphics | |||||
| 3 | Create d By : Dav id Vasquez / Robert Snelling | |||||
| 4 | Modifi ed By: Ash a Amritraj | |||||
| 5 | Modifi ed By: Dar ren Hender son | |||||
| 6 | --%> | |||||
| 7 | ||||||
| 8 | <%@page co ntentType= "text/html " pageEnco ding="UTF- 8"%> | |||||
| 9 | <%@taglib uri="http: //java.sun .com/jsp/j stl/core" prefix="c" %> | |||||
| 10 | <%@taglib uri="http: //java.sun .com/jsp/j stl/functi ons" prefi x="fn"%> | |||||
| 11 | <%@taglib uri="http: //java.sun .com/jsp/j stl/fmt" p refix="fmt "%> | |||||
| 12 | <%@taglib tagdir="/W EB-INF/tag s/cpp" pre fix="cpp"% > | |||||
| 13 | ||||||
| 14 | <!-- THE B ODY CONTEN T START -- > | |||||
| 15 | <div class ="form-con tainer"> | |||||
| 16 | <table id="ver-z ebra" role ="presenta tion"> | |||||
| 17 | <c olgroup> | |||||
| 18 | <col cla ss="vzebra -odd" widt h="20%"/> | |||||
| 19 | <col cla ss="vzebra -even" wid th="30%"/> | |||||
| 20 | <col cla ss="vzebra -odd" widt h="20%"/> | |||||
| 21 | <col cla ss="vzebra -even" wid th="30%"/> | |||||
| 22 | </ colgroup> | |||||
| 23 | <t body> | |||||
| 24 | <tr role ="row"> | |||||
| 25 | <td role="grid cell">Name </td> | |||||
| 26 | <td role="grid cell" clas s="no-bord er"> | |||||
| 27 | <c:out val ue="${pati entDemogra phics.pref ix}" /> | |||||
| 28 | <c:out val ue="${pati entDemogra phics.firs tName}" /> <c:out va lue="${pat ientDemogr aphics.mid dleName}" /> | |||||
| 29 | <c:out val ue="${pati entDemogra phics.last Name}" /> <c:out val ue="${pati entDemogra phics.suff ix}" /> | |||||
| 30 | </td > | |||||
| 31 | <td role="grid cell" clas s="no-bord er">Date o f Birth</t d> | |||||
| 32 | <td role="grid cell" clas s="no-bord er"><fmt:f ormatDate pattern="M M/dd/yyyy" value="${ patientDem ographics. dob}" /></ td> | |||||
| 33 | </tr> | |||||
| 34 | <tr role ="row"> | |||||
| 35 | <td role="grid cell">Addr ess</td> | |||||
| 36 | <td role="grid cell"> | |||||
| 37 | <c:if test ="${!empty patientDe mographics .streetAdd ressLine1} "> <c:out value="${p atientDemo graphics.s treetAddre ssLine1}" /><br /></ c:if> | |||||
| 38 | <c:if test ="${!empty patientDe mographics .streetAdd ressLine2} "> <c:out value="${p atientDemo graphics.s treetAddre ssLine2}" /><br /></ c:if> | |||||
| 39 | <c:if test ="${!empty patientDe mographics .streetAdd ressLine3} "> <c:out value="${p atientDemo graphics.s treetAddre ssLine3}" /><br /></ c:if> | |||||
| 40 | <c:out val ue="${pati entDemogra phics.resi denceCity} " />, <c:o ut value=" ${patientD emographic s.residenc eState}" / > &nb sp;<c:out value="${p atientDemo graphics.r esidenceZi p4}" /> | |||||
| 41 | </td > | |||||
| 42 | <td role="grid cell">Phon e #</td> | |||||
| 43 | <td role="grid cell"><c:o ut value=" ${patientD emographic s.residenc ePhoneNumb er}" /></t d> | |||||
| 44 | </tr> | |||||
| 45 | <tr role ="row"> | |||||
| 46 | <td role="grid cell">Gend er</td> | |||||
| 47 | <td role="grid cell"> | |||||
| 48 | <c:choose> | |||||
| 49 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.gender, 'M')==true }"> Male < /c:when> | |||||
| 50 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.gender, 'F')==true }"> Female </c:when> | |||||
| 51 | <c:oth erwise> <c :out value ="${patien tDemograph ics.gender }" /> </c: otherwise> | |||||
| 52 | </c:choose > | |||||
| 53 | </td > | |||||
| 54 | <td role="grid cell">Mari tal Status </td> | |||||
| 55 | <td role="grid cell"> | |||||
| 56 | <c:choose> | |||||
| 57 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.maritalS tatus, 'M' )==true}"> Married < /c:when> | |||||
| 58 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.maritalS tatus, 'S' )==true}"> Single </ c:when> | |||||
| 59 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.maritalS tatus, 'D' )==true}"> Divorced </c:when> | |||||
| 60 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.maritalS tatus, 'W' )==true}"> Widowed < /c:when> | |||||
| 61 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.maritalS tatus, 'P' )==true}"> Separated </c:when> | |||||
| 62 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.maritalS tatus, 'C' )==true}"> Correctio n </c:when > | |||||
| 63 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.maritalS tatus, 'DP ')==true}" > Domestic Partner < /c:when> | |||||
| 64 | <c:oth erwise> <c :out value ="${patien tDemograph ics.marita lStatus}" /> </c:oth erwise> | |||||
| 65 | </c:choose > | |||||
| 66 | </td > | |||||
| 67 | </tr> | |||||
| 68 | <tr role ="row"> | |||||
| 69 | <td role="grid cell">ICN< /td> | |||||
| 70 | <td role="grid cell"><c:o ut value=" ${patientD emographic s.icn}" /> </td> | |||||
| 71 | <td role="grid cell">SSN< /td> | |||||
| 72 | <td role="grid cell"><c:o ut value=" ${patientD emographic s.ssn}" /> </td> | |||||
| 73 | </tr> | |||||
| 74 | <tr role ="row"> | |||||
| 75 | <td role="grid cell">Mult iple Birth </td> | |||||
| 76 | <td role="grid cell"> | |||||
| 77 | <c:choose> | |||||
| 78 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.multiple BirthIndic ator, 'N') ==true}"> NO </c:whe n> | |||||
| 79 | <c:whe n test="${ fn:contain sIgnoreCas e(patientD emographic s.multiple BirthIndic ator, 'Y') ==true}"> YES </c:wh en> | |||||
| 80 | <c:oth erwise> <c :out value ="${patien tDemograph ics.multip leBirthInd icator}" / > </c:othe rwise> | |||||
| 81 | </c:choose > | |||||
| 82 | </td > | |||||
| 83 | <td role="grid cell">&nbs p;</td> | |||||
| 84 | <td role="grid cell">&nbs p;</td> | |||||
| 85 | </tr> | |||||
| 86 | </ tbody> | |||||
| 87 | </tabl e> | |||||
| 88 | </div> |
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