4536. EPMO Open Source Coordination Office Redaction File Detail Report

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4536.1 Files compared

# Location File Last Modified
1 Fri Jun 9 19:51:46 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 revokeNwHIN.jsp Fri Apr 21 20:03:30 2017 UTC

4536.2 Comparison summary

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4536.3 Comparison options

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4536.5 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 Text">
        9           Th e Veteran' s current  Authorizat ion permit s VA to sh are his/he r
        10           el ectronic h ealth info rmation wi th non-VA  health car e provider
        11           or ganization s particip ating in t he <c:out  value="${o rganizatio nName}" />  and partn ering with  VA
        12           fo r treatmen t purposes . Revocati on of this  authoriza tion will  result
        13           in  the VA no  longer ha ving permi ssion to s hare elect ronic heal th
        14           in formation  in this wa y. If the  Veteran re vokes this  Authoriza tion,
        15           VA  will stop  sharing h is/her ele ctronic he alth infor mation wit h private
        16           he alth care  provider t hrough <c: out value= "${organiz ationName} " />.
        17       </p>
        18       <p cla ss="detail Text">
        19           To  revoke th is authori zation, ch eck the bo x and ente r the Pati ent Signat ure Date a nd click < strong>Rev oke</stron g>.
        20       </p>
        21       <p cla ss="detail Text">
        22           To  submit a  new author ization, s elect New  Authorizat ion as the  'Inactiva tion Reaso n' 
        23           an d enter th e Patient  Signature  Date for t he new aut horization  form rece ived.
        24       </p>
        25       <p cla ss="detail Text">
        26           No te: VA pat ient infor mation is  always sha red with t he DoD,
        27           a  patient's  Authorizat ion/Revoca tion statu s does not  affect in teractions  with
        28           th e Departme nt of Defe nse. 
        29       </p>
        30   </div>
        31   <div class ="form-con tainer">
        32       <field set>
        33           <l egend>Revo ke</legend >
        34           <d iv>
        35                <input t itle="Choo se the rad io button  to select  Patient re vokes acce ss to all  <c:out val ue="${orga nizationNa me}" /> Pr oviders an d Organiza tions" typ e="radio"  name="cons entGroup"  id="consen tGroup" va lue="revok e" aria-la belledby=" forConsent Group" che cked>
        36                <span id ="forConse ntGroup">P atient rev okes acces s to all n on-VA heal thcare Pro viders and  Organizat ions</span >
        37                <br /> < br />
        38           </ div>
        39           <f orm name=" multiSelec tListForm"  id="multi SelectList Form" acti on="Patien tDetails.d o_sec" met hod="POST"  onsubmit= "onRevoke( ); return  doSubmit(t his);" enc type="mult ipart/form -data">
        40                <input t ype="hidde n" name="i cn" value= "<c:out va lue="${pat ientDemogr aphics.icn }" />" /> 
        41                <input t ype="hidde n" name="r equestId"  value="<c: out value= "${request Id}" />" / > 
        42                <input t ype="hidde n" name="p atientId"  value="<c: out value= "${consent Directive. patientIen }" />" /> 
        43                <input t ype="hidde n" name="c onsentType " value="N wHIN Revoc ation" />
        44                <input t ype="hidde n" name="p urposeOfUs e" value=" TREATMENT"  />
        45                <input t ype="hidde n" name="e xpirationY ears" valu e="10" />
        46  
        47                <div>
        48                    <lab el for="au thenticati ngFacility ">Authenti cating Fac ility <img  alt="Requ ired field " src="res /star-icon _grey_bg.p ng" /></la bel> 
        49                    <sel ect id="au thenticati ngFacility " name="us erFacility ">
        50                         <c:forEach  var="f" i tems="${al lowedFacil ities}">
        51                             <optio n value="< c:out valu e="${f.fac ilityStati on}" />"
        52                                 <c :choose>
        53                                      <c:when  test="${f. facilitySt ation eq d efaultUser Facility.f acilitySta tion}">
        54                                          sele cted
        55                                      </c:when >
        56                                      <c:when  test="${co okie.facil ity.value  == f.facil ityStation }">
        57                                          sele cted
        58                                      </c:when >
        59                                 </ c:choose>>
        60                                 <c :choose>
        61                                      <c:when  test="${f. facilityNa me != ''}" >
        62                                          <c:o ut value=" ${f.facili tyName}" / >
        63                                      </c:when >
        64                                      <c:other wise>
        65                                          <c:o ut value=" ${fn:split (f.facilit yDns, '.') [0]}" />
        66                                      </c:othe rwise>
        67                                 </ c:choose>
        68                                 (< c:out valu e="${f.fac ilityStati on}" />)
        69                             </opti on>
        70                         </c:forEac h>
        71                    </se lect> 
        72                    <br  /> <br />
        73                </div>
        74                <div id= "revokeFor m">
        75                    <div >
        76                         <label for ="reason"> Inactivati on Reason< img alt="R equired fi eld" src=" res/star-i con_grey_b g.png" />  </label> 
        77                         <select id ="reason"  name="reas on" onchan ge="onOpto utReasonCh ange(this) ;" onkeyup ="onOptout ReasonChan ge(this);" >
        78                             <optio n title="S elect a Op t out reas on from th e dropdown  list" val ue="">--Se lect a rea son--</opt ion>
        79                             <c:if  test="${!e mpty optOu tReasons}" >
        80                                 <c :forEach v ar="r" ite ms="${optO utReasons} " varStatu s="i">
        81                                      <c:choos e>
        82                                          <c:w hen test=" ${r eq 'Ne w Authoriz ation'}">
        83                                               <c:if test ="${isNewA uthorizati onAllowed  eq true}">
        84                                                   <optio n value="< c:out valu e="${r}" / >"><c:out  value="${r }" /></opt ion>
        85                                               </c:if>
        86                                          </c: when>
        87                                          <c:o therwise>
        88                                               <option va lue="<c:ou t value="$ {r}" />">< c:out valu e="${r}" / ></option>
        89                                          </c: otherwise>
        90                                      </c:choo se>
        91                                 </ c:forEach>
        92                             </c:if >
        93                         </select>
        94                    </di v>
        95                    <br  />
        96                    <lab el id="for mValidatio nLabel">Fo rm Validat ion for</l abel><br / >
        97                    <div  id="revok eValidatio nCheckBox"  style="di splay: non e;">
        98                         <label for ="revokeVa lidationCh eckBoxInpu t">10-0484 <img alt=" Required f ield" src= "res/star- icon_grey_ bg.png" /> </label> 
        99                         <input id= "revokeVal idationChe ckBoxInput "  type="c heckbox" t itle="sele ct Form Va lidation c heckbox if  Revocatio n Form 10- 0484 was r eceived an d validate d. require d field" o nclick="en ableRevoke AfterValid ation('sig natureDate ', 'Revoke ');" name= "option1"  value="Rev ocation Fo rm Receive d and Vali dated" ari a-labelled by="formVa lidationLa bel">
        100                         Revocation  Form Rece ived and V alidated
        101                         <br /><br  />
        102                    </di v>
        103                    <div  id="newVa lidationCh eckBox" st yle="displ ay: none;" >
        104                         <label for ="newValid ationCheck BoxInput"> 10-0485<im g alt="Req uired fiel d" src="re s/star-ico n_grey_bg. png" /></l abel> 
        105                         <input id= "newValida tionCheckB oxInput" t ype="check box" title ="select F orm Valida tion check box if New  Authoriza tion Form  10-0485 wa s received  and valid ated. requ ired field " onclick= "enableRev okeAfterVa lidation(' signatureD ate', 'rev okeAndAuth orize');"  name="opti on1" value ="New Auth orization  Form Recei ved and Va lidated" a ria-labell edby="form Validation Label">
        106                         New Author ization Fo rm Receive d and Vali dated
        107                         <br /><br  />
        108                    </di v>
        109                    <div  id="revok eDateAndUp loadValida tion" styl e="display : none;">
        110                         <div>
        111                             <label  for="sign atureDate" >Patient S ignature D ate<img al t="Require d field" s rc="res/st ar-icon_gr ey_bg.png"  /></label > 
        112                             <date: date id="s ignatureDa te" name=" signatureD ate" onkey up="enable RevokeAfte rValidatio n('signatu reDate', ' Revoke');" /> <i>mm/d d/yyyy</i>
        113                             <br /> <br />
        114                         </div>
        115                         <c:choose>
        116                             <c:whe n test="${ isFormUplo adAllowed} ">
        117                                 <d iv>
        118                                      <label f or="file"> Upload Con sent Form< br /> 
        119                                          <i>
        120                                               <span styl e="font-we ight: norm al;">(Max  file size:  <c:out va lue="${max FileUpload Size/10000 00}" /> me gabytes)</ span> 
        121                                          </i>  
        122                                      </label>
        123                                      <input t itle="Brow se and Upl oad Consen t Form" na me="upload ed" type=" file" id=" file" acce pt="applic ation/pdf"  />
        124                                 </ div>
        125                             </c:wh en>
        126                         </c:choose >
        127                    </di v>
        128                    <div  id="revok eDateAndUp loadValida tionPatien tDeceased"  style="di splay: non e;">
        129                         <div>
        130                             <label  for="dece asedDate"> Patient De ceased Dat e<img alt= "Required  field" src ="res/star -icon_grey _bg.png" / ></label> 
        131                             <date: date id="d eceasedDat e" name="d eceasedDat e" onkeyup ="enableRe vokeAfterV alidation( 'deceasedD ate', 'Rev oke');"/>  <i>mm/dd/y yyy</i>
        132                             <br />  <br />
        133                         </div>
        134                    </di v>
        135                    <div >
        136                         <label for ="comments ">Comments </label>
        137                         <textarea  id="commen ts" name=" comments"  style="wid th: 300px;  height: 6 0px;"></te xtarea>
        138                         <br />
        139                    </di v>
        140                    <br  />
        141                    <div  align="ce nter" id=" revokeButt on" style= "display:" >
        142                         <input id= "Revoke" t itle="Revo ke" class= "button" d isabled="d isabled" t ype="submi t" value=" Revoke" na me="optOut " onClick= "enableAll Elements() ">
        143                    </di v>
        144                    <div  align="ce nter" id=" revokeAndA uthorizeBu tton" styl e="display : none;">
        145                         <input id= "revokeAnd Authorize"  title="Re voke" clas s="button"  disabled= "disabled"  type="sub mit" value ="Revoke a nd Submit  New Author ization" n ame="optOu t" onClick ="enableAl lElements( )">
        146                    </di v>
        147                </div>
        148           </ form>
        149       </fiel dset>
        150   </div>

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