4537. EPMO Open Source Coordination Office Redaction File Detail Report

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4537.1 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	revokeNwHINOrgRestrictions.jsp	Fri Apr 21 20:03:30 2017 UTC

4537.2 Comparison summary

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4537.3 Comparison options

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4537.4 Active regular expressions

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4537.5 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		<script ty pe="text/j avascript" >
				8		jQuery (document) .ready(fun ction () {
				9		se tFocus(mul tiSelectLi stForm.aut henticatin gFacility) ;
				10		op t.init(doc ument.mult iSelectLis tForm);
				11		});
				12		</script>
				13
				14		<div>
				15		<p cla ss="detail Text">
				16		Th e Veteran requests a nd authori zes VA to revoke ALL restricti ons
				17		pr eviously s ubmitted o n the rele ase of his /her perso nal health
				18		in formation for treatm ent purpos es to non- VA health care provi der
				19		or ganization s through ${organiza tionName}. By revoki ng all res trictions
				20		re quests, th e sharing of Veteran electroni c health i nformation to
				21		no n-VA healt h care pro vider orga nizations through ${ organizati onName}
				22		is no longer restricte d or limit ed in any way. <br / >
				23		</p>
				24		<p cla ss="detail Text">
				25		Th e VA Form 10-0525 fo r the revo cation of
				26		Ve teran rest riction re quest for sharing of his/her e lectronic
				27		he alth infor mation wit h non-VA h ealth care provider organizati ons
				28		pa rticipatin g in ${org anizationN ame} and p artnering with VA fo r
				29		tr eatment pu rposes has been vali dated and verified. The sharin g
				30		of Veteran e lectronic health inf ormation i s no longe r restrict ed
				31		or limited i n any way.
				32		</p>
				33		</div>
				34		<div class ="form-con tainer">
				35		<field set>
				36		<l egend>Revo ke or Term inate</leg end>
				37		<d iv>
				38		<input t itle="Choo se the rad io button to select Patient re vokes acce ss to all ${organiza tionName} Providers and Organi zations" t ype="radio " name="co nsentGroup " value="r evoke" che cked />
				39		Patient revokes re strictions to all no n-VA healt hcare prov iders and Organizati ons.
				40		<br /> < br />
				41		<p class ="detailTe xt">
				42		* NO TE: Revoke does not restrict s haring of patient in formation with DoD, VA patient informati on is alwa ys shared with the D oD.
				43		</p>
				44		</ div>
				45		<f orm name=" multiSelec tListForm" id="multi SelectList Form" acti on="Patien tDetails.d o_sec" met hod="POST" onsubmit= "onRevoke( ); return doSubmit(t his);" enc type="mult ipart/form -data">
				46		<input t ype="hidde n" name="i cn" value= "${patient Demographi cs.icn}" / >
				47		<input t ype="hidde n" name="r equestId" value="${r equestId}" />
				48		<input t ype="hidde n" name="p atientId" value="${c onsentDire ctive.pati entIen}" / >
				49		<input t ype="hidde n" name="c onsentType " value="N wHIN Organ ization Re striction Revocation " />
				50		<input t ype="hidde n" name="p urposeOfUs e" value=" TREATMENT" />
				51		<div id= "multiSele ctAuthoriz eForm">
				52		<tab le bgcolor ="#eff2ff" >
				53		<tr>
				54		<td>
				55		<s trong>All Providers and Organi zations (u nrestricte d)</strong >
				56		</td>
				57		<td>&n bsp;   &nbs p;</td>
				58		<td>
				59		<s trong>${or ganization Name} Prov iders and Organizati ons who wi ll NOT hav e access t o your rec ords (rest ricted)</s trong>
				60		</td>
				61		</tr>
				62		<tr>
				63		<td>
				64		<s elect titl e="All Pro viders and Organizat ions list box" style ="width: 3 10px;" cla ss="listSe lect" name ="list1" i d="list1" multiple=" multiple" size="10">
				65		<c:if te st="${!emp ty authori zedOrganiz ations}">
				66		<c:f orEach var ="r" items ="${author izedOrgani zations}" varStatus= "i">
				67		<c:choose>
				68		<c:whe n test="${ r.orgNumbe r eq '200 DOD'}">
				69		<o ption valu e="<c:out value="${r .orgNumber }"/>"><c:o ut value=" ${r.orgNam e}"/>&nbsp ; &nb sp; & nbsp;</opt ion>
				70		</c:wh en>
				71		<c:oth erwise>
				72		<o ption valu e="<c:out value="${r .orgNumber }"/>"><c:o ut value=" ${r.orgNam e}"/>&nbsp ; &nb sp; & nbsp;</opt ion>
				73		</c:ot herwise>
				74		</c:choose >
				75		</c: forEach>
				76		</c:if>
				77		</ select>
				78		</td>
				79		<td va lign="midd le" align= "left">
				80		<i nput style ="width: 1 25px; heig ht: 30px;" type="but ton" title ="Move all the Organ izations t o the righ t box" cla ss="midBut ton" name= "right" va lue="Move All >&g t;" onclic k="opt.tra nsferAllRi ght()" dis abled="dis abled" />
				81		<b r />
				82		<i nput type= "button" t itle="Move the Selec ted Organi zations to the right box" clas s="midButt on" disabl ed="disabl ed" style= "width: 12 5px; heigh t: 30px;" name="righ t" value=" Move Selec ted >" onclick="o pt.transfe rRight()" />
				83		<b r /><br />
				84		<i nput type= "button" t itle="Move the selec ted Organi zations to the left box" class ="midButto nLeft" dis abled="dis abled" sty le="width: 125px; he ight: 30px ;" name="l eft" value ="< Mov e Selected " onclick= "opt.trans ferLeft()" />
				85		<b r />
				86		<i nput type= "button" t itle="Clea r all sele ctions" cl ass="midBu tton" name ="left" st yle="width : 125px; h eight: 30p x;" disabl ed="disabl ed" value= "Clear" on click="opt .transferA llLeft()" />
				87		</td>
				88		<td>
				89		<s elect titl e="${organ izationNam e} Provide rs and Org anizations who will NOT have a ccess to y our record s list box " name="li st2" class ="listSele ct" multip le="multip le" size=" 10" id="li st2" style ="width: 3 10px;">
				90		<c:if te st="${!emp ty exclude dOrganizat ions}">
				91		<c:f orEach var ="r" items ="${exclud edOrganiza tions}" va rStatus="i ">
				92		<option va lue="<c:ou t value="$ {r.orgNumb er}"/>"><c :out value ="${r.orgN ame}"/>&nb sp; & nbsp;&nbsp ; </o ption>
				93		</c: forEach>
				94		</c:if>
				95		</ select>
				96		</td>
				97		</tr>
				98		</ta ble>
				99		</div>
				100		<div>
				101		<lab el for="au thenticati ngFacility ">
				102		Authentica ting Facil ity
				103		<img alt=" Required f ield" src= "res/star- icon_grey_ bg.png" />
				104		</la bel>
				105		<sel ect id="au thenticati ngFacility " name="us erFacility " style="w idth: 250p x; overflo w: auto;">
				106		<c:forEach var="f" i tems="${al lowedFacil ities}">
				107		<optio n value="< c:out valu e="${f.fac ilityStati on}"/>"
				108		<c :choose>
				109		<c:when test="${f. facilitySt ation eq d efaultUser Facility.f acilitySta tion}">
				110		sele cted
				111		</c:when >
				112		<c:when test="${co okie.facil ity.value == f.facil ityStation }">
				113		sele cted
				114		</c:when >
				115		</ c:choose>>
				116		<c :choose>
				117		<c:when test="${f. facilityNa me != ''}" >
				118		<c:o ut value=" ${f.facili tyName}"/>
				119		</c:when >
				120		<c:other wise>
				121		<c:o ut value=" ${fn:split (f.facilit yDns, '.') [0]}"/>
				122		</c:othe rwise>
				123		</ c:choose>
				124		(< c:out valu e="${f.fac ilityStati on}"/>)
				125		</opti on>
				126		</c:forEac h>
				127		</se lect>
				128		<br /> <br />
				129		</div>
				130		<div id= "revokeFor m">
				131		<div >
				132		<label for ="reason">
				133		Inacti vation Rea son
				134		<img a lt="Requir ed field" src="res/s tar-icon_g rey_bg.png " />
				135		</label>
				136		<select id ="reason" name="reas on" onchan ge="onOpto utReasonCh ange(this) ;">
				137		<optio n value="" >--Select a reason-- </option>
				138		<c:if test="${!e mpty optOu tReasons}" >
				139		<c :forEach v ar="r" ite ms="${optO utReasons} " varStatu s="i">
				140		<c:choos e>
				141		<c:w hen test=" ${r eq 'Ne w Authoriz ation'}">
				142		</c: when>
				143		<c:o therwise>
				144		<option va lue="<c:ou t value="$ {r}"/>"><c :out value ="${r}"/>< /option>
				145		</c: otherwise>
				146		</c:choo se>
				147		</ c:forEach>
				148		</c:if >
				149		</select>
				150		</di v>
				151		<br />
				152		<div id="revok eValidatio nCheckBox" style="di splay: non e;">
				153		<label>
				154		10-052 5 Form Val idation
				155		<img a lt="Requir ed field" src="res/s tar-icon_g rey_bg.png " />
				156		</label>
				157		<input id= "revokeVal idationChe ckBoxInput " type="ch eckbox" ti tle="selec t Form Val idation ch eckbox if Revocation Form 10-0 525 was re ceived and validated . required field" on click="ena bleRevokeA fterValida tion('sign atureDate' , 'Revoke' );" name=" option1" v alue="Revo cation For m Received and Valid ated" />
				158		Revocation Form Rece ived and V alidated
				159		<br /> <br />
				160		</di v>
				161		<div id="revok eDateAndUp loadValida tion" styl e="display : none;">
				162		<div>
				163		<label >
				164		Pa tient Sign ature Date
				165		<i mg alt="Re quired fie ld" src="r es/star-ic on_grey_bg .png" />
				166		</labe l>
				167		<date: date id="s ignatureDa te" name=" signatureD ate" onkey up="enable RevokeAfte rValidatio n('signatu reDate', ' Revoke');" /> <i>mm/d d/yyyy</i>
				168		<br /> <br />
				169		</div>
				170		<c:choose>
				171		<c:whe n test="${ isFormUplo adAllowed} ">
				172		<d iv>
				173		<label f or="file">
				174		Uplo ad Consent Form
				175		<br />
				176		<i>
				177		<span styl e="font-we ight: norm al;">(Max file size: <c:out va lue="${max FileUpload Size/10000 00}"/> meg abytes)</s pan>
				178		</i>
				179		</label>
				180		<input t itle="Brow se and Upl oad Consen t Form" na me="upload ed" type=" file" id=" file" acce pt="applic ation/pdf" />
				181		</ div>
				182		</c:wh en>
				183		</c:choose >
				184		</di v>
				185		<div id="revok eDateAndUp loadValida tionPatien tDeceased" style="di splay: non e;">
				186		<div>
				187		<label for="dece asedDate">
				188		Pa tient Dece ased Date
				189		<i mg alt="Re quired fie ld" src="r es/star-ic on_grey_bg .png" />
				190		</labe l>
				191		<date: date id="d eceasedDat e" name="d eceasedDat e" onkeyup ="enableRe vokeAfterV alidation( 'deceasedD ate', 'Rev oke');"/> <i>mm/dd/y yyy</i>
				192		<br /> <br />
				193		</div>
				194		</di v>
				195		<div >
				196		<label for ="comments ">Comments </label>
				197		<textarea id="commen ts" name=" comments" style="wid th: 300px; height: 6 0px;"></te xtarea>
				198		<br />
				199		</di v>
				200		<br />
				201		<div align="ce nter" id=" revokeButt on" style= "display:" >
				202		<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() " />
				203		</di v>
				204		</div>
				205		</ form>
				206		</fiel dset>
				207		</div>