Summary Table

Categories Total Count
PII 0
URL 0
DNS 0
EKL 0
IP 0
PORT 0
VsID 0
CF 0
AI 0
VPD 0
PL 0
Other 0

File Content

<div class="sr-only">Beginning of Modal Dialog. Press escape to return to main screen.</div>
<div class="modal-header text-left">
<h2 class="modal-title detail-popup-title" tabIndex="0">
<span class="data-label">Name:</span> {{ data.name}}
</h2>
<span class="text-right data-label detail-popup-label">Immunization</span>
</div>
<div class="modal-body detail-popup-body" style="padding-left: 40px;padding-right:40px">
<div>
<span class="data-label">Full Name</span>&nbsp;{{ data.fullName }}
</div>
<hr />
<div class="data-label" style="font-size:1.00em; font-weight: bold">Vaccine Information Statement(s)</div>
<div *ngIf="data.vaccineInfoStatement">
<div *ngFor="let stmt of data.vaccineInfoStatement" style="padding-left:5px">
<span class="data-label">VIS Name: </span><span class="data-value">{{ stmt.visName }}</span><br />
<span class="data-label">Edition Date: </span><span class="data-value">{{ stmt.editionDate | date: 'MM/dd/yyyy HH:mm' }}</span><br />
<span class="data-label">Language: </span><span class="data-value">{{ stmt.editionLang }}</span>
</div>
</div>
<hr />
<div>
<span class="data-label">Date Administered: </span>
<span class="data-value">{{ data.administered | date: 'MM/dd/yyyy HH:mm' }} </span>
</div>
<div>
<span class="data-label">Dose/Dose Units: </span>
<span class="data-value" *ngIf="data.dose">{{ data.dose.value + data.dose.unit }}</span>
</div>
<div class="d-flex">
<div style="min-width:250px;">
<span class="data-label">Series: </span><span class="data-value">{{ data.series }}</span>
</div>
<div >
<span class="data-label">Max # In Series: </span><span class="data-value">{{ data.maxInSeries }}</span>
</div>
</div>
<div>
<span class="data-label">Admin Route/Site: </span><span class="data-value">{{ (data.adminRoute) ? data.adminRoute + '/' : ''}}{{data.adminBodySite }}</span>
</div>
<div>
<span class="data-label">Reaction:&nbsp;</span><span class="data-value">{{ data.reaction }}</span>
</div>
<div>
<span class="data-label">Contraindicated: </span><span class="data-value"> {{ data.contraindicated }}</span>
</div>
<hr />
<div>
<span class="data-label">Manufacturer: </span><span class="data-value">{{ data.manufacturer }}</span>
</div>
<div class="d-flex">
<div style="min-width:250px;">
<span class="data-label">Lot Number: </span><span class="data-value" style="min-width:120px">{{ data.lotNumber }}</span>
</div>
<div>
<span class="data-label">Expiration Date: </span><span class="data-value">{{ data.expirationDate | date: 'MM/dd/yyyy HH:mm' }}</span>
</div>
</div>
<div>
<span class="data-label">NDC: </span><span class="data-value"> {{ data.ndc }}</span>
</div>
<hr />
<div>
<span class="data-label">Location/Facility: </span>
<span class="data-value">{{ (data.location) ? data.location + '/' : '' }}{{data.facility?.siteName}}({{ data.facility?.stationNumber}})</span>
</div>
<div>
<span class="data-label">Administered By: </span><span class="data-value">{{ data.administeredBy }}</span>
</div>
<div>
<span class="data-label">Ordered By: </span><span class="data-value">{{ data.orderedBy }}</span>
</div>
<div>
<span class="data-label">Comments:&nbsp;</span><span class="data-value">{{ data.comments }}</span>
</div>
</div>
<div class="modal-footer" style="justify-content:space-around">
<button type="button" class="btn btn-outline-dark" (click)="cancel()">Close</button>
</div>