001 <%@ page contentType="text/html;charset=UTF-8" language="java" %>
002 <%@ taglib uri="/WEB-INF/struts-bean.tld" prefix="bean" %>
003 <%@ taglib uri="/WEB-INF/struts-logic.tld" prefix="logic" %>
004 <%@ taglib uri="/WEB-INF/struts-html.tld" prefix="html" %>
005 <%@ taglib uri="/WEB-INF/sslext.tld" prefix="sslext"%>
006 <%@ page import="com.bea.medrec.utils.MedRecWebAppUtils"%>
007
008 <html:html>
009 <head>
010 <title><bean:message key="title.MedRec"/></title>
011 <link rel="stylesheet" type="text/css" href="stylesheet.css">
012 </head>
013 <body bgcolor="white" topmargin="0" leftmargin="0">
014
015 <!-- START Header -->
016 <jsp:include page="Header.jsp" flush="true"/>
017 <!-- END Header -->
018
019 <!-- Start Padding for Content -->
020 <table width="100%" border="0" cellspacing="1" cellpadding="10">
021 <tr>
022 <td>
023 <!-- Content -->
024 <!-- START Breadcrumbs -->
025 <sslext:link page="/home.do"><span class="pagetitle-admin"><bean:message key="link.home"/></span></sslext:link> >
026 <sslext:link page="/viewrequests.do"><span class="pagetitle-admin"><bean:message key="link.view.pending.requests"/></span></sslext:link> >
027 <span class="pagetitle-admin"><bean:message key="page.title.patient.profile"/></span>
028 <!-- END Breadcrumbs -->
029 <br/><br/>
030
031
032 <table border="0" cellspacing="2" cellpadding="3">
033 <tr class="row1">
034 <td class="label"><bean:message key="FirstName"/></td>
035 <td><bean:write name="patientBean" property="firstName"/></td>
036 </tr>
037 <tr class="row2">
038 <td class="label"><bean:message key="LastName"/></td>
039 <td><bean:write name="patientBean" property="lastName"/></td>
040 </tr>
041 <tr class="row1">
042 <td class="label"><bean:message key="MiddleName"/></td>
043 <td><bean:write name="patientBean" property="middleName"/></td>
044 </tr>
045 <tr class="row2">
046 <td class="label"><bean:message key="Gender"/></td>
047 <td><bean:write name="patientBean" property="gender"/></td>
048 </tr>
049 <tr class="row1">
050 <td class="label"><bean:message key="DateOfBirth"/></td>
051 <td><bean:write name="patientBean" property="dob"/></td>
052 </tr>
053 <tr class="row2">
054 <td class="label"><bean:message key="SocialSecurityNumber"/></td>
055 <td><bean:write name="patientBean" property="ssn"/></td>
056 </tr>
057 <tr class="row1">
058 <td class="label"><bean:message key="Phone"/></td>
059 <td><bean:write name="patientBean" property="phone"/></td>
060 </tr>
061 <tr class="row2">
062 <td class="label"><bean:message key="Email"/></td>
063 <td><bean:write name="patientBean" property="email"/></td>
064 </tr>
065 <tr class="row1">
066 <td class="label"><bean:message key="Address"/></td>
067 <td><bean:write name="patientBean" property="address.streetName1"/>
068 <br/><bean:write name="patientBean" property="address.streetName2"/>
069 <br/><bean:write name="patientBean" property="address.city"/>
070 , <bean:write name="patientBean" property="address.state"/>
071 <bean:write name="patientBean" property="address.zipCode"/>
072 <br/><bean:write name="patientBean" property="address.country"/>
073 </td>
074 </tr>
075 <tr>
076 <td></td>
077 <td colspan="2" align="center">
078 <br/>
079 <sslext:form method="<%=MedRecWebAppUtils.getHttpMethod()%>" action="/approve.do">
080 <html:submit property="action">
081 <bean:message key="button.Approve"/>
082 </html:submit>
083 <html:submit property="action">
084 <bean:message key="button.Deny"/>
085 </html:submit>
086 <html:cancel property="action">
087 <bean:message key="button.Cancel"/>
088 </html:cancel>
089 </sslext:form>
090 </td>
091 </tr>
092 </table>
093
094
095 <!-- Content END -->
096
097 <!-- End Padding for Content -->
098 </td>
099 </tr>
100 </table>
101 </body>
102 </html:html>
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