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-html.tld" prefix="html" %>
004 <%@ taglib uri="/WEB-INF/sslext.tld" prefix="sslext"%>
005 <%@ page import="com.bea.medrec.utils.MedRecWebAppUtils"%>
006
007 <html:html>
008 <head>
009 <title><bean:message key="title.MedRec"/> - <bean:message key="title.physician.app"/> - <bean:message key="title.patient.search"/></title>
010 <link rel="stylesheet" type="text/css" href="stylesheet.css">
011 <SCRIPT ID=clientEventHandlersJS LANGUAGE=javascript>
012 </SCRIPT>
013 <html:base/>
014 </head>
015
016 <body bgcolor="white" topmargin="0" leftmargin="0">
017
018 <!-- START Header -->
019 <jsp:include page="PhysicianHeader.jsp" flush="true"/>
020 <!-- START Logout -->
021 <table width="100%" cellpadding="0" cellspacing="0" border="0">
022 <tr>
023 <td class="physicianbanner3" valign=middle><img src="images/clear.gif" height=1 width=450></td>
024 <td class="physicianbanner3"><img src="images/clear.gif"><table width="100%" cellpadding="0" cellspacing=4 border="0">
025 <tr>
026 <td><img src="images/clear.gif" width=10 height=1></td>
027 <td><img src="images/clear.gif" width="5" height="1" alt="" border="0"></td>
028 <td><sslext:link styleClass="logoutbutton" page="/logout.do"><bean:message key="button.Logout"/></sslext:link></td>
029 <td><img src="images/clear.gif" width="10" height="1" alt="" border="0"></td>
030 </tr>
031 </table>
032 </td>
033 </tr>
034 </table>
035 <!-- END Logout -->
036 <!-- END Header -->
037
038 <!-- START Padding for Content -->
039 <table width="100%" border="0" cellspacing="1" cellpadding="10">
040 <tr>
041 <td>
042 <!-- Content -->
043 <br/>
044 <br/>
045 <sslext:form method="<%=MedRecWebAppUtils.getHttpMethod()%>" action="/searchresults.do" focus="lastName">
046 <td align=left class="pagetitle-admin"><bean:message key="patient.lookup"/></p>
047 <table border="0" cellspacing="1" cellpadding="6" align=center class="tableborder">
048 <tr>
049 <td>
050 <table border="0" cellspacing="1" cellpadding="1">
051 <tr>
052 <td style=instructions colspan="2"><bean:message key="descr.patient.search"/>
053 <br/><br/>
054 </td>
055 </tr>
056 <tr>
057 <td> </td>
058 <td>
059 <html:messages id="error" property="multipleEntries">
060 <bean:write name="error" filter="false"/>
061 </html:messages>
062 </td>
063 <tr>
064 <td class="label"><bean:message key="LastName"/></td>
065 <td>
066 <html:text
067 name="searchBean"
068 property="lastName"
069 style="width: 210px; HEIGHT: 22px" size="30"
070 maxlength="30"
071 tabindex="1"/>
072 </td>
073 </tr>
074 <tr>
075 <td></td>
076 <td><bean:message key="or"/></td>
077 </tr>
078 <tr>
079 <td class="label"><bean:message key="SocialSecurityNumber"/></td>
080 <td>
081 <html:text
082 name="searchBean"
083 property="ssn"
084 style="width: 80px; HEIGHT: 22px" size="9"
085 maxlength="9"
086 tabindex="2"/>
087 </td>
088 </tr>
089 <tr>
090 <td> </td>
091 <td>
092 <html:messages id="error" property="ssn">
093 <bean:write name="error" filter="false"/>
094 </html:messages>
095 </td>
096 </tr>
097 <tr>
098 <td></td>
099 <td>
100 <html:submit property="action" tabindex="3" styleClass="profilebutton">
101 <bean:message key="button.Search"/>
102 </html:submit>
103 </td>
104 </tr>
105 </table>
106 </td>
107 </tr>
108 </table>
109 </sslext:form>
110 <!-- END Content -->
111
112 </td>
113 </tr>
114 </table>
115 <!-- END Padding for Content -->
116
117
118 </body>
119 </html:html>
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