/*
 * Generated by the Jasper component of Apache Tomcat
 * Version: Apache Tomcat/8.0.32
 * Generated at: 2019-05-24 11:23:24 UTC
 * Note: The last modified time of this file was set to
 *       the last modified time of the source file after
 *       generation to assist with modification tracking.
 */
package org.apache.jsp.pages.patientprofile;

import javax.servlet.*;
import javax.servlet.http.*;
import javax.servlet.jsp.*;

public final class dependentmodal_jsp extends org.apache.jasper.runtime.HttpJspBase
    implements org.apache.jasper.runtime.JspSourceDependent,
                 org.apache.jasper.runtime.JspSourceImports {

  private static final javax.servlet.jsp.JspFactory _jspxFactory =
          javax.servlet.jsp.JspFactory.getDefaultFactory();

  private static java.util.Map<java.lang.String,java.lang.Long> _jspx_dependants;

  private static final java.util.Set<java.lang.String> _jspx_imports_packages;

  private static final java.util.Set<java.lang.String> _jspx_imports_classes;

  static {
    _jspx_imports_packages = new java.util.HashSet<>();
    _jspx_imports_packages.add("javax.servlet");
    _jspx_imports_packages.add("javax.servlet.http");
    _jspx_imports_packages.add("javax.servlet.jsp");
    _jspx_imports_classes = null;
  }

  private volatile javax.el.ExpressionFactory _el_expressionfactory;
  private volatile org.apache.tomcat.InstanceManager _jsp_instancemanager;

  public java.util.Map<java.lang.String,java.lang.Long> getDependants() {
    return _jspx_dependants;
  }

  public java.util.Set<java.lang.String> getPackageImports() {
    return _jspx_imports_packages;
  }

  public java.util.Set<java.lang.String> getClassImports() {
    return _jspx_imports_classes;
  }

  public javax.el.ExpressionFactory _jsp_getExpressionFactory() {
    if (_el_expressionfactory == null) {
      synchronized (this) {
        if (_el_expressionfactory == null) {
          _el_expressionfactory = _jspxFactory.getJspApplicationContext(getServletConfig().getServletContext()).getExpressionFactory();
        }
      }
    }
    return _el_expressionfactory;
  }

  public org.apache.tomcat.InstanceManager _jsp_getInstanceManager() {
    if (_jsp_instancemanager == null) {
      synchronized (this) {
        if (_jsp_instancemanager == null) {
          _jsp_instancemanager = org.apache.jasper.runtime.InstanceManagerFactory.getInstanceManager(getServletConfig());
        }
      }
    }
    return _jsp_instancemanager;
  }

  public void _jspInit() {
  }

  public void _jspDestroy() {
  }

  public void _jspService(final javax.servlet.http.HttpServletRequest request, final javax.servlet.http.HttpServletResponse response)
        throws java.io.IOException, javax.servlet.ServletException {

final java.lang.String _jspx_method = request.getMethod();
if (!"GET".equals(_jspx_method) && !"POST".equals(_jspx_method) && !"HEAD".equals(_jspx_method) && !javax.servlet.DispatcherType.ERROR.equals(request.getDispatcherType())) {
response.sendError(HttpServletResponse.SC_METHOD_NOT_ALLOWED, "JSPs only permit GET POST or HEAD");
return;
}

    final javax.servlet.jsp.PageContext pageContext;
    javax.servlet.http.HttpSession session = null;
    final javax.servlet.ServletContext application;
    final javax.servlet.ServletConfig config;
    javax.servlet.jsp.JspWriter out = null;
    final java.lang.Object page = this;
    javax.servlet.jsp.JspWriter _jspx_out = null;
    javax.servlet.jsp.PageContext _jspx_page_context = null;


    try {
      response.setContentType("text/html;charset=UTF-8");
      pageContext = _jspxFactory.getPageContext(this, request, response,
      			null, true, 8192, true);
      _jspx_page_context = pageContext;
      application = pageContext.getServletContext();
      config = pageContext.getServletConfig();
      session = pageContext.getSession();
      out = pageContext.getOut();
      _jspx_out = out;

      out.write("\n");
      out.write("<!-- Modal Dependent For Refill too Soon-->\n");
      out.write("<div id=\"dependentModal\" class=\"medicationModal listModal dependentmodal healthModal formModal modal fade\" role=\"dialog\">\n");
      out.write("    <div class=\"modal-dialog\">\n");
      out.write("        <input type=\"hidden\" id=\"dependentId\" value=\"\" />\n");
      out.write("        <!-- Modal content-->\n");
      out.write("        <div class=\"modal-content\">\n");
      out.write("            <div class=\"modal-header\">\n");
      out.write("                <button type=\"button\" class=\"close\" data-dismiss=\"modal\" onclick=\"\">&times;</button>\n");
      out.write("                <h4  class=\"modal-title\"><label>Dependent Profile</label> \n");
      out.write("                    <span>Fill History</span>  </h4>\n");
      out.write("            </div>\n");
      out.write("            <div class=\"modal-body refill_medi\">\n");
      out.write("                <div class=\"col-sm-12 padd_zero\">                \n");
      out.write("                    <div class=\"col-sm-3 padd_zero\">\n");
      out.write("                        <ul>\n");
      out.write("                            <li>Name</li>\n");
      out.write("                            <li class=\"blueText\" id=\"dependentNameFld\">---</li>\n");
      out.write("                            <li>DOB</li>\n");
      out.write("                            <li class=\"blueText\" id=\"dobFld\">---</li>\n");
      out.write("                            <li>Adult</li>\n");
      out.write("                            <li class=\"blueText\" id=\"adultFld\">Yes/NO</li>\n");
      out.write("                            <li>POA Approval Date</li>\n");
      out.write("                            <li class=\"blueText\" id=\"approvalDateFld\">----</li>\n");
      out.write("                        </ul>\n");
      out.write("\n");
      out.write("\n");
      out.write("                    </div>\n");
      out.write("                    <div class=\"col-sm-3 padd_zero\">\n");
      out.write("                        <ul>\n");
      out.write("                            <li>Gender</li>\n");
      out.write("                            <li class=\"blueText\" id=\"genderFld\">Yes/No</li>\n");
      out.write("                            <li>Age</li>\n");
      out.write("                            <li class=\"blueText\" id=\"ageFld\">---</li>\n");
      out.write("                            <li>Approved</li>\n");
      out.write("                            <li class=\"blueText\" id=\"approvedFld\">Yes/NO</li>\n");
      out.write("                            <li>POA Expiry Date</li>\n");
      out.write("                            <li class=\"blueText\" id=\"expiryDateFld\">----</li>\n");
      out.write("                        </ul>\n");
      out.write("\n");
      out.write("\n");
      out.write("                    </div> \n");
      out.write("\n");
      out.write("                    <div class=\"col-sm-6 padd_zero\">\n");
      out.write("                        <div id=\"\" class=\"tab-pane fade video_div_two active in\">\n");
      out.write("                            <table class=\"table table-three\" id=\"dependentHistoryTable\">\n");
      out.write("                                <thead>\n");
      out.write("                                    <tr>\n");
      out.write("                                        <th>Rx No.</th>\n");
      out.write("                                        <th>Date<br>Of Svc</th>\n");
      out.write("                                        <th>Medication</th>\n");
      out.write("                                        <th>Qty</th>\n");
      out.write("                                        <th>Days<br>Supply</th>\n");
      out.write("                                        <th>Days<br>Until<br>Refill</th>\n");
      out.write("                                        <th>Fills<br>Remain</th>\n");
      out.write("                                        <th>Origin</th>\n");
      out.write("                                        <th>Self<br>Pay</th>\n");
      out.write("                                        <th>Public<br>Ins</th>\n");
      out.write("                                        <th>Final<br>Payment</th>\n");
      out.write("                                        <th>Compliance<br>Rewards</th>\n");
      out.write("\n");
      out.write("                                    </tr>\n");
      out.write("                                </thead>\n");
      out.write("                                <tbody>\n");
      out.write("\n");
      out.write("                                </tbody>\n");
      out.write("                            </table>\n");
      out.write("                        </div>\n");
      out.write("                    </div>\n");
      out.write("                </div>\n");
      out.write("                <div class=\"col-sm-1 rx_labe rx_lab padd_zero\" >\n");
      out.write("                    <h5>Allergies</h5>\n");
      out.write("                </div>\n");
      out.write("                <div id=\"dependentAllergiesDiv\" class=\"col-sm-4 rx_allergies padd_zero scroll\" contenteditable=\"\">\n");
      out.write("\n");
      out.write("                </div>\n");
      out.write("                <div id=\"popUpdependent\" ></div>\n");
      out.write("                <!-- <input type=\"button\" class=\"btn-save\"  onclick=\"window.pharmacyNotification.updateDependentAllergies()\" value=\"Save\"> -->\n");
      out.write("            </div>\n");
      out.write("        </div>\n");
      out.write("\n");
      out.write("    </div>\n");
      out.write("</div>\n");
      out.write("\n");
      out.write("<!-- Modal Medication For Processing-->\n");
      out.write("\n");
      out.write("\n");
      out.write("\n");
      out.write("\n");
      out.write("<style>\n");
      out.write("    .medicationModal.modal .modal-dialog,.medicationModal.modal .modal-content{\n");
      out.write("        width:400px;\n");
      out.write("\n");
      out.write("    }\n");
      out.write("\n");
      out.write("\n");
      out.write("    .medicationModal  ul{\n");
      out.write("        margin:0;\n");
      out.write("        padding:0;\n");
      out.write("    }\n");
      out.write("    .medicationModal li{\n");
      out.write("        display:block;\n");
      out.write("        width:100%;\n");
      out.write("        margin:0;\n");
      out.write("    }\n");
      out.write("\n");
      out.write("</style>");
    } catch (java.lang.Throwable t) {
      if (!(t instanceof javax.servlet.jsp.SkipPageException)){
        out = _jspx_out;
        if (out != null && out.getBufferSize() != 0)
          try {
            if (response.isCommitted()) {
              out.flush();
            } else {
              out.clearBuffer();
            }
          } catch (java.io.IOException e) {}
        if (_jspx_page_context != null) _jspx_page_context.handlePageException(t);
        else throw new ServletException(t);
      }
    } finally {
      _jspxFactory.releasePageContext(_jspx_page_context);
    }
  }
}
