-
Notifications
You must be signed in to change notification settings - Fork 0
Commit
This commit does not belong to any branch on this repository, and may belong to a fork outside of the repository.
- Loading branch information
1 parent
32f4a08
commit 2758d3f
Showing
6 changed files
with
911 additions
and
1 deletion.
There are no files selected for viewing
This file contains bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
Original file line number | Diff line number | Diff line change |
---|---|---|
@@ -0,0 +1,137 @@ | ||
<!-- Use this page as the index for your project --> | ||
|
||
<!-- ADDING CUSTOM CSS - Add your custom CSS or Sass in /app/assets/sass/main.scss --> | ||
|
||
<!-- Extends the layout from /views/layout.html --> | ||
{% extends 'layout.html' %} | ||
<!-- | ||
In /views/layout.html you can: | ||
- change the header and footer | ||
- add custom CSS and JavaScript | ||
--> | ||
|
||
<!-- Set the page title --> | ||
{% block pageTitle %} | ||
Overseas Healthcare Service RINA - Create H002 reply - Response to notification/request for information - Additional information | ||
{% endblock %} | ||
|
||
<!-- For adding a breadcrumb --> | ||
<!-- Code examples can be found at https://service-manual.nhs.uk/design-system/components/breadcrumbs --> | ||
{% block beforeContent %} | ||
{% endblock %} | ||
|
||
<!-- For adding a back link --> | ||
<!-- Code examples can be found at https://service-manual.nhs.uk/design-system/components/back-link --> | ||
{% block outerContent %} | ||
{% endblock %} | ||
|
||
<!-- For adding page content --> | ||
<!-- Page layout code can be found at https://service-manual.nhs.uk/design-system/styles/layout --> | ||
{% block content %} | ||
<div class="nhsBSA-sidebar-container ul-no-breadcrumbs"> | ||
<div class="nhsBSA-sidebar-wrapper"> | ||
|
||
<!-- content - start --> | ||
|
||
<div class="nhsBSA-sidebar-content"> | ||
<div class="nhsuk-grid-column-three-quarters ul-padding-left-lrg ul-padding-top-lrg"> | ||
<h1 class="app-page-heading"> | ||
<span class="nhsuk-caption-l"> | ||
Create H002 reply - Response to notification/request for information | ||
<span class="nhsuk-u-visually-hidden"> - </span> | ||
</span> | ||
Additional information | ||
</h1> | ||
|
||
<div class="nhsuk-form-group"> | ||
<label class="nhsuk-label" for="example"> | ||
Additional information | ||
</label> | ||
<textarea class="nhsuk-textarea" id="example" name="example" rows="5" aria-describedby="example-hint"></textarea> | ||
</div> | ||
|
||
|
||
<a href="sed-create-h002-documents" title="Continue"> | ||
<button class="nhsuk-button nhsuk-u-margin-top-6" data-module="nhsuk-button" type="submit"> | ||
Continue | ||
</button> | ||
</a> | ||
|
||
<p class="nhsuk-u-margin-top-9">SED API version: 0.16.3 build preview 1, Model version: 4.1.0</p> | ||
|
||
</div> | ||
</div> | ||
|
||
<!-- content - end --> | ||
|
||
<div class="nhsBSA-sidebar-nav"> | ||
<div class="nhsuk-grid-row"> | ||
<div class="nhsuk-grid-column-full"> | ||
<div class="nhsuk-back-link"> | ||
<a class="nhsuk-back-link__link" href="javascript:history.go(-1)"> | ||
<svg class="nhsuk-icon nhsuk-icon__chevron-left" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" aria-hidden="true" height="24" width="24"> | ||
<path d="M8.5 12c0-.3.1-.5.3-.7l5-5c.4-.4 1-.4 1.4 0s.4 1 0 1.4L10.9 12l4.3 4.3c.4.4.4 1 0 1.4s-1 .4-1.4 0l-5-5c-.2-.2-.3-.4-.3-.7z"></path> | ||
</svg> | ||
Go back</a> | ||
</div> | ||
</div> | ||
</div> | ||
<!-- nav - start --> | ||
<ul class="nhsuk-header__navigation-list sidebar-nav"> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-person"> | ||
Person information | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link " href="sed-create-h002-address"> | ||
Address | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-request"> | ||
Response to personal information request | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-pin"> | ||
Response to sector PIN request | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-positive"> | ||
Positive response to request | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-negative"> | ||
Negative response to request | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item active"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-additional"> | ||
Additional information | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-documents"> | ||
Documents | ||
</a> | ||
</li> | ||
|
||
</ul> | ||
|
||
<!-- nav - end --> | ||
|
||
</div> | ||
</div> | ||
</div> | ||
{% endblock %} |
This file contains bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
Original file line number | Diff line number | Diff line change |
---|---|---|
@@ -0,0 +1,250 @@ | ||
<!-- Use this page as the index for your project --> | ||
|
||
<!-- ADDING CUSTOM CSS - Add your custom CSS or Sass in /app/assets/sass/main.scss --> | ||
|
||
<!-- Extends the layout from /views/layout.html --> | ||
{% extends 'layout.html' %} | ||
<!-- | ||
In /views/layout.html you can: | ||
- change the header and footer | ||
- add custom CSS and JavaScript | ||
--> | ||
|
||
<!-- Set the page title --> | ||
{% block pageTitle %} | ||
Overseas Healthcare Service RINA - Create H002 reply - Response to notification/request for information - Documents | ||
{% endblock %} | ||
|
||
<!-- For adding a breadcrumb --> | ||
<!-- Code examples can be found at https://service-manual.nhs.uk/design-system/components/breadcrumbs --> | ||
{% block beforeContent %} | ||
{% endblock %} | ||
|
||
<!-- For adding a back link --> | ||
<!-- Code examples can be found at https://service-manual.nhs.uk/design-system/components/back-link --> | ||
{% block outerContent %} | ||
{% endblock %} | ||
|
||
<!-- For adding page content --> | ||
<!-- Page layout code can be found at https://service-manual.nhs.uk/design-system/styles/layout --> | ||
{% block content %} | ||
<div class="nhsBSA-sidebar-container ul-no-breadcrumbs"> | ||
<div class="nhsBSA-sidebar-wrapper"> | ||
|
||
<!-- content - start --> | ||
|
||
<div class="nhsBSA-sidebar-content"> | ||
<div class="nhsuk-grid-column-three-quarters ul-padding-left-lrg ul-padding-top-lrg"> | ||
<h1 class="app-page-heading"> | ||
<span class="nhsuk-caption-l"> | ||
Create H002 reply - Response to notification/request for information | ||
<span class="nhsuk-u-visually-hidden"> - </span> | ||
</span> | ||
Documents | ||
</h1> | ||
|
||
<h2 class="nhsuk-u-margin-top-4">Attached documents (optional)</h2> | ||
|
||
<div class="nhsuk-form-group"> | ||
|
||
<fieldset class="nhsuk-fieldset" aria-describedby="example-hint"> | ||
<legend class="nhsuk-fieldset__legend nhsuk-fieldset__legend--s" style="font-weight: 300;"> | ||
<p class="nhsuk-fieldset__heading"> | ||
Predefined Documents (optional)</p> | ||
</legend> | ||
|
||
<div class="nhsuk-checkboxes"> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-1" name="example" type="checkbox" value="Application"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-1"> | ||
Application | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-2" name="example" type="checkbox" value="Certificate of death"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-2"> | ||
Certificate of death | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-3" name="example" type="checkbox" value="Invoices"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-3"> | ||
Invoices | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-4" name="example" type="checkbox" value="Statement of income"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-4"> | ||
Statement of income | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-5" name="example" type="checkbox" value="Claim"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-5"> | ||
Claim | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-6" name="example" type="checkbox" value="Medical evidence"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-6"> | ||
Medical evidence | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-7" name="example" type="checkbox" value="Work certificate"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-7"> | ||
Work certificate | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-8" name="example" type="checkbox" value="Birth certificate"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-8"> | ||
Birth certificate | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-9" name="example" type="checkbox" value="Marriage certificate"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-9"> | ||
Marriage certificate | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-10" name="example" type="checkbox" value="Diploma(s)"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-10"> | ||
Diploma(s) | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-11" name="example" type="checkbox" value="Medical report"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-11"> | ||
Medical report | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-12" name="example" type="checkbox" value="Medical certificate"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-12"> | ||
Medical certificate | ||
</label> | ||
</div> | ||
|
||
<div class="nhsuk-checkboxes__item"> | ||
<input class="nhsuk-checkboxes__input" id="example-13" name="example" type="checkbox" value="Other"> | ||
<label class="nhsuk-label nhsuk-checkboxes__label" for="example-13"> | ||
Other | ||
</label> | ||
</div> | ||
|
||
</div> | ||
</fieldset> | ||
|
||
</div> | ||
|
||
<h3 class="nhsuk-u-margin-top-9">Other documents attached (optional)</h3> | ||
|
||
<h4 class="nhsuk-u-margin-top-4">Additional documents</h4> | ||
|
||
<div class="nhsuk-form-group"> | ||
<label class="nhsuk-label" for="example"> | ||
Document (optional) | ||
</label> | ||
<textarea class="nhsuk-textarea nhsuk-u-width-full" id="example" name="example" rows="5" aria-describedby="example-hint"></textarea> | ||
</div> | ||
|
||
<a href="#" style="font-size: 19px;display: block;">Add another document</a> | ||
|
||
<a href="#" title="Save draft of this form"> | ||
<button class="nhsuk-button nhsuk-u-margin-top-6" data-module="nhsuk-button" type="submit"> | ||
Save draft | ||
</button> | ||
</a> | ||
|
||
<p class="nhsuk-u-margin-top-9">SED API version: 0.16.3 build preview 1, Model version: 4.1.0</p> | ||
|
||
</div> | ||
</div> | ||
|
||
<!-- content - end --> | ||
|
||
<div class="nhsBSA-sidebar-nav"> | ||
<div class="nhsuk-grid-row"> | ||
<div class="nhsuk-grid-column-full"> | ||
<div class="nhsuk-back-link"> | ||
<a class="nhsuk-back-link__link" href="javascript:history.go(-1)"> | ||
<svg class="nhsuk-icon nhsuk-icon__chevron-left" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" aria-hidden="true" height="24" width="24"> | ||
<path d="M8.5 12c0-.3.1-.5.3-.7l5-5c.4-.4 1-.4 1.4 0s.4 1 0 1.4L10.9 12l4.3 4.3c.4.4.4 1 0 1.4s-1 .4-1.4 0l-5-5c-.2-.2-.3-.4-.3-.7z"></path> | ||
</svg> | ||
Go back</a> | ||
</div> | ||
</div> | ||
</div> | ||
<!-- nav - start --> | ||
<ul class="nhsuk-header__navigation-list sidebar-nav"> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-person"> | ||
Person information | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link " href="sed-create-h002-address"> | ||
Address | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-request"> | ||
Response to personal information request | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-pin"> | ||
Response to sector PIN request | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-positive"> | ||
Positive response to request | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-negative"> | ||
Negative response to request | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item active"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-additional"> | ||
Additional information | ||
</a> | ||
</li> | ||
|
||
<li class="nhsuk-header__navigation-item"> | ||
<a class="nhsuk-header__navigation-link" href="sed-create-h002-documents"> | ||
Documents | ||
</a> | ||
</li> | ||
|
||
</ul> | ||
|
||
<!-- nav - end --> | ||
|
||
</div> | ||
</div> | ||
</div> | ||
{% endblock %} |
Oops, something went wrong.