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+<%@ taglib uri="http://java.sun.com/jsp/jstl/core" prefix="c"%>
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+<%@ taglib prefix="fmt" uri="http://java.sun.com/jsp/jstl/fmt" %>
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+<%@ taglib prefix="form" uri="http://www.springframework.org/tags/form"%>
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+<%@ page language="java" contentType="text/html; charset=UTF-8"
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+ pageEncoding="UTF-8"%>
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+<jsp:include page="${data._INCLUDE}/header.jsp"></jsp:include>
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+<script>
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+$( function(){
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+ $( "#newForm" ).validate({
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+ rules: {
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+ phoneNumber : {
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+ phoneValid : true
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+ },
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+ passwordConfirm : {
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+ equalTo: "#passwordNew"
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+ },
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+ passwordNew :{
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+ passwordValid : true
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+ }
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+ },
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+ messages : {
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+ passwordConfirm : {
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+ equalTo: "신규 비밀번호가 일치하지 않습니다."
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+ }
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+ },
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+ onkeyup: function( element, event ) {
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+ $( element ).valid();
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+ },
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+ onfocusout: function (element) {
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+ $( element ).val( $.trim( $( element ).val() ) );
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+ $( element ).valid();
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+ },
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+ submitHandler: function(form) {
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+ $("#mainAddr").removeAttr("disabled");
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+ form.submit();
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+ }
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+ });
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+})
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+</script>
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+</head>
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+<body>
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+ <div class="wrapper">
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+ <jsp:include page="${data._INCLUDE}/sidebar.jsp"></jsp:include>
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+
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+ <div class="main">
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+ <jsp:include page="${data._INCLUDE}/top.jsp"></jsp:include>
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+
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+ <main class="content">
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+ <div class="container-fluid p-0">
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+ <!-- 환자관리 : 신규환자 등록 START -->
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+ <div class="row">
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+ <div class="col-12 col-lg-6">
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+ <h1 class="h3 mb-3">생활치료센터 비대면진료시스템 API 서비스</h1>
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+ </div>
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+ <div class="col-12 col-lg-6 text-right">
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+ <nav aria-label="breadcrumb">
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+ <ol class="breadcrumb">
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+ <li class="breadcrumb-item"><a href="javscript:;">Home</a></li>
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+ <li class="breadcrumb-item active">API 서비스 신청</li>
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+ </ol>
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+ </nav>
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+ </div>
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+ </div>
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+ <div class="row">
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+ <div class="col-12">
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+ <div class="card">
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+ <form action="./myinfo/update" id="newForm">
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+ <input type="hidden" value="${returnUrl}" name="returnUrl">
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+ <div class="card-body">
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+ <table class="table mobile-table">
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+ <colgroup>
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+ <col style="width:15%">
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+ <col style="width:35%">
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+ <col style="width:15%">
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+ <col style="width:35%">
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+ </colgroup>
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+ <tr>
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+ <th>아이디</th>
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+ <td>
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+ <c:out value="${info.id}" />
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+ <input type="hidden" name="id" value="${info.id}">
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+ </td>
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+ <th><span class="fix">*</span>이름</th>
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+ <td>
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+<%-- <c:out value="${info.name}" /> --%>
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+ <input type="text" class="form-control" id="name" name="name" value="${info.name}" required>
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+<%-- <input type="hidden" name="name" value="${info.name}"> --%>
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+ </td>
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+ </tr>
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+ <tr>
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+ <th><span class="fix">*</span>현재 비밀번호</th>
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+ <td colspan="3">
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+ <input type="password" class="form-control" id="password" name="password" placeholder="정보수정을 위해 비밀번호를 입력해주세요." required>
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+ </td>
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+ </tr>
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+ <tr>
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+ <th>신규 비밀번호</th>
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+ <td colspan="3">
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+ <input type="password" class="form-control" id="passwordNew" name="passwordNew" placeholder="비밀번호 변경시에만 입력해주세요.(영문, 숫자, 특수문자를 혼합하여 8 ~ 15자 이내)">
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+ </td>
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+ </tr>
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+ <tr>
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+ <th>신규 비밀번호 확인</th>
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+ <td colspan="3">
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+ <input type="password" class="form-control" id="passwordConfirm" name="passwordConfirm" placeholder="신규 비밀번호 확인을 위해 비밀번호를 한번 더 입력하세요.">
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+ </td>
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+ </tr>
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+ <tr>
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+ <th>휴대폰번호</th>
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+ <td>
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+ <input type="text" class="form-control" value="${info.phoneNumber}" name="phoneNumber" onkeypress="onlyNumber();">
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+ </td>
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+ <th>치료센터</th>
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+ <td>
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+ <c:out value="${info.centerName}" />
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+ </td>
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+ </tr>
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+ </table>
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+ <div class="row mt-3">
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+ <div class="col-12">
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+ <div class="text-right">
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+ <button type="button" class="btn btn-outline-primary w100" onclick="location.href='./list';">취소</button>
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+ <button type="submit" class="btn btn-primary w100">수정</button>
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+ </div>
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+ </div>
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+ </div>
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+ </div>
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+ </form>
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+ </div>
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+ </div>
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+ </div>
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+ <!-- 환자관리 : 신규환자 등록 END -->
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+ </div>
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+ </main>
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+
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+ <jsp:include page="${data._INCLUDE}/footer.jsp"></jsp:include>
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+ </div>
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+ </div>
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+</body>
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+</html>
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