97 lines
3.7 KiB
PHP
Executable File
97 lines
3.7 KiB
PHP
Executable File
<?php $this->titre = "Afrikssur-Santé-Avis Hospitaluisation"; ?>
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<form id="frmconsultation" name="frmconsultation" method="post" action="Avishospitalisation/enregistredossier">
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<input class="sr-only" type="text" id="codePrestataire" name="codePrestataire" value="<?= $_SESSION['codePrestataireUtilisateur'] ?>" >
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<input class="sr-only" type="text" id="numeroBeneficiaire" name="numeroBeneficiaire" value="<?= $_SESSION['numeroBeneficiaire_C'] ?>" >
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<fieldset>
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<legend>Demande de PEC Hospitalisation</legend>
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<table class="table table-responsive table-condensed">
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<tbody>
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<tr>
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<td width="15%">Acte</td>
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<td colspan="2">
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<SELECT class="form-control" id="codeActe" NAME="codeActe" required autofocus >
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<?php liste_options($acte,""); ?>
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</SELECT>
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</td>
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</tr>
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<tr>
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<td height="10"></td>
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</tr>
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<tr>
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<td>Prescripteur</td>
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<td colspan="2">
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<SELECT class="form-control" id="codeMedecin" NAME="codeMedecin" required >
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<?php liste_options($medecin,""); ?>
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</SELECT>
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</td>
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</tr>
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<tr>
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<td height="10"></td>
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</tr>
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<tr>
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<td>Motif Hospitalisation</td>
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<td colspan="2"><input class="form-control" type="text" id="motifPec" name="motifPec" required ></td>
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</tr>
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<tr>
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<td height="10"></td>
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</tr>
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<tr>
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<td>Durée prévue (j)</td>
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<td><input class="form-control" style="text-align: center" type="number" id="dureeHospitDemandee" name="dureeHospitDemandee" required ></td>
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<td><input class = "form-control btn btn-primary" type="submit" value="Envoyer la demande de PEC" /></td>
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</tr>
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</tbody>
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</table>
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</fieldset>
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<fieldset>
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<legend>Liste des demandes en cours du bénéficiaire : <input class = "btn btn-primary" type="button" value="Actualiser la liste" onClick="javascript:actualiserdemandehospit();"> </legend>
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<table class="table table-responsive table-condensed table-hover" style="font-size: 9pt;">
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<thead>
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<tr>
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<th>N°</th>
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<th>Acte</th>
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<th>Demandée le</th>
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<th>Répondue le</th>
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<th>Réponse</th>
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<th>Motif Refus</th>
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<th style="text-align: center;">N° Bon</th>
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<th style="text-align: center;">Code secret</th>
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<th>Méd. Cons.</th>
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<th style="text-align: center;">Clôturer</th>
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</tr>
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</thead>
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<tbody>
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<?php foreach ($demandespecs as $demandespec):
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$numeroDemande = $demandespec['numeroDemande'];
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?>
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<tr>
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<td><?= $this->nettoyer($demandespec['numeroDemande']) ?></td>
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<td><?= $this->nettoyer($demandespec['acte']) ?></td>
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<td><?= dateFr($demandespec['dateDemande']).' '.substr($demandespec['heureDemande'],0,5) ?></td>
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<td><?= dateFr($demandespec['dateReponse']).' '.substr($demandespec['heureReponse'],0,5) ?></td>
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<td><?= $this->nettoyer($demandespec['reponse']) ?></td>
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<?php if ($demandespec['codeReponsePec']=='1'): ?>
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<td><input type="button" class="btn btn-success" value="Imprimer l'accord" onClick="javascript:Imprimerbonpechosp('<?= $numeroDemande ?>');"></td>
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<?php else: ?>
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<td><?= $this->nettoyer($demandespec['motifReel']) ?></td>
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<?php endif; ?>
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<td style="text-align: center;"><?= $this->nettoyer($demandespec['numeroBon']) ?></td>
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<td style="text-align: center;"><?= $this->nettoyer($demandespec['codeSecret']) ?></td>
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<td><?= $this->nettoyer($demandespec['repondeur']) ?></td>
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<td ALIGN = "CENTER"><input type="button" class="btn btn-warning" value="Clôturer" onClick="javascript:cloturerDemandePecHospit('<?= $numeroDemande ?>');"></td>
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</tr>
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<?php endforeach; ?>
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</tbody>
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</table>
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</fieldset>
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</form>
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