167 lines
8.8 KiB
PHP
Executable File
167 lines
8.8 KiB
PHP
Executable File
<div id="div_ente_requete">
|
|
|
|
<INPUT class="sr-only" TYPE="text" id="codePrestataire" name="codePrestataire" value="<?= $_SESSION['codePrestataire_C'] ?>">
|
|
<INPUT class="sr-only" TYPE="text" id="codeTypePrestataire" name="codeTypePrestataire" value="<?= $_SESSION['codeTypePrestataire_C'] ?>">
|
|
|
|
<input class="sr-only" type="text" id="codeMedecin" name="codeMedecin">
|
|
|
|
<table class="table table-responsive table-condensed" style='font-size:7pt;'>
|
|
<tbody>
|
|
<tr>
|
|
<td width="5%"><?= _("Prestataire") ?></td>
|
|
<td width="13%"> <INPUT style='tfont-size:7pt;' class="form-control" type="text" value="<?= $this->nettoyer($_SESSION['prestataire_C']) ?>" readonly> </td>
|
|
|
|
<td width="5%" align="center"> <?= _("Période du") ?> </td>
|
|
<td width="13%" colspan="3"> <INPUT style='text-align:center; font-size:7pt;' class="form-control datepicker" TYPE="text" id="datePrestation1" NAME="datePrestation1" value="<?= $_SESSION['debutRequeteFr_C'] ?>" required></td>
|
|
|
|
<td width="5%" align="center" > <?= _("au") ?> </td>
|
|
<td width="13%" colspan="3"> <INPUT style='text-align:center; font-size:7pt;' class="form-control datepicker" TYPE="text" id="datePrestation2" NAME="datePrestation2" value="<?= $_SESSION['finRequeteFr_C'] ?>" required> </td>
|
|
|
|
<td width="5%" align="center" ><?= _("No Adhér") ?></td>
|
|
<td width="13%" colspan="3"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" TYPE="text" id="numeroAdherent" name="numeroAdherent" > </td>
|
|
|
|
<td width="5%" align="center" ><?= _("No Benef") ?></td>
|
|
<td width="13%" colspan="3"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire"></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
|
|
<td><?= _("Médecin") ?> </td>
|
|
<td>
|
|
<button type="button" class="form-control btn btn-primary" data-toggle="modal" data-target="#popRechercheMedecin" style='font-size:7pt;' ><span id="nomMedecin" name="nomMedecin"> <?= _("Rechercher Médecin...") ?> </span></button>
|
|
</td>
|
|
|
|
<td align="center"> <?= _("Bon Cons") ?> </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonConsultation1" name="numeroBonConsultation1" value="0" > </td>
|
|
<td width="1%" align="center"> - </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonConsultation2" name="numeroBonConsultation2" value="0" > </td>
|
|
|
|
<td align="center"> <?= _("Ord") ?> </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonOrdonnance1" name="numeroBonOrdonnance1" value="0" > </td>
|
|
<td width="1%" align="center"> - </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonOrdonnance2" name="numeroBonOrdonnance2" value="0" > </td>
|
|
|
|
<td align="center"> <?= _("Bon Hosp") ?> </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonHospitalisation1" name="numeroBonHospitalisation1" value="0" > </td>
|
|
<td width="1%" align="center"> - </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonHospitalisation2" name="numeroBonHospitalisation2" value="0" > </td>
|
|
|
|
<td align="center"> <?= _("Bon Opt") ?> </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonOptique1" name="numeroBonOptique1" value="0" > </td>
|
|
<td width="1%" align="center"> - </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonOptique2" name="numeroBonOptique2" value="0" > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> Type </td>
|
|
<td> <INPUT style='tfont-size:7pt;' class="form-control" type="text" value="<?= $this->nettoyer($_SESSION['typeprestataire_C']) ?>" readonly> </td>
|
|
|
|
<td align="center"> <?= _("No Feuil") ?></td>
|
|
<td> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroFeuilleMaladie1" name="numeroFeuilleMaladie1" value="0" > </td>
|
|
<td align="center"> - </td>
|
|
<td> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroFeuilleMaladie2" name="numeroFeuilleMaladie2" value="0" > </td>
|
|
|
|
<td align="center"> <?= _("Typ Prest") ?> </td>
|
|
<td colspan="3">
|
|
<SELECT class="form-control" id="codeTypePrestation" NAME="codeTypePrestation" style='font-size:7pt;'>
|
|
<?php liste_options_consultation($typeprestation, ""); ?>
|
|
</SELECT>
|
|
</td>
|
|
|
|
<td align="center"> <?= _("Ent?/Fact?") ?> </td>
|
|
<td>
|
|
<SELECT class="form-control" id="ententePrealable" NAME="ententePrealable" style='font-size:7pt;'>
|
|
<?php liste_options_consultation($reponseententeprealable, ""); ?>
|
|
</SELECT>
|
|
</td>
|
|
|
|
<td align="center"> / </td>
|
|
|
|
<td>
|
|
<SELECT class="form-control" id="facture" NAME="facture" style='font-size:7pt;'>
|
|
<?php liste_options_consultation($ouinonfacture, ""); ?>
|
|
</SELECT>
|
|
</td>
|
|
|
|
<td align="center"> <?= _("Chbre") ?> </td>
|
|
<td> <INPUT style='text-align:center; font-size:7pt;' class="form-control" TYPE="text" id="numeroChambre" name="numeroChambre" > </td>
|
|
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Adhér") ?></td>
|
|
<td colspan="5"> <INPUT style='tfont-size:7pt;' class="form-control" type="text" id="adherent" name="adherent" > </td>
|
|
|
|
<td align="center"> <?= _("Bénéf") ?></td>
|
|
<td colspan="11"> <INPUT style='font-size:7pt;' class="form-control" type="text" id="beneficiaire" name="beneficiaire" > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Famille Acte") ?></td>
|
|
<td colspan="5"> <INPUT style='tfont-size:7pt;' class="form-control" type="text" id="libelleFamilleActe" name="libelleFamilleActe" > </td>
|
|
|
|
<td align="center"> <?= _("Acte") ?></td>
|
|
<td colspan="11"> <INPUT style='font-size:7pt;' class="form-control" type="text" id="libelleActe" name="libelleActe" > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> </td>
|
|
<td colspan="5"> <button style='font-size:10pt;' type="button" class="form-control btn btn-primary" onclick="javascript:requetes_prestationactes();"><?= _("Afficher résultats...") ?></button> </td>
|
|
|
|
<td colspan="5">
|
|
<input class="form-control" style="text-align: center; font-size:10pt;" type="text" id="nbligne" name="nbligne" value="Result : 0" readonly>
|
|
</td>
|
|
|
|
<td colspan="7"> <button style='font-size:10pt;' type="button" class="form-control btn btn-primary" onclick="javascript:requetes_prestationactes_export();"><?= _("Exporter vers Excel...") ?></button> </td>
|
|
</tr>
|
|
|
|
</tbody>
|
|
</table>
|
|
|
|
<div class="modal fade" id="popRechercheMedecin" role="dialog">
|
|
<div class="modal-dialog modal-lg">
|
|
<div class="modal-content">
|
|
|
|
<div class="modal-header">
|
|
<button id="btn_close_pop" name="btn_close_pop" type="button" class="close" data-dismiss="modal"><?= _("Fermer") ?></button>
|
|
<h4 class="modal-title"><?= _("Rechercher un Médecin...") ?></h4>
|
|
</div>
|
|
|
|
<div class="modal-body">
|
|
<div id="div_listemedecins" onkeypress="javascript:ctrlkeypress_medecin_requete(event);">
|
|
<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style='font-size:10pt;'>
|
|
<thead>
|
|
<tr>
|
|
<th style="text-align:center" width="15%" > Code </th>
|
|
<th width="50%" style="text-align:center" ><?= _("Nom contenant...") ?> </th>
|
|
<th colspan="2" style="text-align:center" > <?= _("Spécialité") ?> </th>
|
|
</tr>
|
|
</thead>
|
|
<tbody>
|
|
<tr>
|
|
<td><input type="text" class="form-control" id="noOrdreMedecin" name="noOrdreMedecin" autofocus style='font-size:10pt;' ></td>
|
|
<td><input type="text" class="form-control" id="nomsearch" name="nomsearch" autofocus style='font-size:10pt;' ></td>
|
|
<td><input type="button" class = "form-control btn btn-info" style='font-size:10pt;' value="<?= _("Rechercher...") ?>" onclick="javascript:afficher_pop_recherche_medecin_requete();" /></td>
|
|
<td><input type="button" class = "form-control btn btn-info" style='font-size:10pt;' value="<?= _("Ré-initialiser...") ?>" onclick="javascript:reinitialiser_medecin();" /></td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="modal-footer">
|
|
<button id="close_pop" name="close_pop" type="button" class="btn btn-default" data-dismiss="modal"><?= _("Fermer") ?></button>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
|
|
<div id="div_detail_requete">
|
|
</div>
|
|
|
|
<div id="div_export_a">
|
|
</div>
|