sze
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@ -10,14 +10,10 @@
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<i class="fas fa-plus-circle fs-4"></i>
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</div>
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<div>
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<h4 id="titre-page" class="mb-0 fw-bold text-uppercase"><?= _("Nouveau Barème de prise en charge") ?></h4>
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<h4 id="titre-page" class="mb-0 fw-bold text-uppercase"><?= _("Nouveau Barème Modèle") ?></h4>
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<p class="text-muted small mb-0"><?= _("Définition d'un nouveau modèle de remboursement") ?></p>
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</div>
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</div>
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<!--
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<button class="btn btn-light border rounded-pill px-3 fw-bold btn-sm shadow-xs" onclick="retour_liste_bareme();">
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<i class="fas fa-arrow-left me-1"></i> <?= _("Retour à la liste") ?>
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</button>-->
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</div>
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</div>
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@ -28,14 +24,14 @@
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<form id="form_creer_bareme">
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<div class="row g-2 mb-1">
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<div class="col-md-7">
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<label class="form-label small fw-bold text-muted text-uppercase required"><?= _("Garant") ?></label>
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<label class="form-label small fw-bold text-muted required"><?= _("Garant") ?></label>
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<select class="selectpicker form-control border-2" id="codeGcAssureur" name="codeGcAssureur" data-live-search="true" required autofocus
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onchange="filtresouscripteur(); filtreproduitcreerbareme();">
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<?php liste_options($garant,"",false); ?>
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</select>
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</div>
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<div class="col-md-5">
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<label class="form-label small fw-bold text-muted text-uppercase required"><?= _("Produit") ?></label>
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<label class="form-label small fw-bold text-muted required"><?= _("Produit") ?></label>
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<div id="div_produit">
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<select class="selectpicker form-control border-2" id="codeProduit" name="codeProduit" data-live-search="true" required>
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<?php liste_options($produits,"",false); ?>
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@ -46,21 +42,21 @@
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<div class="row g-3 mb-4 p-3 bg-light rounded-3 border">
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<div class="col-md-3">
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<label class="form-label small fw-bold text-muted text-uppercase required"><?= _("Taux couverture") ?></label>
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<label class="form-label small fw-bold text-muted required"><?= _("Taux couverture") ?></label>
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<select name="idTauxCouverture" id="idTauxCouverture" class="selectpicker form-control border-2" required
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onchange="libelleTauxBareme(this); majTicketModerateur();">
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<?= liste_options($taux,'',false) ?>
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</select>
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</div>
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<div class="col-md-4">
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<label class="form-label small fw-bold text-muted text-uppercase required"><?= _("Territoire") ?></label>
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<label class="form-label small fw-bold text-muted required"><?= _("Territoire") ?></label>
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<select name="codeTerritoire" id="codeTerritoire" class="selectpicker form-control border-2" data-live-search="true" required
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onchange="libelleTerritoireBareme(this.value);">
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<?= liste_options($territoire,'',false) ?>
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</select>
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</div>
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<div class="col-md-5">
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<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Souscripteur") ?></label>
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<label class="form-label small fw-bold text-muted"><?= _("Souscripteur") ?></label>
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<div id="div_souscripteur">
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<select name="numeroClient" id="numeroClient" class="selectpicker form-control border-2" data-live-search="true" onchange="libelleClientBareme(this);">
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<?= liste_options($clients,'',false) ?>
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@ -71,7 +67,7 @@
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<div class="row g-3 mb-3">
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<div class="col-md-12">
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<label class="form-label small fw-bold text-muted text-uppercase required"><?= _("Libellé du Barème") ?></label>
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<label class="form-label small fw-bold text-muted required"><?= _("Libellé du Barème") ?></label>
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<div class="input-group">
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<span class="input-group-text bg-white border-2 border-end-0 text-primary"><i class="fas fa-tag"></i></span>
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<input class="form-control border-2 border-start-0 shadow-none fw-bold majuscule" type="text" id="libelle" name="libelle" value="<?= $libelleDefault ?>">
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@ -81,7 +77,7 @@
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<div class="row g-3 mb-4">
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<div class="col-md-12">
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<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Observation / Note interne") ?></label>
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<label class="form-label small fw-bold text-muted"><?= _("Observation / Note interne") ?></label>
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<div class="input-group">
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<span class="input-group-text bg-white border-2 border-end-0 text-muted"><i class="fas fa-comment-alt"></i></span>
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<input class="form-control border-2 border-start-0 shadow-none majuscule" type="text" id="observationBareme" name="observationBareme" placeholder="<?= _("Informations complémentaires...") ?>">
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