This commit is contained in:
KONE SOREL 2026-04-07 09:57:10 +00:00
parent fa407e3e78
commit d7ef0cf0c1

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