125 lines
6.8 KiB
PHP
Executable File
125 lines
6.8 KiB
PHP
Executable File
<?php
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$libelleDefault = "BAREME DE PRISE EN CHARGE A ";
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?>
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<div class="page-content animate__animated animate__fadeIn">
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<div class="header-section mb-4">
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<div class="d-flex align-items-center justify-content-between bg-white p-3 shadow-sm border-start border-primary border-4" style="border-radius: var(--radius-md);">
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<div class="d-flex align-items-center">
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<div class="icon-shape bg-primary-ghost text-primary rounded-circle me-3" style="width: 48px; height: 48px; display: flex; align-items: center; justify-content: center;">
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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 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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</div>
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</div>
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<input type="hidden" id="nomForm" name="nomForm" value="frmcreerbareme">
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<div class="card border-0 shadow-sm overflow-hidden">
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<div class="card-body p-4">
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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 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 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($produits,"",false); ?>
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</select>
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</div>
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</div>
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</div>
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<div class="row g-3 mb-4 p-3 bg-light rounded-3 border">
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<div class="col-md-3">
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<label class="form-label small fw-bold text-muted required"><?= _("Taux couverture") ?></label>
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<select name="idTauxCouverture" id="idTauxCouverture" class="selectpicker form-control border-2" required
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onchange="libelleTauxBareme(this); majTicketModerateur();">
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<?= liste_options($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 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($territoire,'',false) ?>
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</select>
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</div>
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<div class="col-md-5">
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<label class="form-label small fw-bold text-muted"><?= _("Souscripteur") ?></label>
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<div id="div_souscripteur">
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<select name="numeroClient" id="numeroClient" class="selectpicker form-control border-2" data-live-search="true" onchange="libelleClientBareme(this);">
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<?= liste_options($clients,'',false) ?>
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</select>
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</div>
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</div>
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</div>
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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 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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</div>
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</div>
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</div>
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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"><?= _("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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</div>
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</div>
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</div>
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<hr class="my-4 opacity-10">
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<div class="row g-3">
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<div class="col-md-8">
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<button id="btn_enreg" type="button" class="btn btn-primary w-100 py-3 rounded-pill fw-bold shadow-sm" onclick="creer_bareme();">
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<i class="fas fa-save me-2"></i> <?= _("Enregistrer le barème") ?>
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</button>
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</div>
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<div class="col-md-4">
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<button type="button" class="btn btn-light border w-100 py-3 rounded-pill fw-bold" onclick="retour_liste_bareme();">
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<?= _("Fermer") ?>
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</button>
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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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<style>
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/* Spécifique Neutral Pro Creer Bareme */
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.btn-warning-light { background-color: rgba(255, 193, 7, 0.1); border: 2px solid rgba(255, 193, 7, 0.2); }
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.btn-warning-light:hover { background-color: rgba(255, 193, 7, 0.2); }
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/* Alignement des SelectPickers avec les Inputs */
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.bootstrap-select .btn.dropdown-toggle {
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height: 42px !important;
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border-width: 2px !important;
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font-size: 9.5pt !important;
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font-weight: 600 !important;
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background-color: #fff !important;
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}
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</style>
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<script>
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document.addEventListener("DOMContentLoaded", function() {
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actualiserSelectPicker('.selectpicker');
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});
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</script>
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