90 lines
4.3 KiB
PHP
Executable File
90 lines
4.3 KiB
PHP
Executable File
<div class="card border-0 shadow-sm border-start border-4 border-primary">
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<div class="card-header bg-white py-3 border-bottom">
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<h6 class="mb-0 fw-bold text-uppercase text-warning small" id="titre_formData">
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<i class="fas fa-edit me-2"></i><?= _("Modification des données du type d'affection") ?>
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</h6>
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</div>
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<div class="card-body p-4">
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<form id="formData" class="container-fluid p-0">
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<input type="hidden" id="id" name="id" value="<?= $this->nettoyer($typeaffection['id']) ?>">
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<div class="row g-3 align-items-end">
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<div class="col-md-2">
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<label class="form-label fw-bold text-muted small">Code</label>
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<div class="input-group shadow-xs">
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<span class="input-group-text bg-light border-2 border-end-0">
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<i class="fas fa-lock text-muted"></i>
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</span>
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<input type="text" class="form-control border-2 border-start-0 majuscule fw-bold bg-light"
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id="codeTypeAffection" name="codeTypeAffection"
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value="<?= $this->nettoyer($typeaffection['codeTypeAffection']); ?>" disabled>
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</div>
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</div>
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<div class="col-md-3">
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<label class="form-label fw-bold text-muted small required"><?= _("Libellé (Fr)") ?></label>
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<div class="input-group shadow-xs">
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<span class="input-group-text bg-white border-2 border-end-0">
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<img src="../Bootstrap_new/images/france.png" width="16" alt="FR">
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</span>
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<input type="text" class="form-control border-2 border-start-0 majuscule fw-bold"
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id="libelle" name="libelle" required autocomplete="OFF"
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value="<?= $this->nettoyer($typeaffection['libelle']); ?>">
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</div>
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</div>
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<div class="col-md-3">
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<label class="form-label fw-bold text-muted small"><?= _("Libellé (Eng)") ?></label>
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<div class="input-group shadow-xs">
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<span class="input-group-text bg-white border-2 border-end-0">
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<img src="../Bootstrap_new/images/england.png" width="16" alt="EN">
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</span>
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<input type="text" class="form-control border-2 border-start-0 majuscule"
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id="libelleEng" name="libelleEng" autocomplete="OFF"
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value="<?= $this->nettoyer($typeaffection['libelleEng']); ?>">
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</div>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold text-muted small"><?= _("Maladie Chronique") ?></label>
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<div class="shadow-xs">
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<select name="maladieChronique" id="maladieChronique" class="selectpicker form-control border-2" data-container="body">
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<?= liste_options($ouinonplafondmodifiable, $this->nettoyer($typeaffection['maladieChronique']), true) ?>
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</select>
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</div>
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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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<script>
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$(document).ready(function() {
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// Initialisation SelectPicker avec style 2px
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$('.selectpicker').selectpicker();
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// Focus UX Neutral Pro : 200ms sur le champ libellé
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setTimeout(function() {
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$('#libelle').focus();
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}, 200);
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});
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</script>
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<style>
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/* Identité Visuelle Neutral Pro */
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.border-primary { border-color: #212e53 !important; }
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.shadow-xs { box-shadow: 0 2px 4px rgba(0,0,0,0.05); }
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.form-control.border-2, .input-group-text.border-2 { border-width: 2px !important; }
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.majuscule { text-transform: uppercase; }
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.required:after { content: " *"; color: #dc3545; font-weight: bold; }
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/* Harmonisation SelectPicker */
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.bootstrap-select > .dropdown-toggle {
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border-width: 2px !important;
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height: 38px !important;
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background-color: #fff !important;
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}
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</style>
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