titre = "INTER-SANTE - proforma hospitalisation"; $dateDebutProforma = isset($_SESSION['p_dateDebutProforma_C']) ? dateLang($_SESSION['p_dateDebutProforma_C'], $_SESSION['p_lang']) :""; $idProforma = isset($_SESSION['p_idProforma_C']) ? $_SESSION['p_idProforma_C'] : '0'; $codeReponseEntentePrealable = $_SESSION['p_codeReponseEntentePrealable_C']; $numeroEntentePrealable = $_SESSION['p_numeroEntentePrealable_C']; $demandeTraite = $_SESSION['p_demandeTraite_C']; $numeroBonHospitalisation = $_SESSION['p_numeroBonHospitalisation_C']; $observation = $_SESSION['p_observation_C']; $motifRefus = $_SESSION['p_motifRefus_C']; if($codeReponseEntentePrealable=="1"){ $etat = "Accordée"; }elseif($codeReponseEntentePrealable=="2"){ $etat = "En attente"; }elseif($codeReponseEntentePrealable=="9"){ $etat = "Réfusée"; }else{ $etat = "Non envoyé"; } if (isset($_SESSION['p_lang']) && $_SESSION['p_lang']=="en_US"){ $specialite = $this->nettoyer($v['specialiteEng']); if($codeReponseEntentePrealable=="1"){ $etat = "Granted"; }elseif($codeReponseEntentePrealable=="2"){ $etat = "On hold"; }elseif($codeReponseEntentePrealable=="9"){ $etat = "Refused"; }else{ $etat = "Not sent"; } } $numero = ($idProforma > "0") ? ' N°: '.$idProforma : ""; $_SESSION['p_numeroFeuilleMaladie_C'] = isset($_SESSION['p_numeroFeuilleMaladie_C']) ? $_SESSION['p_numeroFeuilleMaladie_C']: "0"; ?>
= _("Bon Hospitalisation").' => '.'No => '?> = $numeroBonHospitalisation ?> |
| = _("Souscripteur") ?> | = _("Adhérent") ?> | ||||||
| = _("Bénéficiaire") ?> | = _("Tél Bénéf.") ?> | ||||||
| = _("Type Hospitalisation") ?> | = _("Début") ?> | = _("Durée (J)") ?> | " min="0" required AUTOCOMPLETE="OFF" > " min="0" disabled> | ||||
| = _("Renseignement Clinique") ?> | " type="text" required AUTOCOMPLETE="OFF" > " type="text" disabled> | ||||||
| = _("Médecin") ?> | = _("Etat") ?> | ||||||
| = _("Affection") ?> | |||||||
| "0"):?> | |||||||
|
" autofocus required AUTOCOMPLETE="OFF">
|
|||||||
| = _("Observation");?> | |
| = _("Motif Refus");?> |