113 lines
5.1 KiB
PHP
Executable File
113 lines
5.1 KiB
PHP
Executable File
<?php
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$this->titre = "INTER-SANTE - Examens complémentaires";
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$numeroBonExamen = $_SESSION['p_numeroBonExamen_C'];
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$prestataireLivraison = $this->nettoyer($prescription['prestataireLivraison']);
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$prestatairePrescription = $this->nettoyer($prescription['prestatairePrescription']);
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?>
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<script type="text/javascript">
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</script>
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<input class="sr-only" id="codeTypePrestataire" name="codeTypePrestataire" type="text" value= "<?= $_SESSION['p_codeTypePrestataire_C'] ?>" >
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<input style='text-align:center; font-size:11pt;' class="form-control" type="text"
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value="<?= _("Examens complémentaires") . " => " . _("Prestataire") . " : " . $prestataireLivraison . " => " . _("Feuille Maladie") . " : ". $_SESSION['p_numeroFeuilleMaladie_C'] ?>" readonly >
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<table class="table table-responsive table-condensed" style='font-size:9pt;' >
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<tbody>
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<tr>
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<td width="7%" > <?= _("No Ordonn") ?> </td>
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<td width="10%"> <INPUT style='text-align:center; font-size:11pt; background-color:blue;color:white;' class="form-control" TYPE="text" id="numeroBonExamen"
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name="numeroBonExamen" value="<?= $numeroBonExamen ?>" readonly >
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</td>
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<td width="10%" align="center" > Date Prescr </td>
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<td width="10%" > <INPUT class="form-control" TYPE="text" value="<?= dateLang($this->nettoyer($prescription['datePrescription'])) ?>" readonly style="text-align: center; font-size:9pt;" > </td>
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<td width="7%" align="center"> <?= _("Médecin") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" value="<?= $this->nettoyer($prescription['medecinPrescription']) ?>" readonly style='font-size:9pt;'> </td>
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<td width="7%" align="center"> <?= _("Tél Méd") ?> </td>
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<td width="15%"> <INPUT class="form-control" TYPE="text" value="<?= $this->nettoyer($prescription['telephoneMedecin']) ?>" readonly style='font-size:9pt;'> </td>
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</tr>
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</tbody>
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</table>
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<div class="alert alert-danger" style="height:38px; padding:5px;" >
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<H4><?= _("Prescrit à").": ". $prestatairePrescription ?></H4>
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</div>
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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style='font-size:9pt;'>
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<thead>
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<tr>
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<th width="55%" > <?= _("Actes") ?> </th>
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<th width="10%" style="text-align:center"> <?= _("Valeur") ?> </th>
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<th width="10%" style="text-align:center"> <?= _("Frais") ?> </th>
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<th width="10%" style="text-align:center"> <?= _("T M") ?> </th>
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<th width="10%" style="text-align:center"> <?= _("A Remb") ?> </th>
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<th width ="5%" style="text-align:center"> <?= _("Accord") ?> </th>
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</tr>
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</thead>
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<tfoot>
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<tr>
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<td colspan="2" style='text-align:center'> Total </td>
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<td align='center'><?= format_N($this->nettoyer($prescription['fraisReel'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($prescription['montantTm'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($prescription['montantArembourser'])) ?></td>
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</tr>
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</tfoot>
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<tbody>
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<?php foreach ($detaillivres as $detaillivre):
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$ajLabo = $this->nettoyer($detaillivre['ajLabo']);
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$ententePrealable = $this->nettoyer($detaillivre['ententePrealable']);
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$typeSysteme = $this->nettoyer($detaillivre['typeSysteme']);
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?>
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<?php if($typeSysteme=="1") : ?>
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<tr valign="top" style="background-color: red; color:white;">
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<?php else: ?>
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<tr valign="top">
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<?php endif; ?>
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<td> <?= $this->nettoyer($detaillivre['libelleActe']) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['valeurActe'])) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['fraisReel'])) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['montantTm'])) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['montantArembourser'])) ?> </td>
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<?php if($ententePrealable=='2'): ?>
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<td align='center' style="background-color: yellow;" > <?= $ententePrealable ?> </td>
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<?php elseif($ententePrealable=='1'): ?>
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<td align='center' style="background-color: #00ff00;" > <?= $ententePrealable ?> </td>
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<?php elseif($ententePrealable=='9'): ?>
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<td align='center' style="background-color: red;" > <?= $ententePrealable ?> </td>
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<?php else: ?>
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<td align='center' > <?= $ententePrealable ?> </td>
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<?php endif; ?>
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</tr>
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<?php endforeach; ?>
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<tr style='background-color:white'>
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<td colspan="6" height="5"></td>
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</tr>
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</tbody>
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</table>
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<div id="recap">
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<table class="table table-responsive table-condensed" style='font-size:12pt;' >
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<tbody>
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<tr>
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<td > <?= _("Dépas") ?> </td>
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<td > <INPUT class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($prescription['fraisExclu'])) ?>" readonly style="text-align: center; font-size:12pt; color:red;" > </td>
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<td align="center" > <?= _("Retenu") ?> </td>
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<td > <INPUT class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($prescription['fraisRetenu'])) ?>" readonly style="text-align: center; font-size:12pt; color:blue;" > </td>
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</tr>
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</tbody>
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</table>
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</div>
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