63 lines
2.7 KiB
PHP
Executable File
63 lines
2.7 KiB
PHP
Executable File
<?php
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$idMedicament = $this->nettoyer($medicament['id']);
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$codeMedicament = $medicament['codeMedicament'];
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$ententePrealable = $medicament['ententePrealable'];
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$exclu = $medicament['exclu'];
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$actif = $medicament['actif'];
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?>
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<input class="sr-only" type="text" id="idMedicament" name="idMedicament" value="<?= $idMedicament ?>" >
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<input class="sr-only" type="text" id="codeMedicament" name="codeMedicament" value="<?= $codeMedicament ?>" >
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<table class="table table-responsive table-condensed" style="font-size:10pt;">
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<tbody>
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<tr>
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<td width="7%" class="required"> <?= _("Désignation") ?> </td>
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<td colspan="3" width="50%" ><INPUT style="font-size:10pt;" class="form-control" TYPE="text" id="libelle" NAME="libelle" value="<?=$this->nettoyer( $medicament['libelle'])?>" required AUTOCOMPLETE="OFF" autofocus ></td>
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<td width="7%" align="center" class="required"> <?= _("Forme") ?> </td>
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<td colspan="3">
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<select name="codeForme" id="codeForme" class="form-control" required AUTOCOMPLETE="OFF" >
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<?= liste_options($forme,$this->nettoyer( $medicament['codeForme']),true) ?>
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</select>
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</td>
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</tr>
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<tr>
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<td> <?= _("Accord?") ?> </td>
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<td>
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<SELECT class="form-control" id="ententePrealable" NAME="ententePrealable" style='font-size:10pt; text-align:center;' >
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<?php liste_options($medicament_ententePrealable, $ententePrealable, true); ?>
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</SELECT>
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</td>
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<td align="center" > <?= _("Exclu?") ?> </td>
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<td>
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<SELECT class="form-control" id="exclu" NAME="exclu" style='font-size:10pt; text-align:center;' >
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<?php liste_options($medicament_exclu, $exclu, true); ?>
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</SELECT>
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</td>
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<td align="center" > <?= _("Actif?") ?> </td>
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<td width="10%" >
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<SELECT class="form-control" id="actif" NAME="actif" style='font-size:10pt; text-align:center;' >
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<?php liste_options($medicament_actif, $actif, true); ?>
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</SELECT>
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</td>
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<td align="center"> <?= _("Instructions") ?> </td>
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<td > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="instructions" NAME="instructions" value="<?=$this->nettoyer( $medicament['instructions'])?>"></td>
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</tr>
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<tr>
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<td> </td>
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<td colspan="3"> <input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="javascript:enregistrer_modif_un_medicament();" style='font-size:10pt;' > </td>
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<td> </td>
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<td colspan="3"> <input class = "form-control btn btn-warning" type="button" value="<?= _("Annuler") ?>" onClick="javascript:retour_liste_medicaments();" style='font-size:10pt;' > </td>
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</tr>
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</tbody>
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</table>
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