61 lines
2.7 KiB
PHP
Executable File
61 lines
2.7 KiB
PHP
Executable File
<?php
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//$this->titre = "INTER-SANTE - Modification tarif médicaments";
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?>
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<legend> <?= _("Modification famille actes") ?> </legend>
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<input class="sr-only" type="text" id="idFamilleacte" name="idFamilleacte" value="<?= $this->nettoyer($famillacte['idFamilleacte']) ?>" >
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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="15%" class="required"> <?= _("Nom Français") ?> </td>
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<td><INPUT style="font-size:10pt;" class="form-control majuscule" TYPE="text" id="libelle" NAME="libelle" value="<?=$this->nettoyer($famillacte['libelle'])?>" required AUTOCOMPLETE="OFF" autofocus ></td>
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<td align="center" width="15%" class="required"> <?= _("Nom Anglais") ?> </td>
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<td><INPUT style="font-size:10pt;" class="form-control majuscule" TYPE="text" id="libelleEng" NAME="libelleEng" value="<?=$this->nettoyer($famillacte['libelleEng'])?>" required AUTOCOMPLETE="OFF" ></td>
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</tr>
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<tr>
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<td> <?= _("Garantie") ?> </td>
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<td>
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<SELECT class="form-control" id="codeGarantie" NAME="codeGarantie" style='font-size:10pt; text-align:center;' >
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<?php liste_options($garanties, $this->nettoyer($famillacte['codeGarantie'])); ?>
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</SELECT>
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</td>
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<td align="center" > <?= _("Type") ?> </td>
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<td>
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<SELECT class="form-control" id="codeTypePrestation" NAME="codeTypePrestation" style='font-size:10pt; text-align:center;' >
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<?php liste_options($typesprestation, $this->nettoyer($famillacte['codeTypePrestation'])); ?>
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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> <?= _("Tarif") ?> </td>
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<td>
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<SELECT class="form-control" id="codeTarifActe" NAME="codeTarifActe" autofocus style="font-size:10pt;">
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<?php liste_options_consultation($tarifs, $this->nettoyer($famillacte['codeTarifActe']), true); ?>
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</SELECT>
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</td>
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<td align="center" > <?= _("Hospit")."?" ?> </td>
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<td>
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<SELECT class="form-control" id="hospitalisation" NAME="hospitalisation" style='font-size:10pt; text-align:center;' >
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<?php liste_options($famille_hospitalisation, $this->nettoyer($famillacte['hospitalisation']), 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> </td>
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<td> <input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="javascript:enregistrer_modif_famille_actes();" style='font-size:10pt;' > </td>
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<td> </td>
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<td> <input class = "form-control btn btn-warning" type="button" value="<?= _("Annuler") ?>" onClick="javascript:lister_famille_actes();" style='font-size:10pt;' > </td>
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</tr>
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</tbody>
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</table>
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