prestation/Vue/Ajaxdupliquerbareme/index.php
2025-12-01 18:54:33 +00:00

152 lines
6.4 KiB
PHP

<?php
?>
<div class="modal-dialog modal-lg">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-bs-dismiss="modal">&times;</button>
<legend class="modal-title" id="user" style="text-align:center;">Dupliquer le barème de prise en charge</legend>
</div>
<div class="modal-body">
<INPUT TYPE="text" class="sr-only" id = "idBaremePriseEnChargeOld" name = "idBaremePriseEnChargeOld" value="<?= $this->nettoyer($bareme['id']);?>">
<table width="100%" cellpadding="0" cellspacing="0" class="table table-responsive table-condensed">
<tbody>
<tr>
<td colspan="6" class="text-center"><h4>Barème à dupliquer </h4></td>
</tr>
<tr>
<td width="10%" class="text-center"> <?= _("Garant") ?> </td>
<td colspan="3">
<SELECT style="font-size:10pt; height:30px;" class="form-control" id="codeGcAssureurOld" NAME="codeGcAssureurOld" disabled
onChange="javascript:filtreproduit(); libelleClientBareme(this);" >
<?= liste_options($garant,$this->nettoyer($bareme['codeGcAssureur']),true) ?>
</SELECT>
</td>
<td width="13%" class="text-center"> <?= _("Catégorie d'assuré") ?> </td>
<td width="30%">
<SELECT style="font-size:10pt; height:30px;" class="form-control" id="codeProduitOld" NAME="codeProduitOld" disabled
onChange="libelleClientBareme(this);" >
<?php liste_options($produits,$this->nettoyer($bareme['codeProduit']),true); ?>
</SELECT>
</td>
</tr>
<tr>
<td width="10%" align="center"> Taux Barème </td>
<td width="10%" >
<select name="idTauxCouvertureOld" id="idTauxCouvertureOld" class="form-control" disabled
onchange="libelleClientBareme(this);">
<?= liste_options($taux,$this->nettoyer($bareme['idTauxCouverture']),true) ?>
</select>
</td>
<td width="10%" align="center" > <?= _("Territoire") ?> </td>
<td>
<select name="codeTerritoireOld" id="codeTerritoireOld" class="form-control" disabled
onchange="libelleTerritoireBareme(this.value,this);" readonly>
<?= liste_options($territoire,$this->nettoyer($bareme['codeTerritoire']),true) ?>
</select>
</td>
<td width="10%" align="center" > <?= _("Client") ?> </td>
<td>
<select name="numeroClientOld" id="numeroClientOld" class="form-control" onchange="libelleClientBareme(this);" disabled>
<?= liste_options($clients,$this->nettoyer($bareme['numeroClient']),false) ?>
</select>
</td>
</tr>
<tr>
<td width="10%" align="center" > <?= _("Libelle") ?> </td>
<td colspan="5"><INPUT style="font-size:10pt;" class="form-control" TYPE="text" id="libelleOld" NAME="libelleOld" value="<?= $this->nettoyer($bareme['libelle'])?>" readonly></td>
</tr>
<tr>
<td width="10%" align="center"> <?= _("Observation") ?> </td>
<td colspan="5"><INPUT style="font-size:10pt;" class="form-control" TYPE="text" id="observationBaremeOld" NAME="observationBaremeOld" value="<?= $this->nettoyer($bareme['observationBareme'])?>" readonly></td>
</tr>
</tbody>
</table>
<table width="100%" cellpadding="0" cellspacing="0" class="table table-responsive table-condensed">
<tbody>
<tr>
<td colspan="6" class="text-center"><h4> Nouvelles valeurs </h4> </td>
</tr>
<tr>
<td width="10%" class="required AUTOCOMPLETE="OFF" text-center"> <?= _("Garant") ?> </td>
<td colspan="3">
<SELECT style="font-size:10pt; height:30px;" class="form-control" id="codeGcAssureur" NAME="codeGcAssureur" required AUTOCOMPLETE="OFF" autofocus
onChange="javascript:filtreproduit(); libelleClientBareme(this);" >
<?php liste_options($garant,"",false); ?>
</SELECT>
</td>
<td width="13%" class="required AUTOCOMPLETE="OFF" text-center"> <?= _("Catégorie d'assuré") ?> </td>
<td width="30%">
<div id="div_produit">
<SELECT style="font-size:10pt; height:30px;" class="form-control" id="codeProduit" NAME="codeProduit" required AUTOCOMPLETE="OFF"
onChange="libelleClientBareme(this);" >
<?php liste_options($produits,"",false); ?>
</SELECT>
</div>
</td>
</tr>
<tr>
<td width="10%" class="required" align="center"> Taux Barème </td>
<td width="10%" >
<select name="idTauxCouverture" id="idTauxCouverture" class="form-control" required AUTOCOMPLETE="OFF" autofocus
onchange="libelleClientBareme(this);">
<?= liste_options($taux,'',false) ?>
</select>
</td>
<td width="10%" align="center" class="required" > <?= _("Territoire") ?> </td>
<td>
<select name="codeTerritoire" id="codeTerritoire" class="form-control" required AUTOCOMPLETE="OFF"
onchange="libelleTerritoireBareme(this.value,this);">
<?= liste_options($territoire,'',false) ?>
</select>
</td>
<td width="10%" align="center" > <?= _("Client") ?> </td>
<td>
<select name="numeroClient" id="numeroClient" class="form-control" onchange="libelleClientBareme(this);">
<?= liste_options($clients,'',false) ?>
</select>
</td>
</tr>
<tr>
<td width="10%" align="center" class="required"> <?= _("Libelle") ?> </td>
<td colspan="5"><INPUT style="font-size:10pt;" class="form-control" TYPE="text" id="libelle" value="BAREME " NAME="libelle" ></td>
</tr>
<tr>
<td width="10%" align="center"> <?= _("Observation") ?> </td>
<td colspan="5"><INPUT style="font-size:10pt;" class="form-control" TYPE="text" id="observationBareme" NAME="observationBareme" ></td>
</tr>
<tr>
<td colspan="6" height="20px"> </td>
</tr>
<tr>
<td colspan="6">
<input style='text-align:center; font-size:10pt;' type="button" name="btn-dupliquer-reseau" id="btn-dupliquer-reseau" class="btn btn-primary form-control" value="Dupliquer"
onclick="JAVASCRIPT:duplicationbareme();">
</td>
</tr>
</tbody>
</table>
</div>
<div class="modal-footer">
<button type="button" id="" class="btn btn-default" data-bs-dismiss="modal">Fermer</button>
</div>
</div>
</div>