184 lines
9.1 KiB
PHP
184 lines
9.1 KiB
PHP
<?php
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// $this->titre = "INTER-SANTE - Facture classique : Consultation";
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$idDossierClassique = $_SESSION['idDossierClassique'] ;
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$numeroFacture = $this->nettoyer($facture['numeroFacture']);
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$numeroBeneficiaire = $dossier['numeroBeneficiaire'];
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$nomPatient = $dossier['beneficiaire'];
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?>
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<div id="div_facture">
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<div id="div_entete_facture">
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<input class="sr-only" type="text" id="regle" name="regle" value="<?= $this->nettoyer($facture['regle']) ?>" >
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<input class="sr-only" type="text" id="prixActe" name="prixActe" value="<?= $this->nettoyer($facture['fraisRetenu']) ?>" >
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<input class="sr-only" type="text" id="cout" name="cout" value="<?= $this->nettoyer($facture['fraisReel']) ?>" >
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<input class="sr-only" type="text" id="montantTm" name="montantTm" value="<?= $this->nettoyer($facture['montantTm']) ?>" >
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<input class="sr-only" type="text" id="montantArembourser" name="montantArembourser" value="<?= $this->nettoyer($facture['montantArembourser']) ?>" >
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<input style='text-align:center; font-size:10pt;' class="form-control" type="text" value= "<?= _("Hors tiers payant") . " => " . _("ID Dossier") . " : " . $idDossierClassique
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. " => " . _("Patient") . " : " . $nomPatient . " ( " . $numeroBeneficiaire . " )" . " => " . _("No Fact") . " : " . $numeroFacture ?>" readonly >
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<table class="table table-responsive table-condensed" style='font-size:9pt;'>
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<tbody>
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<tr>
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<td width="6%" > <?= _("Réclamé") ?> </td>
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<td><INPUT style='font-size:9pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['fraisReel'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("Rejet") ?> </td>
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<td><INPUT style='font-size:9pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['montantRejete'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("Exclu") ?> </td>
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<td><INPUT style='font-size:9pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['exclusion'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("T M") ?> </td>
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<td><INPUT style='font-size:9pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['montantTm'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("A Remb") ?> </td>
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<td> <INPUT style='font-size:9pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['montantArembourser'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("Dépas") ?> </td>
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<td><INPUT style='font-size:9pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['depassementLimite'])) ?>" readonly ></td>
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<td width="6%" align="center"> <?= _("Retenu") ?> </td>
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<td><INPUT style='font-size:9pt; color:blue; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['fraisRetenu'])) ?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("No Fact") ?> </td>
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<td><INPUT class="form-control" style='font-size:9pt; text-align:center;' TYPE="text" id="numeroFacture" NAME="numeroFacture" value="<?= $this->nettoyer($facture['numeroFacture']) ?>" readonly ></td>
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<td align="center" > <?= _("Prestataire") ?> </td>
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<td colspan="5"><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="prestataire" NAME="prestataire" value="<?= $this->nettoyer($facture['prestataire']) ?>" readonly ></td>
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<td align="center" > <?= _("Date Fact") ?> </td>
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<td colspan="3">
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<INPUT style='font-size:10pt; text-align:center;' class="form-control datepicker" TYPE="text" id="dateFacture" NAME="dateFacture" value="<?= dateLang($this->nettoyer($facture['dateFacture'])) ?>" readonly >
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</td>
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<td align="center"> Hospit </td>
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<td><INPUT class="form-control" style='font-size:10pt; text-align:center;' TYPE="text" id="hospit" NAME="hospit" value="<?= $this->nettoyer($facture['hospit']) ?>" readonly ></td>
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<tr>
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<tr>
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<td> <?= _("T M") . " ( % ) " ?> </td>
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<td>
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<INPUT id="tmFacture" name="tmFacture" style='font-size:10pt; text-align:center; color:red;' class="form-control" type="number" value="<?= $this->nettoyer($facture['tm']) ?>" readonly>
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</td>
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<td align="center" > Observat </td>
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<td colspan="11"><INPUT style='font-size:10pt;' id="observations" name="observations" class="form-control" TYPE="text" value="<?= $this->nettoyer($facture['observations']) ?>" readonly></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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<div id ="div_wait">
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</div>
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<div id="div_prestations">
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<table class="table table-striped table-bordered table-condensed table-responsive" style="font-size:9pt;">
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<thead>
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<tr>
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<th rowspan="2" style="text-align:center"> <?= _("Actes") ?> </th>
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<th rowspan="2" style="text-align:center"> <?= _("Réclamé") ?> </th>
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<th colspan="3" style="text-align:center"> <?= _("Rejet") ?> </th>
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<th colspan="3" style="text-align:center"> <?= _("Exlusion") ?> </th>
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<th colspan="2" style="text-align:center"> <?= _("Ticket Mod") ?> </th>
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<th rowspan="2" style="text-align:center"> <?= _("A Remb") ?> </th>
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</tr>
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<tr>
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<th style="text-align:center"> <?= _("Valeur") ?> </th>
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<th style="text-align:center"> <?= _("Motif") ?> </th>
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<th style="text-align:center"> <?= _("Obs") ?> </th>
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<th style="text-align:center"> <?= _("Valeur") ?> </th>
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<th style="text-align:center"> <?= _("Motif") ?> </th>
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<th style="text-align:center"> <?= _("Obs") ?> </th>
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<th style="text-align:center"> <?= _("Tx") ?> </th>
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<th style="text-align:center"> <?= _("Valeur") ?> </th>
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</tr>
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</thead>
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<tbody>
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<?php foreach ($prestations as $prestation):
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$idPrestation = $this->nettoyer($prestation['id']);
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$libelleActe = $this->echapper($prestation['libelleActe']);
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$valeurActe = $this->nettoyer($prestation['valeurActe']);
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$montantRejete = $this->nettoyer($prestation['montantRejete']);
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$fraisExclu = $this->nettoyer($prestation['fraisExclu']);
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$codeMotifRejet = $this->nettoyer($prestation['codeMotifRejet']);
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$codeMotifExclusion = $this->nettoyer($prestation['codeMotifExclusion']);
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$libellemotifRejet = $this->nettoyer($prestation['libellemotifRejet']);
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$libellemotifRejet = $this->echapper($libellemotifRejet);
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$libelleMotifExclusion = $this->nettoyer($prestation['libelleMotifExclusion']);
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$libelleMotifExclusion = $this->echapper($libelleMotifExclusion);
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$ententePrealable =$this->nettoyer($prestation['ententePrealable']);
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$autorisation =$this->nettoyer($prestation['autorisation']);
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?>
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<?php if($ententePrealable=='2' || $autorisation=='2'): ?>
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<tr valign="top" style="background-color: yellow;">
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<?php elseif($ententePrealable=='1' || $autorisation=='1'): ?>
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<tr valign="top" style="background-color: #00ff00;">
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<?php elseif($ententePrealable=='9' || $autorisation=='9'): ?>
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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 align='center' width="17%" > <?= $this->dechapper($libelleActe) ?> </td>
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<td align='center' width="9%" > <?= format_N($this->nettoyer($prestation['fraisReel'])) ?> </td>
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<td align='center' width="7%" > <?= format_N($this->nettoyer($prestation['montantRejete'])) ?> </td>
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<td align='center' width="17%" > <?= $libellemotifRejet ?> </td>
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<td width="3%" align="center">
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<?php if($montantRejete!='0'): ?>
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<input style='text-align:center; font-size:8pt; background-color: yellow;' type="button" value="Obs" class="form-control"
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onClick='javascript:consulter_detail_rejet_rbcl(<?= $idPrestation ?>);'>
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<?php endif; ?>
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</td>
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<td align='center' width="7%" > <?= format_N($this->nettoyer($prestation['fraisExclu'])) ?> </td>
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<td align='center' width="17%" > <?= $libelleMotifExclusion ?> </td>
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<td width="3%" align="center">
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<?php if($fraisExclu!='0'): ?>
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<input style='text-align:center; font-size:8pt; background-color: red; color : white' type="button" value="Obs" class="form-control"
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onClick='javascript:consulter_detail_exclusion_rbcl(<?= $idPrestation ?>);'>
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<?php endif; ?>
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</td>
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<td align='center' style='color:red;' width="4%" > <?= $this->nettoyer($prestation['tm']) ?> </td>
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<td align='center' style='color:red;' width="7%" > <?= format_N($this->nettoyer($prestation['montantTm'])) ?> </td>
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<td align='center' width="9%" > <?= format_N($this->nettoyer($prestation['montantArembourser'])) ?> </td>
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</tr>
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<?php endforeach; ?>
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</tbody>
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</table>
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</div>
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</div>
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<div id="div_detail_rejet">
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</div>
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