180 lines
7.6 KiB
PHP
Executable File
180 lines
7.6 KiB
PHP
Executable File
<?php
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$this->titre = "INTER SANTE - T M négocié pour un bénéficiaire et un acte chez un prestataire";
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?>
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<legend > <?= _("Ticket Modérateur négocié pour un bénéficiaire et un acte chez un prestataire") ?> </legend>
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<input class="sr-only" id="nomForm" name="nomForm" type="text" value= "tMbeneficiaireActePrestataire" >
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<input class="sr-only" id="idAssure" name="idAssure" type="text" value="<?= $idBeneficiaire ;?>" >
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<?php
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$adminSin = $_SESSION['adminSin'];
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?>
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<table class="table table-responsive" style='font-size:9pt;'>
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<tbody>
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<tr>
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<td width="8%" class="required"> <?= _("No Bénéficiaire") ?> </td>
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<td >
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<div >
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<input id="searchInput" name="searchInput" style="font-size:12pt; height:30px;" class="form-control" type="text" value="<?= $numeroBeneficiaire ;?>" autofocus required AUTOCOMPLETE="OFF">
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<div id="div_selection" class="div_selection_list">
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</div>
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</div>
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</td>
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<td width="10%" align="center"> <?= _("Nom et Prénoms") ?> </td>
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<td colspan="2">
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<input id="nomAssure" name="nomAssure" style="font-size:12pt; height:30px;" class="form-control" type="text" value="<?= $beneficiaire ;?>" readonly>
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</td>
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<td width="5%" align="center"> <?= _("Lien") ?> </td>
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<td width="5%">
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<input id="codeLienParente" name="codeLienParente" style="font-size:12pt; height:30px;" class="form-control" type="text" value="<?= $codeLienParente ;?>" readonly>
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</td>
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</tr>
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<tr>
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<td > <?= _("No Adhérent") ?> </td>
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<td >
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<input id="noAdherent" name="noAdherent" style="font-size:12pt; height:30px;" class="form-control" type="text" value="<?= $noAdherent ;?>" readonly>
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</td>
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<td align="center"> <?= _("Adhérent") ?> </td>
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<td colspan="4">
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<input id="nomAdherent" name="nomAdherent" style="font-size:12pt; height:30px;" class="form-control" type="text" value="<?= $nomAdherent ;?>" readonly>
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</td>
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</tr>
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<tr>
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<td > <?= _("Police") ?> </td>
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<td >
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<input id="nomPolice" name="nomPolice" style="font-size:12pt; height:30px;" class="form-control" type="text" value="<?= $nomPolice ;?>" readonly>
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</td>
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<td align="center"> <?= _("Collège") ?> </td>
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<td colspan="4">
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<input id="nomCollege" name="nomCollege" style="font-size:12pt; height:30px;" class="form-control" type="text" value="<?= $nomCollege ;?>" readonly>
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</td>
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</tr>
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<tr>
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<td width="8%" class="required"> <?= _("Acte") ?> </td>
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<td colspan="6">
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<input id="searchInputActe" name="searchInputActe" AUTOCOMPLETE="OFF" style="font-size:12pt; height:30px;" class="form-control" type="text" required AUTOCOMPLETE="OFF"
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onkeyup="javascript:affichelisteactes(this.value, 'acte');">
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<INPUT class="sr-only" TYPE="text" id="codeActe" NAME="codeActe" value="">
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<div id="div_selection_acte" style="width:92%">
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</div>
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</td>
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</tr>
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<tr>
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<td width="8%"> <?= _("Garantie") ?> </td>
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<td colspan="6">
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<select class="form-control selectpicker" data-live-search="true" id="codeGarantie" NAME="codeGarantie" autofocus style="font-size:10pt;">
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<?php liste_options($garanties, "", false); ?>
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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 width="8%" class="required"> <?= _("Prestataire") ?> </td>
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<td colspan="6">
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<input id="searchInputPrestataire" name="searchInputPrestataire" style="font-size:12pt; height:30px;" class="form-control" type="text" required AUTOCOMPLETE="OFF"
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onkeyup="javascript:affichelisteprestataires(this.value);">
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<INPUT class="sr-only" TYPE="text" id="codePrestataire" NAME="codePrestataire" value="">
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<div id="div_selection_prestataire" style="width:92%">
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</div>
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</td>
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</tr>
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<tr>
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<td width="8%" class="required"> <?= _("Date Effet") ?> </td>
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<td >
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<INPUT style='text-align:center; font-size:12pt;' class="form-control datepicker" TYPE="text" id="dateEffet"
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NAME="dateEffet" value="" onChange="javascript:controleDateEffetTmBeneficiaire();" required AUTOCOMPLETE="OFF">
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</td>
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<td width="10%" align="center" class="required"> <?= _("Ticket Modérateur") ?> </td>
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<td width="8%">
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<input id="tm" name="tm" style="font-size:12pt; height:30px; text-align:center;" class="form-control" type="number" min="0" max="100" value="" required AUTOCOMPLETE="OFF">
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</td>
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<td colspan="3">
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<input style='font-size:12pt;' id="btn_inserer" name="btn_inserer"
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class = "form-control btn btn-primary" type="button" value="<?= _("Insérer") ?>"
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onclick="javascript:inserer_tmbeneficiaireacteprestataire()">
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</td>
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</tr>
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</tbody>
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</table>
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<div id="div_effet_max">
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</div>
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<div id="div_liste_tm" >
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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style="font-size:8pt;">
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<thead >
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<tr >
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<th style='text-align:center; border: 2px solid #ddd;' colspan="2"> <?= _("Police") ?> </th>
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<th style='text-align:center; border: 2px solid #ddd;' colspan="2"> <?= _("Collège") ?> </th>
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<th style='text-align:center; border: 2px solid #ddd;' colspan="2"> <?= _("Bénéficiaire") ?> </th>
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<th style='text-align:center; border: 2px solid #ddd;' colspan="3"> <?= _("Prestataire") ?> </th>
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<th style='text-align:center; border: 2px solid #ddd;' colspan="2"> <?= _("Acte") ?> </th>
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<th style='text-align:center; border: 2px solid #ddd;' > <?= _("Effet") ?> </th>
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<th style='text-align:center; border: 2px solid #ddd;' width="10%"> <?= _("T M") ?> </th>
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<th style='text-align:center; border: 2px solid #fff;' width="10%"> <?= _("Suppr") ?> </th>
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</tr>
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</thead>
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<tbody>
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<tbody>
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<?php foreach ($tmbeneficiaire as $v):
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$idTm = $v['idTm'];
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$supprime = $v['supprime'];
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$codeGarantie = $v['codeGarantie'];
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$acte = $v['acte'];
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if (est_anglophone()){
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$acte = $v['acteEng'];
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}
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?>
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<?php if($supprime=='1'): ?>
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<tr valign="top" style="text-decoration: line-through red;">
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<?php else: ?>
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<tr valign="top">
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<?php endif; ?>
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<td style='border: 2px solid #ddd;' align="center"><?= $this->nettoyer($v['idPolice']); ?></td>
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<td style='border: 2px solid #ddd;'><?= $this->nettoyer($v['police']); ?></td>
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<td style='border: 2px solid #ddd;' align="center"><?= $this->nettoyer($v['idCollege']); ?></td>
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<td style='border: 2px solid #ddd;'><?= $this->nettoyer($v['college']); ?></td>
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<td style='border: 2px solid #ddd;' align="center"><?= $this->nettoyer($v['numeroBeneficiaire']); ?></td>
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<td style='border: 2px solid #ddd;'><?= $this->nettoyer($v['beneficiaire']); ?></td>
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<td style='border: 2px solid #ddd;' align="center"><?= $this->nettoyer($v['codeTypePrestataire']); ?></td>
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<td style='border: 2px solid #ddd;'><?= $this->nettoyer($v['prestataire']); ?></td>
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<td style='border: 2px solid #ddd;'><?= $this->nettoyer($v['localite']); ?></td>
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<td style='border: 2px solid #ddd;' align="center"><?= $codeGarantie; ?></td>
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<td style='border: 2px solid #ddd;'><?= $acte; ?></td>
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<td style='text-align:center; border: 2px solid #ddd;'><?= datefr($this->nettoyer($v['dateEffet'])); ?></td>
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<td style='text-align:center; border: 2px solid #ddd;'><?= $this->nettoyer($v['ticketModerateur']);?></td>
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<?php if($supprime=='0'): ?>
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<td>
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<button type="button" class="form-control btn btn-danger" onClick="javascript:supprimer_tmbeneficiaireacteprestataire(<?=$idTm?>,'<?=$adminSin ?>');">
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<i class="fa fa-times" aria-hidden="true"></i>
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</button>
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</td>
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<?php else: ?>
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<td> </td>
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<?php endif; ?>
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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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