47 lines
1.9 KiB
PHP
Executable File
47 lines
1.9 KiB
PHP
Executable File
<?php
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$this->titre = "ISA WEB - Demande accord préalable proforma hospitalisation";
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?>
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<INPUT class="sr-only" TYPE="text" id="retour" NAME="retour" value="<?= $_SESSION['vueEntentePrealable'] ?>" readonly>
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<legend><?= _("DEMANDE ACCORD PREALABLE PROFORMA HOSPITALISATION CHIRURGICALE") ?></legend>
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="10%"> <?= _("Période du") ?> </td>
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<td width="15%"> <INPUT style='text-align:center; font-size:10pt;' class="form-control datepicker" TYPE="text" id="debut" NAME="debut" value="<?= dateLang($_SESSION['dUneSemaineAvant_C'], $_SESSION['lang']) ?>" required AUTOCOMPLETE="OFF" </td>
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<td width="5%" align="center"> <?= _("au") ?> </td>
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<td width="15%"> <INPUT style='text-align:center; font-size:10pt;' class="form-control datepicker" TYPE="text" id="fin" NAME="fin" value="<?= dateCouranteLang($_SESSION['lang']) ?>" required AUTOCOMPLETE="OFF"> </td>
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<td width="5%" align="center"> <?= _("Traité ?") ?> </td>
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<td>
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<SELECT class="form-control" id="demandeTraite" NAME="demandeTraite" style='font-size:10pt;'>
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<?php liste_options_consultation($ouinonattente, "0"); ?>
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</SELECT>
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</td>
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<td> </td>
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<td> <button style='font-size:10pt;' type="button" class="form-control btn btn-primary" onclick="javascript:listeententeprealablesproformahospi();"><?= _("Actualiser...") ?></button> </td>
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</tr>
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</tbody>
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</table>
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<div id="div_ententeprealable">
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</div>
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<div id="div_infos_beneficiaire" class="modal fade" role="dialog" data-backdrop="static" data-keyboard="false">
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</div>
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<div id="div_examens_prescrits" class="modal fade" role="dialog" data-backdrop="static" data-keyboard="false">
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</div>
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<div id="div_historique_prestation" class="modal fade" role="dialog" data-backdrop="static" data-keyboard="false">
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</div>
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