146 lines
7.3 KiB
PHP
Executable File
146 lines
7.3 KiB
PHP
Executable File
<?php $this->titre = "INTER SANTE - Consulter une entente préalable Pharmmacie";
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$idDemandeententeprealable = $this->nettoyer($ententeprealable['idDemandeententeprealable']);
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$codeReponseEntentePrealable = $this->nettoyer($ententeprealable['codeReponseEntentePrealable']);
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$numeroEntentePrealable = $this->nettoyer($ententeprealable['numeroEntentePrealable']);
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$facture = $this->nettoyer($ententeprealable['facture']);
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$libelleMedicament = $this->nettoyer($ententeprealable['libelleMedicament']);
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$codeMedicament = $this->nettoyer($ententeprealable['codeMedicament']);
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$fraisReelPhcie = $this->nettoyer($ententeprealable['fraisReelPhcie']);
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$numeroFeuilleMaladie = $this->nettoyer($ententeprealable['numeroFeuilleMaladie']);
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$numeroBeneficiaire = $this->nettoyer($ententeprealable['numeroBeneficiaire']);
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$codeMedecin = $this->nettoyer($ententeprealable['codeMedecin']);
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if ($codeMedicament=="MEDIC"){
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if (est_anglophone()){
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$libelleMedicament = "LIST OF PRESCRIBED MEDICATIONS";
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}else{
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$libelleMedicament = "LISTE DES MEDICAMENTS PRESCRITS";
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}
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}
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?>
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<form >
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<INPUT class="sr-only" TYPE="text" id="idDemandeententeprealable" name="idDemandeententeprealable" value="<?= $this->nettoyer($ententeprealable['idDemandeententeprealable']) ?>">
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<INPUT class="sr-only" TYPE="text" id="prestataire" name="prestataire" value="<?= $this->nettoyer($ententeprealable['prestataire']) ?>">
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<INPUT class="sr-only" TYPE="text" id="beneficiaire" name="beneficiaire" value="<?= $this->nettoyer($ententeprealable['beneficiaire']) ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire" value="<?= $this->nettoyer($ententeprealable['numeroBeneficiaire']) ?>">
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<INPUT class="sr-only" TYPE="text" id="libelleMedicament" name="libelleMedicament" value="<?= $this->nettoyer($ententeprealable['libelleMedicament']) ?>">
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<legend> <?= _("Consulter une entente préalable Pharmmacie") ?> </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%" > <?= _("No") ?> </td>
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<td width="20%"> <INPUT id="numeroEntentePrealable" name="numeroEntentePrealable" class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['numeroEntentePrealable']) ?>" readonly> </td>
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<td width="10%" align="center"> <?= _("Médicament") ?> </td>
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<td colspan="3">
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<?php if($codeMedicament=="MEDIC"): ?>
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<a style='font-size:13pt; white-space: nowrap; overflow: hidden; text-overflow: ellipsis;' href="javascript:afficherMedicamentsPrescrits('<?= $numeroFeuilleMaladie ?>');">
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<span style="display: block; color:#394d55; background-color:#eeeeee; border:1px solid #000; border-radius:3px;">
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<?= $libelleMedicament ?>
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</span>
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</a>
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<?php else: ?>
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<a style='font-size:13pt; white-space: nowrap; overflow: hidden; text-overflow: ellipsis;' href="javascript:afficherMedicamentsPrescrits('<?= $numeroFeuilleMaladie ?>');">
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<span style="display: block; color:#394d55; background-color:#eeeeee; border:1px solid #000; border-radius:3px;">
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<?= $libelleMedicament ?>
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</span>
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</a>
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<?php endif; ?>
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</td>
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</tr>
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<tr>
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<td> Date </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateheureLang($this->nettoyer($ententeprealable['dateSysteme'])) ?>" readonly> </td>
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<td align="center"> <?= _("Prestataire") ?> </td>
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<td colspan="3"> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['prestataire']) ?>" readonly> </td>
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</tr>
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<tr>
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<td > <?= _("Medecin Prescripteur") ?> </td>
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<td colspan="3"> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= 'N° ordre: '.$codeMedecin .' / '.$this->nettoyer($ententeprealable['medecin']) ?>" readonly> </td>
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<td align="center"> <?= _("Spécialité") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['specialite']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> <?= _("Bénéficiaire") ?> </td>
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<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['beneficiaire']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> <?= _("Répondu le") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateheureLang($this->nettoyer($ententeprealable['dateReponse'])) ?>" readonly> </td>
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<td align="center"> <?= _("Réponse") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['reponsentEnteprealable']) ?>" readonly> </td>
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<td align="center"> <?= _("Par") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['responsableAccord']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> <?= _("Motif Réel") ?> </td>
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<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['motifReel']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> <?= _("Motif Assuré") ?> </td>
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<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['motifRefusAssure']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> <?= _("Prix proposé") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= format_N($this->nettoyer($ententeprealable['prixPrestataire'])) ?>" readonly> </td>
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<td align="center"> <?= _("Prix Accordé") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= format_N($this->nettoyer($ententeprealable['prixAccorde'])) ?>" readonly> </td>
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<td align="center" > <?= _("T M") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($ententeprealable['tm']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> <?= _("Qté proposée") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= format_N($this->nettoyer($ententeprealable['quantitePrestataire'])) ?>" readonly> </td>
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<td align="center"> <?= _("Qté Accordée") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= format_N($this->nettoyer($ententeprealable['quantiteAccorde'])) ?>" readonly> </td>
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</tr>
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</tbody>
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</table>
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</form>
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<div id="div_info">
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<?php if($codeMedicament=="MEDIC"): ?>
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<p style='font-size:13pt;'>
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<span style="display: block; color:red; background-color:#eeeeee; border-radius:3px;">
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<?= _("NB: Le montant total des medicaments était ou est supérieur au montant indicatif.") ?>
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</span>
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</p>
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<?php endif; ?>
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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_medicaments_prescrits" class="modal fade" role="dialog">
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</div>
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<div id="div_historique_medicament" class="modal fade" role="dialog">
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</div>
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<p><a href="javascript:afficherHistoriqueMedicament('<?= $numeroBeneficiaire ?>');" style="font-size:16pt;"><span id="span_garantie" title="Cliquez sur le lien pour afficher ou masquer">Voir</span> les historiques</a></p>
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