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@ -10,8 +10,10 @@
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$numeroBeneficiaire = $this->nettoyer($demande['numeroBeneficiaire']);
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$observation = $this->nettoyer($demande['observation']);
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$codeStatutPaiement = $this->nettoyer($demande['codeStatutPaiement']);
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$beneficiaireNom = $this->nettoyer($demande['beneficiaire']);
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$beneficiaireNom = $this->nettoyer($demande['beneficiaire']);
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$beneficiaire = $this->nettoyer($demande['beneficiaire']);
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$adherent = $this->nettoyer($demande['adherent']);
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$numeroAdherent = $this->nettoyer($demande['numeroAdherent']);
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if (est_anglophone()){
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$lien = $this->nettoyer($demande['lienEng']);
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@ -20,47 +22,72 @@
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?>
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<div id="div_liste" class="card shadow-lg border-0 mb-4" style="border-radius: 15px;">
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<div class="card-header py-3" style="border-radius: 15px 15px 0 0;">
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<div class="d-flex justify-content-between align-items-center text-primary">
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<div class="card-header bg-primary text-white py-3" style="border-radius: 15px 15px 0 0;">
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<div class="d-flex justify-content-between align-items-center">
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<h1 class="mb-0">
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<i class="fas <?= ($idDemandeRemboursement > 0) ? 'fa-file-invoice-dollar' : 'fa-plus-circle' ?> me-2"></i>
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<?= ($idDemandeRemboursement > 0) ? _("Détails du Remboursement") : _("Nouvelle Demande") ?>
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</h1>
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<?php if($idDemandeRemboursement > 0): ?>
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<span class="badge bg-white text-primary fs-6">N° <?= $numeroDemandeRemboursement ?></span>
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<?php endif; ?>
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</h1>
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</div>
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</div>
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<div class="card-body p-4">
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<div class="row g-4 mb-4">
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<div class="col-md-7">
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<div class="p-3 border rounded bg-light">
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<h6 class="text-muted text-uppercase small fw-bold mb-3 border-bottom pb-2">
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<i class="fas fa-user-injured me-2"></i><?= _("Bénéficiaire des soins") ?>
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</h6>
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<div class="row g-3">
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<div class="col-md-8">
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<label class="form-label small text-muted mb-0"><?= _("Patient") ?></label>
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<div class="fw-bold fs-6"><?= $beneficiaireNom ?></div>
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</div>
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<div class="col-md-4">
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<label class="form-label small text-muted mb-0"><?= _("Lien") ?></label>
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<div class="fw-bold py-1 px-2 bg-white border rounded text-center small text-primary" id="div_lien">
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<?= $lien ?: '--' ?>
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</div>
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</div>
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<div class="col-12">
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<label class="form-label small text-muted mb-0"><?= _("Commentaire / Motif du patient") ?></label>
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<p class="mb-0 italic text-dark bg-white p-2 border rounded-1 small">
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<?= $observation ?: _("Aucun commentaire fourni.") ?>
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</p>
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</div>
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</div>
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</div>
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</div>
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<div class="p-3 border rounded bg-light shadow-sm">
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<h6 class="text-muted text-uppercase small fw-bold mb-3 border-bottom pb-2">
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<i class="fas fa-id-card me-2 text-primary"></i><?= _("Identification du dossier") ?>
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</h6>
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<div class="row g-3">
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<div class="col-12 mb-2">
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<label class="form-label small text-muted mb-0"><?= _("Adhérent Principal (Titulaire)") ?></label>
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<div class="d-flex align-items-center bg-white border rounded p-2">
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<div class="flex-shrink-0">
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<div class="bg-primary-subtle text-primary rounded-circle d-flex align-items-center justify-content-center" style="width: 35px; height: 35px;">
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<i class="fas fa-user-shield"></i>
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</div>
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</div>
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<div class="flex-grow-1 ms-3">
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<div class="fw-bold text-dark fs-6">
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<?= $adherent ?>
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<span class="badge bg-secondary ms-2 small fw-normal"><?= $numeroAdherent ?></span>
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</div>
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</div>
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</div>
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</div>
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<div class="col-md-8">
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<label class="form-label small text-muted mb-0"><?= _("Bénéficiaire des soins (Patient)") ?></label>
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<div class="flex-grow-1 ms-3">
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<div class="fw-bold text-dark fs-6">
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<?= $beneficiaire ?>
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<span class="badge bg-secondary ms-2 small fw-normal"><?= $numeroBeneficiaire ?></span>
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</div>
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</div>
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</div>
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<div class="col-md-4">
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<label class="form-label small text-muted mb-0"><?= _("Lien Parenté") ?></label>
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<div class="fw-bold py-2 px-2 bg-white border rounded text-center text-primary" id="div_lien">
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<i class="fas fa-users me-1 small"></i> <?= $lien ?: '--' ?>
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</div>
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</div>
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<div class="col-12">
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<label class="form-label small text-muted mb-0"><?= _("Commentaire du demandeur") ?></label>
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<div class="p-2 bg-white border rounded-1 small text-dark min-vh-10" style="min-height: 80px;">
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<?= $observation ?: '<span class="text-muted italic">' . _("Aucun commentaire fourni.") . '</span>' ?>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="col-md-5">
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<div class="card h-100 border-0 shadow-sm overflow-hidden">
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<div class="card-body p-0">
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