107 lines
6.0 KiB
PHP
Executable File
107 lines
6.0 KiB
PHP
Executable File
<?php
|
|
$idDemande = $this->nettoyer($demande['id']);
|
|
$numeroDemandeRemboursement = $this->nettoyer($demande['numeroDemandeRemboursement']);
|
|
$codeEtatDemandeRemboursement = $this->nettoyer($demande['codeEtatDemandeRemboursement']);
|
|
$lien = $this->nettoyer($demande['lien']);
|
|
$numeroBeneficiaire = $this->nettoyer($demande['numeroBeneficiaire']);
|
|
$observation = $this->nettoyer($demande['observation']);
|
|
$codeStatutPaiement = $this->nettoyer($demande['codeStatutPaiement']);
|
|
$beneficiaire = $this->nettoyer($demande['beneficiaire']);
|
|
$adherent = $this->nettoyer($demande['adherent']);
|
|
$numeroAdherent = $this->nettoyer($demande['numeroAdherent']);
|
|
$idPolice = $this->nettoyer($demande['idPolice']);
|
|
$numeroPolice = $this->nettoyer($demande['numeroPolice']);
|
|
|
|
if (est_anglophone()){
|
|
$lien = $this->nettoyer($demande['lienEng']);
|
|
}
|
|
?>
|
|
|
|
<div class="modal-dialog modal-lg" role="document">
|
|
<div class="modal-content shadow-lg border-0">
|
|
<div class="modal-header bg-light border-bottom">
|
|
<h5 class="modal-title fw-bold text-primary">
|
|
<i class="fas fa-check-circle me-2"></i><?= _('Valider une demande') ?>
|
|
</h5>
|
|
<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
|
|
</div>
|
|
|
|
<div class="modal-body p-4">
|
|
<div id="div_motif">
|
|
<div class="mb-4">
|
|
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Référence de la demande") ?></label>
|
|
<div class="input-group shadow-sm">
|
|
<span class="input-group-text bg-white"><i class="fas fa-hashtag text-primary"></i></span>
|
|
<input class="form-control fw-bold" type="text" value="<?= $numeroDemandeRemboursement; ?>" disabled>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="row g-3 mb-4">
|
|
<div class="col-md-6">
|
|
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Titulaire (Adhérent)") ?></label>
|
|
<div class="input-group">
|
|
<span class="input-group-text bg-light"><i class="fas fa-user-shield"></i></span>
|
|
<input class="form-control small" type="text" value="<?= $adherent." (".$numeroAdherent.")"; ?>" disabled>
|
|
</div>
|
|
</div>
|
|
<div class="col-md-6">
|
|
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Patient (Bénéficiaire)") ?></label>
|
|
<div class="input-group">
|
|
<span class="input-group-text bg-light"><i class="fas fa-user"></i></span>
|
|
<input class="form-control small" type="text" value="<?= $beneficiaire." (".$numeroBeneficiaire.")"; ?>" disabled>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<hr class="text-muted opacity-25">
|
|
|
|
<div class="row g-3">
|
|
<?php if($codeStatutPaiement=="2"): ?>
|
|
<div class="col-12">
|
|
<label class="form-label fw-bold"><?= _("Décision de validation") ?> <span class="text-danger">*</span></label>
|
|
<select class="form-select border-primary" id="codeStatutPaiementAjax" name="codeStatutPaiementAjax">
|
|
<?php liste_options($reponsedemande, $codeStatutPaiement); ?>
|
|
</select>
|
|
</div>
|
|
|
|
<div class="col-12">
|
|
<label class="form-label fw-bold"><?= _("Motif ou Observation") ?></label>
|
|
<textarea class="form-control"
|
|
placeholder="<?= _("Saisissez ici le motif (obligatoire en cas de refus)..."); ?>"
|
|
name="motifRejetRh"
|
|
id="motifRejetRh"
|
|
rows="4"></textarea>
|
|
</div>
|
|
<?php else: ?>
|
|
<div class="col-12">
|
|
<label class="form-label fw-bold"><?= _("Décision de validation") ?> <span class="text-danger">*</span></label>
|
|
<select class="form-control border-primary" id="codeStatutPaiementAjax" name="codeStatutPaiementAjax" disabled>
|
|
<?php liste_options($reponsedemande, $codeStatutPaiement); ?>
|
|
</select>
|
|
</div>
|
|
|
|
<div class="col-12">
|
|
<label class="form-label fw-bold"><?= _("Motif ou Observation") ?></label>
|
|
<textarea class="form-control"
|
|
placeholder="<?= _("Saisissez ici le motif (obligatoire en cas de refus)..."); ?>"
|
|
name="motifRejetRh"
|
|
id="motifRejetRh"
|
|
rows="4" disabled></textarea>
|
|
</div>
|
|
<?php endif; ?>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="modal-footer bg-light">
|
|
<?php if($codeStatutPaiement=="2"): ?>
|
|
<button type="button" class="btn btn-outline-secondary px-4" data-bs-dismiss="modal"><?= _("Annuler") ?></button>
|
|
<button type="button" class="btn btn-primary px-5 shadow" onClick="javascript:enregistrer_validation_rd(<?= $idDemande ?>);">
|
|
<i class="fas fa-save me-2"></i><?= _("Enregistrer la décision") ?>
|
|
</button>
|
|
<?php else: ?>
|
|
<button type="button" class="btn btn-outline-secondary px-4" data-bs-dismiss="modal"><?= _("Fermer") ?></button>
|
|
<?php endif; ?>
|
|
</div>
|
|
</div>
|
|
</div>
|