182 lines
8.6 KiB
PHP
Executable File
182 lines
8.6 KiB
PHP
Executable File
<?php $this->titre = "Intersanté - Feuillemaladie";
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$facture = $feuillemaladie['facture'];
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$numeroDerogation = $feuillemaladie['numeroDerogation'];
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$numeroDerogationFinger = $feuillemaladie['numeroDerogationFinger'];
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$codeAffection = $this->nettoyer($feuillemaladie['codeAffection']);
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if (isset($_SESSION['lang']) && $_SESSION['lang']=="en_US")
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{
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$libelleAffection = $this->nettoyer($feuillemaladie['libelleAffectionEng']);
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}
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else
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{
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$libelleAffection = $this->nettoyer($feuillemaladie['libelleAffection']);
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}
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?>
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<script type="text/javascript">
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</script>
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<input class="sr-only" type="text" id="facture" name="facture" value="<?= $this->nettoyer($feuillemaladie['facture']) ?>" >
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<input class="sr-only" type="text" id="prixActe" name="prixActe" value="<?= $this->nettoyer($feuillemaladie['fraisRetenu']) ?>" >
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<input class="sr-only" type="text" id="cout" name="cout" value="<?= $this->nettoyer($feuillemaladie['fraisReel']) ?>" >
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<input class="sr-only" type="text" id="montantTm" name="montantTm" value="<?= $this->nettoyer($feuillemaladie['montantTm']) ?>" >
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<input style='text-align:center; font-size:11pt;' class="form-control" type="text" value= "Informations sur la feuille maladie N° : <?= $feuillemaladie['numeroFeuilleMaladie'] ?> => Prestataire : <?= $_SESSION['prestataire_C'] ?>" readonly >
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<table class="table table-responsive table-condensed" style='font-size:8pt;'>
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<tbody>
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<tr>
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<td width="8%" > Date Consul. </td>
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<td width="17%" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= dateFr($this->nettoyer($feuillemaladie['dateConsultation'])) ?>" readonly> </td>
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<td width="8%" align="center"> Date Surv. </td>
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<td width="17%" ><INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= dateFr($this->nettoyer($feuillemaladie['dateSurvenance'])) ?>" readonly></td>
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<td width="8%" align="center">Date Système</td>
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<td width="17%" ><INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= dateheureFr($this->nettoyer($feuillemaladie['dateSysteme'])) ?>" readonly ></td>
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<td width="8%" align="center">Cons / Ord </td>
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<td width="8%" align="center" style='font-size:10pt; background-color:blue;color:white;'> <?= $feuillemaladie['numeroBonConsultation'] ?> </td>
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<td width="1%"> </td>
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<td width="8%" align="center" style='font-size:10pt; background-color:blue;color:white;'> <?= $feuillemaladie['numeroBonOrdonnance'] ?> </td>
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</tr>
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<tr>
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<td>Méd. Consul.</td>
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<td colspan="3"><INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $feuillemaladie['medecinConsultation'] ?>" readonly ></td>
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<td align="center"> Raison Cons. </td>
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<td><INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $feuillemaladie['raisonconsultation'] ?>" readonly ></td>
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<td align="center"> Exam / Kine </td>
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<td align="center" style='font-size:10pt; background-color:blue;color:white;'> <?= $feuillemaladie['numeroBonExamen'] ?> </td>
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<td width="1%"> </td>
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<td align="center" style='font-size:10pt; background-color:blue;color:white;'> <?= $feuillemaladie['numeroBonKine'] ?> </td>
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</tr>
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<tr>
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<td> Frais Réel </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($feuillemaladie['fraisReel'])) ?>" readonly ></td>
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<td align="center" > Tick Modér. </td>
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<td><INPUT style='font-size:10pt; color:red;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($feuillemaladie['montantTm'])) ?>" readonly ></td>
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<td align="center"> A rembourser</td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($feuillemaladie['montantArembourser'])) ?>" readonly ></td>
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<td align="center">Opt / Hosp </td>
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<td align="center" style='font-size:10pt; background-color:blue;color:white;'> <?= $feuillemaladie['numeroBonOptique'] ?> </td>
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<td width="1%"> </td>
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<td align="center" style='font-size:10pt; background-color:blue;color:white;'> <?= $feuillemaladie['numeroBonHospitalisation'] ?> </td>
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</tr>
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<tr>
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<td> Frais Retenus </td>
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<td><INPUT style='font-size:10pt; color:blue;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($feuillemaladie['fraisRetenu'])) ?>" readonly ></td>
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<td align="center"> Observat. </td>
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<td colspan="3"><INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $feuillemaladie['observations'] ?>" readonly ></td>
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<td align="center"> Dépass. </td>
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<td colspan="3"><INPUT style='font-size:10pt; color:red;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($feuillemaladie['fraisExclu'])) ?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Affection") ?> </td>
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<td colspan="5">
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<INPUT style='font-size:10pt; text-align:center;' class="form-control" TYPE="text" value="<?= $libelleAffection ?>" readonly >
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</td>
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<td align="center"> <?= _("IdFacture") ?> </td>
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<td colspan="3">
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<INPUT style='font-size:10pt; text-align:center;' class="form-control" TYPE="text" value="<?= $feuillemaladie['idFactureFeuille'] ?>" readonly >
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</td>
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</tr>
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</tbody>
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</table>
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<?php if ($facture=="1"): ?>
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<div id ="msgErreur" class="alert alert-success">
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<H4><?= "Facturée" ?></H4>
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</div>
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<?php else : ?>
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<div id ="msgErreur" class="alert alert-danger">
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<H4><?= "Non Facturée !" ?></H4>
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</div>
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<?php endif; ?>
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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 width="10%" style="text-align:center"> date </th>
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<th width="38%" colspan="2" style="text-align:center"> Acte </th>
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<th width="20%" style="text-align:center" > Médecin </th>
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<th width="7%" style="text-align:center"> Valeur </th>
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<th width="3%" style="text-align:center"> Qtité </th>
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<th width="7%" style="text-align:center"> Frais </th>
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<th width="5%" style="text-align:center"> T M </th>
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<th width="7%" style="text-align:center"> A Rmb </th>
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</tr>
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</thead>
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<tfoot>
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<tr>
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<td colspan="6" style='text-align:center'> Total actes</td>
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<td align='center'><?= format_N($this->nettoyer($feuillemaladie['fraisReel'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($feuillemaladie['montantTm'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($feuillemaladie['montantArembourser'])) ?></td>
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</tr>
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</tfoot>
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<tbody>
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<?php foreach ($prestations as $prestation):
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$idPrestationactes=$this->nettoyer($prestation['id']);
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$codeTypePrestation=$this->nettoyer($prestation['codeTypePrestation']);
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$ententePrealable=$this->nettoyer($prestation['ententePrealable']);
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$autorisation=$this->nettoyer($prestation['autorisation']);
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?>
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<?php if($ententePrealable=='2' || $autorisation=='2'): ?>
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<tr valign="top" style="background-color: yellow;">
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<?php elseif($ententePrealable=='1' || $autorisation=='1'): ?>
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<tr valign="top" style="background-color: #00ff00;">
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<?php elseif($ententePrealable=='9' || $autorisation=='9'): ?>
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<tr valign="top" style="background-color: red;color:white;">
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<?php else: ?>
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<tr valign="top">
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<?php endif; ?>
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<td align='center'> <?= dateheureFr($this->nettoyer($prestation['dateSysteme'])) ?> </td>
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<td align='center'> <?= $codeTypePrestation ?> </td>
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<td align='center'> <?= $this->nettoyer($prestation['libelleActe']) ?> </td>
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<td align='center'> <?= $this->nettoyer($prestation['medecinActe']) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($prestation['valeurActe'])) ?></td>
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<td align='center'> <?= $this->nettoyer($prestation['quantite']) ?></td>
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<td align='center'> <?= format_N($this->nettoyer($prestation['fraisReel'])) ?></td>
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<td align='center'> <?= format_N($this->nettoyer($prestation['montantTm'])) ?></td>
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<td align='center'> <?= format_N($this->nettoyer($prestation['montantArembourser'])) ?></td>
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</tr>
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<?php endforeach; ?>
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<tr style='background-color:white'>
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<td colspan="9" height="8"></td>
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</tr>
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</tbody>
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</table>
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<?php if ($numeroDerogation>"0"): ?>
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<div id ="msgDerogation" class="alert alert-danger">
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<H4> <?= "N° de dérogation soins hors réseau : ". $numeroDerogation ?></H4>
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</div>
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<?php endif; ?>
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<?php if ($numeroDerogationFinger>"0"): ?>
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<div id ="msgDerogation" class="alert alert-danger">
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<H4> <?= "N° de dérogation défaut FingerPrint : ". $numeroDerogationFinger ?></H4>
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</div>
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<?php endif; ?>
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