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calebasse / calebasse / dossiers / templates / dossiers / patientrecord_tab2_fiche_adm.html @ 54318d2c

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{% extends 'dossiers/patientrecord_tab.html' %}
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{% load dossiers %}
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{% block content %}
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<div id="tabs-2">
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  <form method="post" action="tab2" id="administrative-form" class="patientrecordform">{% csrf_token %}
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    <p><button class="save enable-on-change">Enregistrer</button></p>
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    <div class="frame inline">
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      <h3>État civil</h3>
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      <table class="basic">
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        <tbody>
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        {% get_fieldset last_name,first_name,birthplace,birthdate,gender,nationality as id_fields from form %}
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        {% for field in id_fields %}
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        <tr>
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          <td class="width-limited">{{ field.label_tag }}</td>
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          <td>{{ field }}</td>
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          <td>{{ field.errors }}</td>
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        </tr>
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        {% endfor %}
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        </tbody>
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      </table>
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      <input type="hidden"  name="tab"  value="1">
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    </div>
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    <div class="frame inline">
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      <h3>Inscription</h3>
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      <table class="basic">
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        <tbody>
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        {% get_fieldset analysemotive,familymotive,provenance,advicegiver,provenanceplace as inscription_fields from form %}
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        {% for field in inscription_fields %}
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        <tr><td class="width-limited">{{ field.label_tag }}</td><td>{{ field }}
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            <button type="button"
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              class="dialog-button"
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              data-url="../../ressources/{{ field.name }}/new/ #form-content"
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              data-default-button="Ajouter"
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              data-next-url="{{ request.get_full_path }}#tab=1"
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              data-add-select="#id_inscription-{{ field.name }}"
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              title="Ajouter un {{ field.label.lower }}"
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              type="button">+</button></td><td>{{ field.errors }}</td></tr>
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        {% endfor %}
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        </tbody>
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      </table>
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      <input type="hidden"  name="tab"  value="1">
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    </div>
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    <div class="frame inline">
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      <h3>Sortie</h3>
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      <table class="basic">
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        <tbody>
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        {% get_fieldset outmotive,outto as out_fields from form %}
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        {% for field in out_fields %}
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        <tr><td class="width-limited">{{ field.label_tag  }}</td><td>{{ field }}
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            <button type="button"
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              class="dialog-button"
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              data-url="../../ressources/{{ field.name }}/new/ #form-content"
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              data-default-button="Ajouter"
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              data-next-url="{{ request.get_full_path }}#tab=1"
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              data-add-select="#id_out-{{ field.name }}"
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              title="Ajouter un {{ field.label.lower }}"
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              type="button">+</button></td><td>{{ field.errors }}</td></tr>
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        {% endfor %}
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        </tbody>
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      </table>
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      <input type="hidden"  name="tab"  value="1">
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    </div>
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    <div class="frame inline">
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      <h3>Famille</h3>
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      <table class="basic">
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        <tbody>
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        <tr><td class="width-limited">{{ form.sibship_place.label_tag  }}</td><td>{{ form.sibship_place }}</td><td>{{ form.sibship_place.errors }}</td></tr>
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        <tr><td class="width-limited">{{ form.nb_children_family.label_tag  }}</td><td>{{ form.nb_children_family }}</td><td>{{ form.nb_children_family.errors }}</td></tr>
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        <tr><td class="width-limited"><label>Rang (gémellité) :  </label></td><td>{{ object.twinning_rank|default_if_none:"Aucun" }}</td><td></td></tr>
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        {% get_fieldset parental_authority,family_situation,child_custody,job_mother,job_father,rm_mother,rm_father as familly_fields from form %}
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        {% for field in familly_fields %}
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        <tr>
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          <td class="width-limited">{{ field.label_tag }}</td><td>{{ field }}
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            <button type="button"
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              class="dialog-button"
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              data-url="../../ressources/parentalauthoritytype/new/ #form-content"
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              data-default-button="Ajouter"
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              data-next-url="{{ request.get_full_path }}#tab=1"
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              data-add-select="#id_family-parental_authority"
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              title="Ajouter {{ field.label.lower }}">+</button></td><td>{{ field.errors }}</td>
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        </tr>
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        {% endfor %}
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        <tr><td class="width-limited">{{ form.family_comment.label_tag  }}</td><td>{{ form.family_comment }}</td><td>{{ form.family_comment.errors }}</td></tr>
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        </tbody>
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      </table>
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      <input type="hidden"  name="tab"  value="1">
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    </div>
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    <div class="frame inline">
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      <h3>Transport</h3>
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      <table class="basic">
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        <tbody>
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        {% get_fieldset transporttype,transportcompany,simple_appointment_transport,periodic_appointment_transport as transport_fields from form %}
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        {% for field in transport_fields %}
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        <tr><td class="width-limited">{{ field.label_tag }}</td><td>{{ field }}
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            <button type="button"
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              class="dialog-button"
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              data-url="../../ressources/{{ field.name }}/new/ #form-content"
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              data-default-button="Ajouter"
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              data-next-url="{{ request.get_full_path }}#tab=1"
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              data-add-select="#id_transport-{{ field.name }}"
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              title="Ajouter {% if field.label.lower == "type de transport" %}un{% else %}une{% endif %} {{ field.label.lower }}">+</button></td><td>{{ field.errors }}</td></tr>
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        {% endfor %}
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        </tbody>
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      </table>
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      <br/>
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      <table>
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        <tr>
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          <td><!--<button id="attestation-transport-btn">Attestation de transport</button>--></td><td><button id="prescription-transport-btn">Prescription de transport</button></td>
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        </tr>
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        <tr>
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          <td></td>
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          <td>{% if last_prescription %} Dernière prescription le {{ last_prescription.created }}{% endif %}</td>
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        </tr>
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      </table>
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    </div>
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    <div class="frame inline">
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      <h3>Suivi du patient</h3>
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      <table class="basic">
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        <tbody>
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        <tr><td class="width-limited">{{ form.coordinators.label_tag  }}</td><td>{{ form.coordinators }}</td><td>{{ form.coordinators.errors }}</td></tr>
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        <tr><td class="width-limited">{{ form.externaldoctor.label_tag  }}</td><td>{{ form.externaldoctor }}
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            <button type="button"
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              class="dialog-button"
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              data-url="../../personnes/externaltherapist/new/ #form-content"
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              data-default-button="Ajouter"
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              data-next-url="{{ request.get_full_path }}#tab=1"
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              data-add-select="#id_followup-externaldoctor"
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              title="Ajouter un médecin extérieur">+</button></td><td>{{ form.externaldoctor.errors }}</td></tr>
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        <tr><td class="width-limited">{{ form.externalintervener.label_tag  }}</td><td>{{ form.externalintervener }}
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            <button type="button"
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              class="dialog-button"
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              data-url="../../personnes/externalworker/new/ #form-content"
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              data-default-button="Ajouter"
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              data-next-url="{{ request.get_full_path }}#tab=1"
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              data-add-select="#id_followup-externalintervener"
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              title="Ajouter un intervenant extérieur">+</button></td><td>{{ form.externalintervener.errors }}</td></tr>
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        </tbody>
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      </table>
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    </div>
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    <input type="hidden"  name="tab"  value="1">
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    <p><button class="save enable-on-change">Enregistrer</button></p>
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  </form>
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  <div class="frame">
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    <h3>Mesures de protection</h3>
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    <p><button id="new-protection-btn">Nouvelle mesure de protection</button></p>
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    {% for protection in object.protectionstate_set.all %}
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    <div class="subframe">
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      Depuis le {{ protection.start_date }} : {{ protection.status.name }}
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      <div class="buttons">
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        <button type="button" data-id="{{ protection.id }}" class="del-protection icon-minus" title="Supprimer"></button>
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        <button type="button" data-id="{{ protection.id }}" class="update-protection-btn icon-edit" title="Modifier"></button>
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      </div>
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      <div>
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        <ul>
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          {% if protection.end_date %}<li><label>Date de fin</label> : {{ protection.end_date }}</li>{% endif %}
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          {% if protection.comment %}<li><label>Commentaire</label> : {{ protection.comment }}</li>{% endif %}
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        </ul>
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      </div>
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    </div>
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    {% endfor %}
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  </div>
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</div>
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{% endblock %}
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