Produits Entr'ouvert » Calebasse

<form method="post" id="policyholder-form" class="patientrecordform">{% csrf_token %}

<div class="contact patient">

<h4>{{ object.first_name }} <span class="lastname">{{ object.last_name }}</span> (Patient)</h4>

{% if nb_place_of_lifes > 1 %}

<p>{{ nb_place_of_lifes }} lieux de vie</p>

{% endif %}

<div class="right">Assuré

<input type="radio"

{% if object.policyholder.id == object.id %} checked="checked" {% endif %}

id="id_policyholder-policyholder_{{ object.id }}"

value="{{ object.id }}"

class="policyholder-radio"

name="policyholder-policyholder">

<button type="button" data-id="{{ object.id }}" class="update-contact-btn icon-edit" title="Modifier"></button>

</div>

<div>

<ul>

{% if object.parente %}

<li><label>Lien avec le patient :</label>

{{ object.parente }}</li>

{% endif %}

{% if object.parental_authority %}

<li><label>Garde parental :</label>

{{ object.parental_authority }}</li>

{% endif %}

{% if object.mobile %}

<li>

<span class="icon-user-space">{{ object.mobile }} (perso)</span>

</li>

{% endif %}

{% if object.phone %}

<li>

<span class="icon-user-space">{{ object.phone }} (pro)</span>

</li>

{% endif %}

{% if object.email %}

<li>

<label>Courriel :</label>

{{ object.email }}

</li>

{% endif %}

{% if object.job %}

<li>

<label>Profession :</label>

{{ object.job }}

</li>

{% endif %}

</ul>

<div id="social-security-contact">

<label id="social-security-label">Données d'assuré social [+]</label>

<ul>

{% if object.social_security_id %}

<li><label>Numéro d'assuré social :</label>

{{ object.social_security_id }} {{ object.get_control_key }}</li>

{% endif %}

{% if object.birthdate %}

<li><label>Date de naissance :</label>

{{ object.birthdate|date:"SHORT_DATE_FORMAT" }}</li>

{% endif %}

{% if object.birthplace %}

<li><label>Lieu de naissance :</label>

{{ object.birthplace }}</li>

{% endif %}

{% if object.begin_rights %}

<li><label>Début de droits :</label>

{{ object.begin_rights }}</li>

{% endif %}

{% if object.end_rights %}

<li><label>Fin de droits :</label>

{{ object.end_rights }}</li>

{% endif %}

{% if object.health_center %}

<li><label>Caisse :</label>

{{ object.health_center }} ({{ object.health_center.address }} {{ object.health_center.address_complement }} {{ object.health_center.zip_code }} {{ object.health_center.city }})</li>

{% endif %}

{% if object.other_health_center %}

<li><label>Centre spécifique :</label>

{{ object.other_health_center }}</li>

{% endif %}

{% if object.management_code %}

<li><label>Code de gestion :</label>

{{ object.management_code }}</li>

{% endif %}

<li><label>Tiers-payant :</label>

{% if object.thirdparty_payer %}

Oui

{% else %}

Non

{% endif %}

</li>

{% if object.twinning_rank %}

<li><label>Rang (gémellité) :</label>

{{ object.twinning_rank }}</li>

{% endif %}

</ul>

</div>

<hr>

<span>

<form method="post" id="contact-form">{% csrf_token %}

<label>Commentaire </label> <button class="save enable-on-change" id="btn-maj">✔</button><br/>

{{ forms.contact.contact_comment }}

</span>

</form>

</div>

</div>

<button type="button" id="new-address-btn">Nouvelle adresse</button>

<button type="button" id="new-contact-btn">Nouveau contact</button>

{% for contact in object.contacts.all %}

{% if not contact.addresses.all %}

<div class="contact">

<h4>{% if contact.gender == 1 %}M.{% elif contact.gender == 2 %}Mme{% endif %}

{{ contact.first_name }} <span class="lastname">{{ contact.last_name }}</span> {% if contact.id == object.id %} (PATIENT){% endif %}</h4>

<div class="right">Assuré

<input type="radio"

{% if object.policyholder.id == contact.id %} checked="checked" {% endif %}

id="id_policyholder-policyholder_{{ contact.id }}"

value="{{ contact.id }}"

class="policyholder-radio"

name="policyholder-policyholder">

<button type="button" data-id="{{ contact.id }}" data-address-id="{{ address.id }}" class="del-contact icon-minus" title="Supprimer"></button>

<button type="button" data-id="{{ contact.id }}" class="update-contact-btn icon-edit" title="Modifier"></button>

</div>

<div>

<ul>

{% if contact.parente %}

<li><label>Lien avec le patient :</label>

{{ contact.parente }}</li>

{% endif %}

{% if contact.mobile %}

<li>

<span class="icon-user-space">{{ contact.mobile }} (perso)</span>

</li>

{% endif %}

{% if contact.phone %}

<li>

<span class="icon-user-space">{{ contact.phone }} (pro)</span>

</li>

{% endif %}

{% if contact.email %}

<li>

<label>Courriel :</label>

{{ contact.email }}

</li>

{% endif %}

{% if contact.job %}

<li>

<label>Profession :</label>

{{ contact.job }}

</li>

{% endif %}

{% if contact.contact_comment %}

<li>

<label>Commentaire :</label>

{{ contact.contact_comment }}

</li>

{% endif %}

<li><label>Données d'assuré social</label>

<!-- <button class="blind">détails</button>-->

<ul>

{% if contact.social_security_id %}

<li><label>Numéro d'assuré social :</label>

{{ contact.social_security_id }} {{ contact.get_control_key }}</li>

{% endif %}

{% if contact.birthdate %}

<li><label>Date de naissance :</label>

{{ contact.birthdate|date:"SHORT_DATE_FORMAT" }}</li>

{% endif %}

{% if contact.birthplace %}

<li><label>Lieu de naissance :</label>

{{ contact.birthplace }}</li>

{% endif %}

{% if contact.begin_rights %}

<li><label>Début de droits :</label>

{{ contact.begin_rights }}</li>

{% endif %}

{% if contact.end_rights %}

<li><label>Fin de droits :</label>

{{ contact.end_rights }}</li>

{% endif %}

{% if contact.health_center %}

<li><label>Centre de santé :</label>

{{ contact.health_center }} ({{ contact.health_center.address }} {{ contact.health_center.address_complement }} {{ contact.health_center.zip_code }} {{ contact.health_center.city }})</li>

{% endif %}

{% if contact.management_code %}

<li><label>Code de gestion :</label>

{{ contact.management_code }}</li>

{% endif %}

<li><label>Tiers-payant :</label>

{% if contact.thirdparty_payer %}

Oui

{% else %}

Non

{% endif %}

</li>

{% if contact.twinning_rank %}

<li><label>Rang (gémellité) :</label>

{{ contact.twinning_rank }}</li>

{% endif %}

</ul>

</li>

</ul>

</div>

</div>

{% endif %}

{% endfor %}

{% for address in addresses %}

<div class="frame">

<h3>{{ address }}</h3>

<div class="buttons">

<button type="button" data-id="{{ address.id }}" class="del-address icon-minus" title="Supprimer"></button>

<button type="button" data-id="{{ address.id }}" class="update-address-btn icon-edit" title="Modifier"></button>

</div>

<div class="right">

<ul class="ajax_messages" style="display: none;"></ul>

<input type="checkbox" data-id="{{ address.id }}" class="place_of_life" {% if address.place_of_life %}checked{% endif %}>Lieu de vie</input>

</div>

{% if address.phone %}<p><span class="icon-home-space">{{ address.phone }}</span></p>{% endif %}

{% if address.comment %}<p><label>Commentaire :</label>{{ address.comment }}</p>{% endif %}

{% if not address.phone and not address.comment %}<p>&nbsp;<!-- intentionaly empty --></p>{% endif %}

{% for contact in address.patientcontact_set.all %}

{% if contact.id != object.id %}

<div class="contact">

<h4>{% if contact.gender == 1 %}M.{% elif contact.gender == 2 %}Mme{% endif %}

{{ contact.first_name }} <span class="lastname">{{ contact.last_name }}</span> {% if contact.id == object.id %} (PATIENT){% endif %}</h4>

<div class="right">Assuré

<input type="radio"

{% if object.policyholder.id == contact.id %} checked="checked" {% endif %}

id="id_policyholder-policyholder_{{ contact.id }}"

value="{{ contact.id }}"

class="policyholder-radio"

name="policyholder-policyholder">

<button type="button" data-id="{{ contact.id }}" data-address-id="{{ address.id }}" class="del-contact icon-minus" title="Supprimer"></button>

<button type="button" data-id="{{ contact.id }}" class="update-contact-btn icon-edit" title="Modifier"></button>

</div>

<div>

<ul>

{% if contact.parente %}

<li><label>Lien avec le patient :</label>

{{ contact.parente }}</li>

{% endif %}

{% if contact.mobile %}

<li>

<span class="icon-user-space">{{ contact.mobile }} (perso)</span>

</li>

{% endif %}

{% if contact.phone %}

<li>

<span class="icon-user-space">{{ contact.phone }} (pro)</span>

</li>

{% endif %}

{% if contact.email %}

<li>

<label>Courriel :</label>

{{ contact.email }}

</li>

{% endif %}

{% if contact.job %}

<li>

<label>Profession :</label>

{{ contact.job }}

</li>

{% endif %}

{% if contact.contact_comment %}

<li>

<label>Commentaire :</label>

{{ contact.contact_comment }}

</li>

{% endif %}

<li><label>Données d'assuré social</label>

<!-- <button class="blind">détails</button> -->

<ul>

{% if contact.social_security_id %}

<li><label>Numéro d'assuré social :</label>

{{ contact.social_security_id }} {{ contact.get_control_key }}</li>

{% endif %}

{% if contact.birthdate %}

<li><label>Date de naissance :</label>

{{ contact.birthdate|date:"SHORT_DATE_FORMAT" }}</li>

{% endif %}

{% if contact.birthplace %}

<li><label>Lieu de naissance :</label>

{{ contact.birthplace }}</li>

{% endif %}

{% if contact.begin_rights %}

<li><label>Début de droits :</label>

{{ contact.begin_rights }}</li>

{% endif %}

{% if contact.end_rights %}

<li><label>Fin de droits :</label>

{{ contact.end_rights }}</li>

{% endif %}

{% if contact.health_center %}

<li><label>Centre de santé :</label>

{{ contact.health_center }} ({{ contact.health_center.address }} {{ contact.health_center.address_complement }} {{ contact.health_center.zip_code }} {{ contact.health_center.city }})</li>

{% endif %}

{% if contact.management_code %}

<li><label>Code de gestion :</label>

{{ contact.management_code }}</li>

{% endif %}

<li><label>Tiers-payant :</label>

{% if contact.thirdparty_payer %}

Oui

{% else %}

Non

{% endif %}

</li>

{% if contact.twinning_rank %}

<li><label>Rang (gémellité) :</label>

{{ contact.twinning_rank }}</li>

{% endif %}

</ul>

</li>

</ul>

</div>

</div>

{% endif %}

{% endfor %}

</div>

{% endfor %}

</form>