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<form method="post" id="policyholder-form" class="patientrecordform">{% csrf_token %}
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<div class="contact patient">
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<h4>{{ object.first_name }} <span class="lastname">{{ object.last_name }}</span> (Patient)</h4>
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{% if nb_place_of_lifes > 1 %}
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<p>{{ nb_place_of_lifes }} lieux de vie</p>
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{% endif %}
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<div class="right">Assuré
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<input type="radio"
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{% if object.policyholder.id == object.id %} checked="checked" {% endif %}
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id="id_policyholder-policyholder_{{ object.id }}"
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value="{{ object.id }}"
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class="policyholder-radio"
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name="policyholder-policyholder">
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<button type="button" data-id="{{ object.id }}" class="update-contact-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 object.parente %}
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<li><label>Lien avec le patient :</label>
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{{ object.parente }}</li>
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{% endif %}
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{% if object.parental_authority %}
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<li><label>Garde parental :</label>
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{{ object.parental_authority }}</li>
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{% endif %}
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{% if object.mobile %}
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<li>
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<span class="icon-user-space">{{ object.mobile }} (perso)</span>
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</li>
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{% endif %}
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{% if object.phone %}
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<li>
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<span class="icon-user-space">{{ object.phone }} (pro)</span>
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</li>
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{% endif %}
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{% if object.email %}
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<li>
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<label>Courriel :</label>
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{{ object.email }}
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</li>
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{% endif %}
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{% if object.job %}
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<li>
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<label>Profession :</label>
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{{ object.job }}
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</li>
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{% endif %}
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{% if object.contact_comment %}
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<li>
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<label>Commentaire :</label>
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{{ object.contact_comment }}
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</li>
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{% endif %}
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<li><label>Données d'assuré social</label>
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<!-- <button class="blind">détails</button>-->
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<ul>
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{% if object.social_security_id %}
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<li><label>Numéro d'assuré social :</label>
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{{ object.social_security_id }} {{ object.get_control_key }}</li>
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{% endif %}
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{% if object.birthdate %}
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<li><label>Date de naissance :</label>
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{{ object.birthdate|date:"SHORT_DATE_FORMAT" }}</li>
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{% endif %}
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{% if object.birthplace %}
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<li><label>Lieu de naissance :</label>
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{{ object.birthplace }}</li>
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{% endif %}
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{% if object.begin_rights %}
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<li><label>Début de droits :</label>
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{{ object.begin_rights }}</li>
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{% endif %}
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{% if object.end_rights %}
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<li><label>Fin de droits :</label>
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{{ object.end_rights }}</li>
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{% endif %}
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{% if object.health_center %}
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<li><label>Caisse :</label>
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{{ object.health_center }} ({{ object.health_center.address }} {{ object.health_center.address_complement }} {{ object.health_center.zip_code }} {{ object.health_center.city }})</li>
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{% endif %}
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{% if object.other_health_center %}
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<li><label>Centre spécifique :</label>
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{{ object.other_health_center }}</li>
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{% endif %}
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{% if object.management_code %}
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<li><label>Code de gestion :</label>
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{{ object.management_code }}</li>
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{% endif %}
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<li><label>Tiers-payant :</label>
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{% if object.thirdparty_payer %}
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Oui
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{% else %}
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Non
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{% endif %}
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</li>
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{% if object.twinning_rank %}
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<li><label>Rang (gémellité) :</label>
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{{ object.twinning_rank }}</li>
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{% endif %}
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</ul>
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</li>
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</ul>
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<hr>
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<span>
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<form method="post" id="contact-form">{% csrf_token %}
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<label>Commentaire </label> <button class="save enable-on-change" id="btn-maj">✔</button><br/>
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{{ forms.contact.contact_comment }}
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</span>
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</form>
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</div>
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</div>
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<button type="button" id="new-address-btn">Nouvelle adresse</button>
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<button type="button" id="new-contact-btn">Nouveau contact</button>
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{% for contact in object.contacts.all %}
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{% if not contact.addresses.all %}
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<div class="contact">
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<h4>{% if contact.gender == 1 %}M.{% elif contact.gender == 2 %}Mme{% endif %}
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{{ contact.first_name }} <span class="lastname">{{ contact.last_name }}</span> {% if contact.id == object.id %} (PATIENT){% endif %}</h4>
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<div class="right">Assuré
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<input type="radio"
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{% if object.policyholder.id == contact.id %} checked="checked" {% endif %}
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id="id_policyholder-policyholder_{{ contact.id }}"
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value="{{ contact.id }}"
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class="policyholder-radio"
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name="policyholder-policyholder">
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<button type="button" data-id="{{ contact.id }}" data-address-id="{{ address.id }}" class="del-contact icon-minus" title="Supprimer"></button>
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<button type="button" data-id="{{ contact.id }}" class="update-contact-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 contact.parente %}
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<li><label>Lien avec le patient :</label>
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{{ contact.parente }}</li>
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{% endif %}
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{% if contact.mobile %}
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<li>
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<span class="icon-user-space">{{ contact.mobile }} (perso)</span>
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</li>
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{% endif %}
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{% if contact.phone %}
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<li>
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<span class="icon-user-space">{{ contact.phone }} (pro)</span>
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</li>
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{% endif %}
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{% if contact.email %}
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<li>
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<label>Courriel :</label>
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{{ contact.email }}
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</li>
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{% endif %}
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{% if contact.job %}
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<li>
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<label>Profession :</label>
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{{ contact.job }}
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</li>
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{% endif %}
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{% if contact.contact_comment %}
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<li>
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<label>Commentaire :</label>
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{{ contact.contact_comment }}
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</li>
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{% endif %}
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<li><label>Données d'assuré social</label>
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<!-- <button class="blind">détails</button>-->
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<ul>
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{% if contact.social_security_id %}
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<li><label>Numéro d'assuré social :</label>
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{{ contact.social_security_id }} {{ contact.get_control_key }}</li>
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{% endif %}
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{% if contact.birthdate %}
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<li><label>Date de naissance :</label>
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{{ contact.birthdate|date:"SHORT_DATE_FORMAT" }}</li>
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{% endif %}
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{% if contact.birthplace %}
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<li><label>Lieu de naissance :</label>
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{{ contact.birthplace }}</li>
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{% endif %}
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{% if contact.begin_rights %}
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<li><label>Début de droits :</label>
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{{ contact.begin_rights }}</li>
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{% endif %}
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{% if contact.end_rights %}
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<li><label>Fin de droits :</label>
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{{ contact.end_rights }}</li>
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{% endif %}
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{% if contact.health_center %}
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<li><label>Centre de santé :</label>
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{{ contact.health_center }} ({{ contact.health_center.address }} {{ contact.health_center.address_complement }} {{ contact.health_center.zip_code }} {{ contact.health_center.city }})</li>
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{% endif %}
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{% if contact.management_code %}
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<li><label>Code de gestion :</label>
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{{ contact.management_code }}</li>
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{% endif %}
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<li><label>Tiers-payant :</label>
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{% if contact.thirdparty_payer %}
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Oui
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{% else %}
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Non
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{% endif %}
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</li>
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{% if contact.twinning_rank %}
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<li><label>Rang (gémellité) :</label>
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{{ contact.twinning_rank }}</li>
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{% endif %}
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</ul>
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</li>
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</ul>
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</div>
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</div>
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{% endif %}
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{% endfor %}
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{% for address in addresses %}
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<div class="frame">
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<h3>{{ address }}</h3>
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<div class="buttons">
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<button type="button" data-id="{{ address.id }}" class="del-address icon-minus" title="Supprimer"></button>
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<button type="button" data-id="{{ address.id }}" class="update-address-btn icon-edit" title="Modifier"></button>
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</div>
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<div class="right">
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<ul class="ajax_messages" style="display: none;"></ul>
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<input type="checkbox" data-id="{{ address.id }}" class="place_of_life" {% if address.place_of_life %}checked{% endif %}>Lieu de vie</input>
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</div>
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{% if address.phone %}<p><span class="icon-home-space">{{ address.phone }}</span></p>{% endif %}
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{% if address.comment %}<p><label>Commentaire :</label>{{ address.comment }}</p>{% endif %}
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{% if not address.phone and not address.comment %}<p> <!-- intentionaly empty --></p>{% endif %}
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{% for contact in address.patientcontact_set.all %}
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{% if contact.id != object.id %}
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<div class="contact">
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<h4>{% if contact.gender == 1 %}M.{% elif contact.gender == 2 %}Mme{% endif %}
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{{ contact.first_name }} <span class="lastname">{{ contact.last_name }}</span> {% if contact.id == object.id %} (PATIENT){% endif %}</h4>
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<div class="right">Assuré
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<input type="radio"
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{% if object.policyholder.id == contact.id %} checked="checked" {% endif %}
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id="id_policyholder-policyholder_{{ contact.id }}"
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value="{{ contact.id }}"
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class="policyholder-radio"
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name="policyholder-policyholder">
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<button type="button" data-id="{{ contact.id }}" data-address-id="{{ address.id }}" class="del-contact icon-minus" title="Supprimer"></button>
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<button type="button" data-id="{{ contact.id }}" class="update-contact-btn icon-edit" title="Modifier"></button>
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245
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</div>
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246
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<div>
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247
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<ul>
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248
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{% if contact.parente %}
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249
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<li><label>Lien avec le patient :</label>
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250
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{{ contact.parente }}</li>
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251
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{% endif %}
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252
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{% if contact.mobile %}
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253
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<li>
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254
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<span class="icon-user-space">{{ contact.mobile }} (perso)</span>
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255
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</li>
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256
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{% endif %}
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257
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{% if contact.phone %}
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258
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<li>
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259
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<span class="icon-user-space">{{ contact.phone }} (pro)</span>
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260
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</li>
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261
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{% endif %}
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262
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{% if contact.email %}
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263
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<li>
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264
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<label>Courriel :</label>
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265
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{{ contact.email }}
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266
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</li>
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267
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{% endif %}
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268
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{% if contact.job %}
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269
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<li>
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270
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<label>Profession :</label>
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271
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{{ contact.job }}
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272
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</li>
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273
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{% endif %}
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274
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{% if contact.contact_comment %}
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275
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<li>
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276
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<label>Commentaire :</label>
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277
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{{ contact.contact_comment }}
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278
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</li>
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279
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{% endif %}
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280
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<li><label>Données d'assuré social</label>
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281
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<!-- <button class="blind">détails</button> -->
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282
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<ul>
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283
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{% if contact.social_security_id %}
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284
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<li><label>Numéro d'assuré social :</label>
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285
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{{ contact.social_security_id }} {{ contact.get_control_key }}</li>
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286
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{% endif %}
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287
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{% if contact.birthdate %}
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288
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<li><label>Date de naissance :</label>
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289
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{{ contact.birthdate|date:"SHORT_DATE_FORMAT" }}</li>
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290
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{% endif %}
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291
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{% if contact.birthplace %}
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292
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<li><label>Lieu de naissance :</label>
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293
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{{ contact.birthplace }}</li>
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294
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{% endif %}
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295
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{% if contact.begin_rights %}
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296
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<li><label>Début de droits :</label>
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297
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{{ contact.begin_rights }}</li>
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298
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{% endif %}
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299
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{% if contact.end_rights %}
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300
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<li><label>Fin de droits :</label>
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301
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{{ contact.end_rights }}</li>
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302
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{% endif %}
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303
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{% if contact.health_center %}
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304
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<li><label>Centre de santé :</label>
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305
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{{ contact.health_center }} ({{ contact.health_center.address }} {{ contact.health_center.address_complement }} {{ contact.health_center.zip_code }} {{ contact.health_center.city }})</li>
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306
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{% endif %}
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307
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{% if contact.management_code %}
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308
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<li><label>Code de gestion :</label>
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309
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{{ contact.management_code }}</li>
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310
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{% endif %}
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311
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<li><label>Tiers-payant :</label>
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312
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{% if contact.thirdparty_payer %}
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313
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Oui
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314
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{% else %}
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315
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Non
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316
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{% endif %}
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317
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</li>
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318
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{% if contact.twinning_rank %}
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319
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<li><label>Rang (gémellité) :</label>
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320
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{{ contact.twinning_rank }}</li>
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321
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{% endif %}
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322
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</ul>
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323
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</li>
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324
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</ul>
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325
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</div>
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326
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</div>
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327
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{% endif %}
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328
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{% endfor %}
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329
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</div>
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330
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{% endfor %}
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331
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</form>
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332
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