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<script type="text/javascript">
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warning_on_unsave_change();
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</script>
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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-3">
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<form method="post" action="tab3" id="policyholder-form" class="patientrecordform">{% csrf_token %}
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<p>
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{% if nb_place_of_lifes == 1 %}
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<span>Un lieu de vie unique est indiqué</span>
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{% elif nb_place_of_lifes > 1 %}
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<span class="highlight">Il y a {{ nb_place_of_lifes }} lieux de vie d'indiqués</span>
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{% else %}
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<span class="highlight">Aucun lieu de vie d'indiqué</span>
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{% endif %}
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</p>
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<p>
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<label>Commentaire <button class="save enable-on-change btn-maj">✔</button></label>
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{{ forms.policyholder.contact_comment }}
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</p>
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<p>
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<button type="button" id="new-address-btn" class="icon-home-space">Nouvelle adresse</button>
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<button type="button" id="new-contact-btn" class="icon-user-space">Nouveau contact</button>
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</p>
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<div class="contact patient">
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<h4 class="icon-user-space">Patient</h4>
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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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{% include "dossiers/patientrecord_tab3_contact.html" with contact=object %}
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</div>
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</div>
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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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{% include "dossiers/patientrecord_tab3_contact.html" %}
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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 {% if address.place_of_life %}orange{% endif %}">
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<h3 class="icon-home-space">{{ 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-phone">{{ address.phone|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 class="icon-user-space">{% 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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{% include "dossiers/patientrecord_tab3_contact.html" %}
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95
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</div>
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96
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</ul>
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97
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</span>
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98
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</div>
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{% endif %}
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{% endfor %}
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101
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</div>
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{% endfor %}
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103
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</form>
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</div>
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105
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{% endblock %}
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