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{% load dossiers %}
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<html>
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<style type="text/css">
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@page {
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size: a4 portrait;
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@frame {
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top: 2cm;
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left: 1cm;
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width: 19cm;
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background-color:black;
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height: 18cm;
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}
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@frame header_frame {
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-pdf-frame-content: header_frame;
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top: 1cm;
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margin-top: 0;
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margin-left: 1cm;
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margin-right: 1cm;
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height: 1cm;
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}
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}
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body {font-size: 0.4cm;}
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table {margin-top:5pt;font-weight: normal}
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td, th {padding: 3pt 4pt; text-align:left; border: 1pt solid #aaaaaa}
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button {display: none; }
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li {list-style-type: none;}
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div.frame h3 {border-bottom: 1pt solid #555; padding: 2pt 3pt}
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.normal {font-weight: normal}
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.block h3 {background-color:#cccccc;padding: 2pt 5pt}
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label {font-weight: bold}
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.screen-only {display: none}
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div.block h2 { background-color: #EFEFEF; padding: 2pt 5pt}
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table th, table td {background-color:#aaaaaa;font-weight: normal}
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</style>
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<div id="header_frame">
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<h1><span class="lastname">{{ object.last_name }}</span> {{ object.first_name }} - Dossier {{ object.id }}</h1>
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</div>
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<div class="block">
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<h2>Général</h2>
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<ul>
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<li><label>N° dossier papier :</label> {{ object.paper_id|default_if_none:"Non renseigné" }}</li>
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<li><label>N° dossier informatique :</label> <span class="lightgray">{{ object.id }}</span></li>
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<li><label>Nom :</label> <span class="lastname">{{ object.last_name }}</span></li>
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<li><label>Prénom :</label> {{ object.first_name }}</li>
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<li><label>Genre :</label> {{ object.get_gender_display|default_if_none:"Non renseigné" }}</li>
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<li><label>Date de naissance :</label> {% if object.birthdate %}{{ object.birthdate|date:"d/m/Y" }} ({{ object.age }}){% else %}Non renseignée{% endif %}</li>
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<li>
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{% if nb_place_of_lifes == 1 %}
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<label>Lieux de vie :</label>
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{% elif nb_place_of_lifes > 1 %}
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<label class="highlight">{{ nb_place_of_lifes }} lieux de vie :</label>
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{% else %}
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<label class="highlight">Aucun lieu de vie d'indiqué</label>
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{% endif %}
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{% if object.addresses_contacts_comment %}<p>Commentaire : <strong>{{ object.addresses_contacts_comment }}</strong></p>{% endif %}
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{% if object.addresses.all %}
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<ul>
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{% for address in object.addresses.all %}
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{% if address.place_of_life %}<li>{{ address.display_name }}</li>{% endif %}
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{% endfor %}
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</ul>
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{% endif %}
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</li>
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<li><label>Date de contact :</label> {{ initial_state.date_selected|date:"d/m/Y" }}</li>
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<li><label>Date de création :</label> {{ object.created|date:"d/m/Y" }}</li>
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<li><label>Lieu de socialisation :</label> {{ object.school|default_if_none:"Non renseigné" }}</li>
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{% include "dossiers/patientrecord_print_coordinators.html" %}
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<li><label>Commentaire </label><br/>
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{{ object.comment }}
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</li>
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<li><label>Dernier acte :</label>
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{% if last_rdv %}
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{% if last_rdv.is_absent %}<span style="font-weight: bold;">{% endif %}
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{{ last_rdv.start_datetime|date:"d/m/Y" }} -
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{% for participant in last_rdv.participants %}
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<span class="lastname">{{ participant.last_name }}</span> -
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{% endfor %}
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{{ last_rdv.act_type }}
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{% else %}
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Aucun
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{% endif %}
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{% if last_rdv.is_absent %} ({{ last_rdv.act_state }})</span>{% endif %}
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</li>
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<li><label>Prochain rendez-vous :</label>
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{% if next_rdv %}
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{% if next_rdv.is_absent %}<span style="font-weight: bold;">{% endif %}
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{{ next_rdv.start_datetime|date:"d/m/Y" }} -
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{% for participant in next_rdv.participants.all %}
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<span class="lastname">{{ participant.last_name }}</span> -
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{% endfor %}
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{{ next_rdv.act_type }}
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{% else %}
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Aucun
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{% endif %}
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{% if next_rdv.is_absent %} ({{ next_rdv.act.get_state }})</span>{% endif %}
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</li>
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</ul>
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{% if future_state %}
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<p><strong>État à venir du dossier:</strong> {{ current_state.status.name.lower }} à partir du {{ current_state.date_selected|date:"d/m/Y" }}</p>
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{% else %}
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<p><strong>État courant du dossier:</strong> {{ current_state.status.name.lower }} depuis le {{ current_state.date_selected|date:"d/m/Y" }}</p>
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{% endif %}
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{% if object.pause_comment %}<p><label>Commentaire de la pause facturation:</label><br />{{ object.pause_comment }}</p>{% endif %}
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</div>
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<pdf:nextpage />
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<div class="block">
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<h2>Fiche administrative</h2>
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<h3>Inscription</h3>
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<ul>
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<li><label>Motif(analyse)</label> {{ object.analysemotive|default_if_none:'' }}</li>
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<li><label>Motif(famille)</label> {{ object.familymotive|default_if_none:'' }}</li>
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<li><label>Conseilleur</label> {{ object.provenance|default_if_none:'' }}</li>
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<li><label>Demandeur</label> {{ object.advicegiver|default_if_none:'' }}</li>
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<li><label>Lieu de provenance</label> {{ object.provenanceplace|default_if_none:'' }}</li>
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</ul>
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<h3>Sortie</h3>
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<ul>
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<li><label>Motif de sortie</label> {{ object.outmotive|default_if_none:'' }}</li>
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<li><label>Orientation</label> {{ object.outto|default_if_none:'' }}</li>
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</ul>
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<h3>Famille</h3>
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<ul>
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<li><label>Place dans la fratrie</label> {{ object.sibship_place|default_if_none:'' }}</li>
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<li><label>Nombre d'enfants dans la fratrie</label> {{ object.nb_children_family|default_if_none:'' }}</li>
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<li><label>Rang (gémellité)</label> {{ object.twinning_rank|default_if_none:'Aucun' }}</li>
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<li><label>Autorité parentale</label> {{ object.parental_authority|default_if_none:'' }}</li>
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<li><label>Situation familiale</label> {{ object.family_situation|default_if_none:'' }}</li>
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<li><label>Garde parentale</label> {{ object.child_custody|default_if_none:'' }}</li>
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<li><label>Profession de la mère</label> {{ object.job_mother|default_if_none:'' }}</li>
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<li><label>Profession du père</label> {{ object.job_father|default_if_none:'' }}</li>
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<li><label>Régime matrimonial de la mère</label> {{ object.rm_mother|default_if_none:'' }}</li>
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<li><label>Régime matrimonial du père</label> {{ object.rm_father|default_if_none:'' }}</li>
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<li><label>Commentaire</label> {{ object.family_comment|default_if_none:'' }}</li>
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</ul>
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<h3>Transport</h3>
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<ul>
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<li><label>Type de transport</label> {{ object.transporttype|default_if_none:'' }}</li>
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<li><label>Compagnie de transport</label> {{ object.transportcompany|default_if_none:'' }}</li>
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{% if last_prescription %}<li><label>Dernière prescription le</label> {{ last_prescription.created }}</li>{% endif %}
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</ul>
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<h3 style="background-color:#cccccc">Suivi du patient</h3>
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<ul>
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{% include "dossiers/patientrecord_print_coordinators.html" %}
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<li><label>Médecin extérieur</label> {{ object.externaldoctor|default_if_none:'' }}</li>
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<li><label>Intervenant extérieur</label> {{ object.externalintervener|default_if_none:'' }}</li>
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</ul>
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<h3>Mesures de protection</h3>
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<ul>
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{% for protection in object.protectionstate_set.all %}
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<li>
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<p>Depuis le {{ protection.start_date }} : {{ protection.status.name }}</p>
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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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</li>
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{% endfor %}
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</ul>
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</div>
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<pdf:nextpage />
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<div class="block">
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<h2>Adresses/contacts</h2>
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{% if object.policyholder.contact_comment %}
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<p>
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<label>Commentaire</label>
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{{ object.policyholder.contact_comment }}
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</p>
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{% endif %}
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<div>
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<table>
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<tr><td><h4 class="icon-user-space">Patient{% if object.policyholder.id == object.id %}<span class="normal">(Assuré)</span>{% endif %}</h4></td><td>{% include "dossiers/patientrecord_tab3_contact.html" with contact=object %}</td></tr>
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{% for contact in object.contacts.all %}
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{% if not contact.addresses.all %}
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<tr><td><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 object.policyholder.id == contact.id %}<span class="normal">(Assuré)</span>{% endif %} {% if contact.id == object.id %} (PATIENT){% endif %}</h4></td><td>
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{% include "dossiers/patientrecord_tab3_contact.html" %}
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</td></tr>
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{% endif %}
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{% endfor %}
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</table>
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</div>
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<div>
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<table>
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{% for address in addresses %}
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<tr><td colspan="2">
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<h3>{{ address }}{% if address.place_of_life %}<span class="normal">(lieu de vie)</span>{% endif %}</h3>
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{% if address.phone %}<p><label>Téléphone</label> {{ address.phone|phone }}</span></p>{% endif %}
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{% if address.comment %}<p><label>Commentaire :</label>{{ address.comment }}</p>{% endif %}</td></tr>
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{% for contact in address.patientcontact_set.all %}
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{% if contact.id != object.id %}
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<tr><td>
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<h4>{% if contact.gender == 1 %}M.{% elif contact.gender == 2 %}Mme{% endif %}{{ contact.first_name }} <span class="lastname">{{ contact.last_name }}</span>{% if object.policyholder.id == contact.id %}<span class="normal">(Assuré)</span>{% endif %}{% if contact.id == object.id %} (PATIENT){% endif %}</h4>
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</td><td>
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<div>
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{% include "dossiers/patientrecord_tab3_contact.html" %}
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</div>
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</td></tr>
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{% endif %}
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{% endfor %}
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</div>
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</table>
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</div>
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{% endfor %}
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</div>
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<pdf:nextpage />
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<div class="block">
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<h2>Prise en charge</h2>
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{% include "dossiers/patientrecord_tab4_notifs.html" %}
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</div>
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<pdf:nextpage />
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<div class="block">
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<h2>Actes passés</h2>
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{% include "dossiers/patientrecord_tab5_actes_passes.html" %}
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</div>
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<pdf:nextpage />
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<div class="block">
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<h2>Prochains rendez-vous</h2>
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{% include "dossiers/patientrecord_tab6_next_rdv.html" %}
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</div>
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<pdf:nextpage />
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<div class="block">
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<h2>Socialisation</h2>
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{% include "dossiers/patientrecord_tab7_socialisation.html" %}
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</div>
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<pdf:nextpage />
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<div class="block">
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<h2>Données à caractère médical</h2>
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<ul>
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<li><label>Taille (cm):</label> {{ object.size|default_if_none:'' }}</li>
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<li><label>Poids (gr):</label> {{ object.weight|default_if_none:'' }}</li>
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<li><label>Terme en semaines:</label> {{ object.pregnancy_term|default_if_none:'' }}</li>
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<li><label>Périmètre cranien:</label> {{ object.cranium_perimeter|default_if_none:'' }}</li>
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<li><label>Périmètre thoracique:</label> {{ object.chest_perimeter|default_if_none:'' }}</li>
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<li><label>Test d'Apgar (1):</label> {{ object.apgar_score_one|default_if_none:'' }}</li>
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<li><label>Test d'Apgar (5):</label> {{ object.apgar_score_two|default_if_none:'' }}</li>
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<li><label>Axe I : catégories cliniques</label>
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<ul>
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{% for m in object.mises_1.all %}
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<li>{{ m }}</li>
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{% endfor %}
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</ul>
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</li>
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<li><label>Axe II : facteurs organiques</label>
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<ul>
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{% for m in object.mises_2.all %}
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<li>{{ m }}</li>
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{% endfor %}
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</ul>
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</li>
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<li><label>Axe III : facteurs environnementaux</label>
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<ul>
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{% for m in object.mises_3.all %}
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<li>{{ m }}</li>
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{% endfor %}
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</ul>
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</li>
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{% if object.deficiency_intellectual %}
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<li><label>Déficiences intellectuelles: </label> {{ object.get_deficiency_intellectual_display }}</li>
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{% endif %}
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{% if object.deficiency_autism_and_other_ted %}
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<li><label>Autisme et autres TED:</label> {{ object.get_deficiency_autism_and_other_ted_display }}</li>
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{% endif %}
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{% if object.deficiency_mental_disorder %}
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<li><label>Troubles psychiques:</label> {{ object.get_deficiency_mental_disorder_display }}</li>
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{% endif %}
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{% if object.deficiency_learning_disorder %}
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<li><label>Troubles du langage et des apprentissages:</label> {{ object.get_deficiency_learning_disorder_display }}</li>
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{% endif %}
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{% if object.deficiency_auditory %}
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<li><label>Déficiences auditives:</label> {{ object.get_deficiency_auditory_display }}</li>
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{% endif %}
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{% if object.deficiency_visual %}
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<li><label>Déficiences visuelles:</label> {{ object.get_deficiency_visual_display }}</li>
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{% endif %}
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{% if object.deficiency_motor %}
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<li><label>Déficiences motrices:</label> {{ object.get_deficiency_motor_display }}</li>
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{% endif %}
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{% if object.deficiency_metabolic_disorder %}
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<li><label>Déficiences métaboliques:</label> {{ object.get_deficiency_metabolic_disorder_display }}</li>
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306
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{% endif %}
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|
307
|
{% if object.deficiency_brain_damage %}
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|
308
|
<li><label>Cérébro-lésions:</label> {{ object.get_deficiency_brain_damage_display }}</li>
|
|
309
|
{% endif %}
|
|
310
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{% if object.deficiency_polyhandicap %}
|
|
311
|
<li><label>Polyhandicap</label></li>
|
|
312
|
{% endif %}
|
|
313
|
{% if object.deficiency_behavioral_disorder %}
|
|
314
|
<li><label>Troubles de la conduite et du comportement:</label> {{ object.get_deficiency_brain_damage_display }}</li>
|
|
315
|
{% endif %}
|
|
316
|
{% if object.deficiency_in_diagnostic %}
|
|
317
|
<li><label>En diagnostic</label></li>
|
|
318
|
{% endif %}
|
|
319
|
{% if object.deficiency_other_disorder %}
|
|
320
|
<li><label>Autres types de déficience:</label> {{ object.get_deficiency_other_disorder_display }}</li>
|
|
321
|
{% endif %}
|
|
322
|
</ul>
|
|
323
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</div>
|
|
324
|
|
|
325
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</html>
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