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{% extends "dossiers/base.html" %}
{% load url from future %}

{% block extrascripts %}
<link rel="stylesheet" type="text/css" media="all" href="{{ STATIC_URL }}filter-widget/css/filter-widget.css"/>
<script src="{{ STATIC_URL }}js/jquery.parse-url.js"></script>
<script src="{{ STATIC_URL }}js/calebasse.dossiers.js"></script>
<script src="{{ STATIC_URL }}filter-widget/js/i18n.js"></script>
<script src="{{ STATIC_URL }}filter-widget/js/core.js"></script>
<script src="{{ STATIC_URL }}filter-widget/js/SelectBox.js"></script>
<script src="{{ STATIC_URL }}filter-widget/js/SelectFilter2.js"></script>
{% endblock %}

{% block title %}{{ object.last_name }} {{ object.first_name }}{% if object.paper_id %} - Dossier {{ object.paper_id}}{% endif %}{% endblock %}

{% block appbar %}
<h2><strong>{% if current_state.status.type == 'CLOS' %}<span id="highlight">{% endif %}<span class="lastname">{{ object.last_name }}</span> {{ object.first_name }}{% if object.paper_id %} - Dossier {{ object.paper_id}}{% endif %}{% if current_state.status.type == 'CLOS' %} clos</span>{% endif %}</strong></h2>
<span id="ajax-redirect" data-url="{{ object.id }}/view"/>
<a href="..">Retourner aux dossiers</a>
{% if 'validator' in role %}{% if object.can_be_deleted %}<button type="button" id="patientrecord-delete">Supprimer</button>{% endif %}{% endif %}
{% endblock %}

{% block content %}

{% if messages %}
<ul class="messages">
{% for message in messages %}
<li{% if message.tags %} class="{{ message.tags }}"{% endif %}>{{ message }}</li>
{% endfor %}
</ul>
<script type="text/javascript">
$('.messages').delay(1000*(1+{{ messages|length }})).fadeOut('slow');
</script>
{% endif %}
<ul class="messages" style="display: none;"></ul>

<div id="tabs">
<ul>
<li><a data-id="0" class="atabs" href="#tabs-1">Général</a></li>
<li><a data-id="1" class="atabs" href="#tabs-2">Fiche administrative</a></li>
<li><a data-id="2" class="atabs" href="#tabs-3">Adresses / contacts</a></li>
{% if object.service.name == "CMPP" %}
<li><a data-id="3" class="atabs" href="#tabs-4">Prise en charge</a></li>
{% elif object.service.name == "SESSAD TED" or object.service.name == "SESSAD DYS" %}
<li><a data-id="3" class="atabs" href="#tabs-4">Notifications</a></li>
{% else %}
<li style="display: none;"><a data-id="3" class="atabs" href="#tabs-4">Notifications</a></li>
{% endif %}
<li><a data-id="4" class="atabs" href="#tabs-5">Actes passés</a>
<li><a data-id="5" class="atabs" href="#tabs-6">Prochains rendez-vous</a>
<li><a data-id="6" class="atabs" href="#tabs-7">Socialisation</a>
<li><a data-id="7" class="atabs" href="#tabs-8">Données à caractère médical</a>
</ul>
<div id="tabs-1"> <!-- Général -->
{% include "dossiers/patientrecord_tab1.html" %}
</div>

<div id="tabs-2"> <!-- Fiche administrative -->
{% include "dossiers/patientrecord_tab2.html" %}
</div>

<div id="tabs-3"> <!-- Adresses / Contacts -->
<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>
<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.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 %}
{% if object.contact_comment %}
<li>
<label>Commentaire :</label>
{{ object.contact_comment }}
</li>
{% endif %}
<li><label>Données d'assuré social</label>
<!-- <button class="blind">détails</button>-->
<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 }}</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>
</li>
</ul>
</div>
</div>

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

{% for address in object.addresses.all %}
<div class="frame">
<h3>{% if not address.display_name %}Non renseigné{% else %}{{ address.display_name }}{% endif %}</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{% if contact.id == object.id %} patient{% endif %}">
<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 }}</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>

</div>

<div id="tabs-4"> <!-- Prise en charge et notifications -->
{% if object.service.name == "CMPP" %}
<div class="notifs">
<h4>Information sur la prise en charge</h4>
<ul>
<li><span{% if hc_status.1 %} id="highlight"{% endif %}>{{ hc_status.0 }}</span></li>
{% if object.pause %}<li><span id="highlight">Le dossier est en pause facturation.</span></li>{% endif %}
{% if missing_policy %}<li><span id="highlight">Informations d'assuré sociale manquantes.</span></li>{% endif %}
{% if missing_birthdate %}<li><span id="highlight">Date de naissance manquante.</span></li>{% endif %}
</div>
<p>
<button id="new-hcdiag-btn">Nouvelle PC diagnostic</button>
<button id="new-hctrait-btn">Nouvelle PC traitement</button>
</p>
{% if acts_losts %}
<p><strong>{{ acts_losts|length }}</strong> actes facturables qui ne peuvent pas être facturés :
<ul>
{% for act in acts_losts %}
<li>{{ act }}</li>
{% endfor %}
</ul></p>
{% endif %}
{% if acts_pause %}
<p><strong>{{ acts_pause|length }}</strong> actes qui sont en pause :
<ul>
{% for act in acts_pause %}
<li>{{ act }}</li>
{% endfor %}
</ul></p>
{% endif %}
{% if hcs %}
{% for hc, acts in hcs %}
{% if hc.cmpphealthcarediagnostic %}
<div id="patient-diag">
<div class="frame">
<div class="buttons">
<button type="button" data-id="{{ hc.id }}" class="del-hcdiag icon-minus" title="Supprimer"></button>
<button type="button" data-id="{{ hc.id }}" class="update-hcdiag-btn icon-edit" title="Modifier"></button>
</div>
<h3>Prise en charge de diagnostic, débutée le {{ hc.start_date|date:"d/m/Y" }}{% if hc.cmpphealthcarediagnostic.end_date %}, se terminant le {{ hc.cmpphealthcarediagnostic.end_date|date:"d/m/Y" }}{% endif %}</h3>
<ul>
{% if hc.cmpphealthcarediagnostic.end_date %}<li><label>Date de fin</label> : {{ hc.cmpphealthcarediagnostic.end_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.request_date %}<li><label>Date de demande</label> : {{ hc.request_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.agree_date %}<li><label>Date d'accord</label> : {{ hc.agree_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.insist_date %}<li><label>Date de relance</label> : {{ hc.insist_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.comment %}<li><label>Commentaire</label> : {{ hc.comment }}</li>{% endif %}
<li><label>Nombres d'actes de la prise en charge</label> : <strong>{{ hc.cmpphealthcarediagnostic.get_act_number }}</strong></li>
{% if acts %}<li><strong>{{ acts|length }}</strong> actes pouvant être pris en charge lors de la prochaine facturation :</li>
<ul>
{% for act in acts %}
<li>{{ act }}</li>
{% endfor %}
</ul>
{% endif %}
{% if hc.get_nb_acts_cared %}
<li><strong>{{ hc.get_nb_acts_cared }}</strong> actes déja facturés :</li>
<ul>
{% for act in hc.act_set.all %}
<li>{{ act }}</li>
{% endfor %}
</ul>
{% else %}<li>Aucun acte facturé.</li>
{% endif %}
</ul>
</div>
</div>
{% else %}
<div id="patient-traitement">
<div class="frame">
<div class="buttons">
<button type="button" data-id="{{ hc.id }}" class="del-hctrait icon-minus" title="Supprimer"></button>
<button type="button" data-id="{{ hc.id }}" class="update-hctrait-btn icon-edit" title="Modifier"></button>
</div>
<h3>Prise en charge de traitement, débutée le {{ hc.start_date|date:"d/m/Y" }}{% if hc.cmpphealthcaretreatment.end_date %}, se terminant le {{ hc.cmpphealthcaretreatment.end_date|date:"d/m/Y" }}{% endif %}</h3>
<ul>
{% if hc.cmpphealthcaretreatment.end_date %}<li><label>Date de fin</label> : {{ hc.cmpphealthcaretreatment.end_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.request_date %}<li><label>Date de demande</label> : {{ hc.request_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.agree_date %}<li><label>Date d'accord</label> : {{ hc.agree_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.insist_date %}<li><label>Date de relance</label> : {{ hc.insist_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.comment %}<li><label>Commentaire</label> : {{ hc.comment }}</li>{% endif %}
<li><label>Nombres d'actes de la prise en charge</label> : <strong>{{ hc.cmpphealthcaretreatment.get_act_number }}</strong></li>
{% if acts %}<li><strong>{{ acts|length }}</strong> actes pouvant être pris en charge lors de la prochaine facturation :</li>
<ul>
{% for act in acts %}
<li>{{ act }}</li>
{% endfor %}
</ul>
{% endif %}
{% if hc.get_nb_acts_cared %}
<li><strong>{{ hc.get_nb_acts_cared }}</strong> actes déja facturés :</li>
<ul>
{% for act in hc.act_set.all %}
<li>{{ act }}</li>
{% endfor %}
</ul>
{% else %}<li>Aucun acte facturé.</li>
{% endif %}
</ul>
</div>
</div>
{% endif %}
{% endfor %}
{% endif %}
{% endif %}
{% if object.service.name == "SESSAD TED" or object.service.name == "SESSAD DYS" %}
<p>
<button id="new-notification-btn">Nouvelle notification</button>
</p>
{% if hcs %}
{% for hc in hcs %}
<div id="patient-diag">
<div class="frame">
<div class="buttons">
<button type="button" data-id="{{ hc.id }}" class="del-notification icon-minus" title="Supprimer"></button>
<button type="button" data-id="{{ hc.id }}" class="update-notification-btn icon-edit" title="Modifier"></button>
</div>
<h3>Notification</h3>
<ul>
{% if hc.start_date %}<li><label>Date de début</label> : {{ hc.start_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.sessadhealthcarenotification.end_date %}<li><label>Date de fin</label> : {{ hc.sessadhealthcarenotification.end_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.request_date %}<li><label>Date de demande</label> : {{ hc.request_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.agree_date %}<li><label>Date d'accord</label> : {{ hc.agree_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.insist_date %}<li><label>Date de relance</label> : {{ hc.insist_date|date:"d/m/Y" }}</li>{% endif %}
{% if hc.comment %}<li><label>Commentaire</label> : {{ hc.comment }}</li>{% endif %}
</ul>
</div>
</div>
{% endfor %}
{% endif %}
{% endif %}
</div>

<div id="tabs-5"> <!-- Actes passés -->
<table class="main">
<thead>
<tr> <th>Date</th> <th>Pointage</th> <th>Type d'acte</th> <th>Intervenants</th> <th>Commentaire</th></tr>
</thead>
<tbody>
{% for act, state in last_rdvs %}
<tr>
<td>{{ act.date|date:"l d/m/y"|title }} {{ act.time|date:"H:i" }}</td>
<td>{% if state %}<strong>{{ state }}</strong>{% else %}Non pointé.{% endif %}</td>
<td>{{ act.act_type }}</td>
<td>{% for doctor in act.doctors.all %}
{{ doctor.first_name }} <span class="lastname">{{ doctor.last_name }}</span>
{% endfor %}</td>
<td>{% if act.comment %}{{ act.comment }}{% endif %}</td>
</tr>
{% endfor %}
</tbody>
</table>
</div>

<div id="tabs-6"> <!-- Prochains rendez-vous -->
<table class="main">
<thead>
<tr> <th>Date</th> <th>Pointage</th> <th>Type d'acte</th> <th>Intervenants</th> <th>Commentaire</th> </tr>
</thead>
<tbody>
{% for event, state in next_rdvs %}
<tr>
<td>{% firstof event.start_datetime|date:"l d/m/y H:i"|title %}</td>
<td>{% if state %}<strong>{{ state }}</strong>{% else %}Non pointé.{% endif %}</td>
<td>{{ event.act_type }}</td>
<td>{% for doctor in event.participants.all %}
{{ doctor.first_name }} <span class="lastname">{{ doctor.last_name }}</span>
{% endfor %}</td>
<td>{{ event.description }}</td>
</tr>
{% endfor %}
</tbody>
</table>
</div>


<div id="tabs-7">
<div class="frame">
<h3>Périodes de socialisation</h3>
<p><button id="new-socialisation-duration-btn">Nouvelle période de socialisation</button></p>
{% for duration in object.socialisation_durations.all %}
<div class="subframe">
Arrivée le <strong>{{ duration.start_date }}</strong> dans {% if duration.school %}l'établissement <strong>{{ duration.school }}</strong>{% else %}un établissement non renseigné{% endif %}{% if duration.level %} (en {{ duration.level }}){% endif %}
<div class="buttons">
<button type="button" data-id="{{ duration.id }}" class="del-duration icon-minus" title="Supprimer"></button>
<button type="button" data-id="{{ duration.id }}" class="update-duration-btn icon-edit" title="Modifier"></button>
</div>
<div>
<ul>
{% if duration.end_date %}<li><label>Date de départ</label> : {{ duration.end_date }}</li>{% endif %}
{% if duration.comment %}<li><label>Commentaire</label> : {{ duration.comment }}</li>{% endif %}
</ul>
</div>
</div>
{% endfor %}
</div>

<div class="frame">
<h3>Demandes MDPH</h3>
<p><button id="new-mdph-request-btn">Nouvelle demande MDPH</button></p>
{% for request in object.mdph_requests.all %}
<div class="subframe">
Demande le <strong>{{ request.start_date }}</strong> à la MDPH <strong>{{ request.mdph }}</strong>
<div class="buttons">
<button type="button" data-id="{{ request.id }}" class="del-mdph-request icon-minus" title="Supprimer"></button>
<button type="button" data-id="{{ request.id }}" class="update-mdph-request-btn icon-edit" title="Modifier"></button>
</div>
<div>
<ul>
{% if request.comment %}<li><label>Commentaire</label> : {{ request.comment }}</li>{% endif %}
</ul>
</div>
</div>
{% endfor %}
</div>

<div class="frame">
<h3>Réponses MDPH</h3>
<p><button id="new-mdph-response-btn">Nouvelle réponse MDPH</button></p>
{% for response in object.mdph_responses.all %}
<div class="subframe">
Du <strong>{{ response.start_date }}</strong> au <strong>{{ response.end_date }}</strong> à la MDPH <strong>{{ response.mdph }}</strong>
<div class="buttons">
<button type="button" data-id="{{ response.id }}" class="del-mdph-response icon-minus" title="Supprimer"></button>
<button type="button" data-id="{{ response.id }}" class="update-mdph-response-btn icon-edit" title="Modifier"></button>
</div>
<div>
<ul>
{% if response.comment %}<li><label>Commentaire</label> : {{ response.comment }}</li>{% endif %}
{% if response.type_aide %}<li><label>Type d'aide</label> : {{ response.type_aide }}</li>{% endif %}
{% if response.name %}<li><label>Nom</label> : {{ response.name }}</li>{% endif %}
{% if response.rate %}<li><label>Taux</label> : {{ response.rate }}</li>{% endif %}
</ul>
</div>
</div>
{% endfor %}
</div>
</div>

<div id="tabs-8">
<form method="post" id="physiology-form" class="patientrecordform">
{% csrf_token %}
<button class="save enable-on-change">Enregistrer</button>
{% for field in forms.physiology %}
<p>
{{ field.errors }}
</p>
<p>
{{ field.label_tag }}
{{ field }}
</p>
{% endfor %}
</p>
<input type="hidden" name="tab" value="7">
<button class="save enable-on-change">Enregistrer</button>
</form>
</div>
</div>
</div>
{% endblock %}

{% block dialogs %}
<div id="ajax-dlg" style="display: none;"></div>
<div id="change-record" style="display: none;" data-id="{{ object.id }}" data-service-id="{{ service_id }}">
</div>

<div id="dossier-histo-dlg" style="display: none;">
<dl>
{% for state in states %}
<dt><b>{{ state.date_selected|date:"d/m/Y" }}</b> <!--<small>(date info: {{ state.created|date:"d/m/Y" }})</small>-->
<button data-id="{{ state.id }}" class="update-patient-state-btn icon-edit" title="Modifier"></button>
{% if states|length > 1 %}<button data-id="{{ state.id }}" class="del-patient-state-btn icon-remove"></button>{% endif %}
</dt>
<dd>
<p><b>{{ state.status.name }}</b>{% if state.comment %}; <label>commentaire:</label> {{ state.comment }}{% endif %}</p>
</dd>
<dd class="edit-histo-item" style="display: none;">

<form action="{{ request.get_full_path }}/../update-state" method="post">
<input type="hidden" name="state_id" value="{{ state.id }}"/>
{% csrf_token %}
<p>
<label for="id_date">Date :</label>
{{ form.date.errors }}
<input id="id_date" class="date" name="date" value="{{ state.created|date:"d/m/Y" }}"/>
</p>
<p>
<label for="id_comment">Commentaire :</label>
<textarea id="id_comment" style="width: 90%;" name="comment">{% if state.comment %}{{ state.comment }}{% endif %}</textarea>
</p>
<button>Modifier</button>
</form>

</dd>
{% endfor%}
</dl>
</div>



<div id="add-prise-en-charge-dlg" style="display: none;">
<div>
<label for="id_partir">À partir du :</label>
<input id="id_partir" class="partir" name="partir" size="10" value="11/06/2012"/>
</div>
<div>
<label for="id_pour">Pour :</label>
<input id="id_pour" class="pour" name="pour" size="4" value="30"/> séances
</div>
</div>

<div id="add-prolongation-dlg" style="display: none;">
<div>
<label for="id_pour">Pour :</label>
<input id="id_pour" class="pour" name="pour" size="4" value="10"/> actes
</div>
</div>

<div id="finaccueil-patientrecord-dialog" title="Patient en fin d'accueil">
<div id="finaccueil-patientrecord-dialog-content">
</div>
<form method="post" action="finaccueil-patientrecord/">
{% csrf_token %}
<input type="hidden" name="Close" value="1">
</form>
</div>

{% endblock %}
(16-16/20)