|
1
|
{% load dossiers %}
|
|
2
|
<html>
|
|
3
|
<style type="text/css">
|
|
4
|
@page {
|
|
5
|
size: a4 portrait;
|
|
6
|
@frame {
|
|
7
|
top: 2cm;
|
|
8
|
left: 1cm;
|
|
9
|
width: 19cm;
|
|
10
|
background-color:black;
|
|
11
|
height: 18cm;
|
|
12
|
}
|
|
13
|
@frame header_frame {
|
|
14
|
-pdf-frame-content: header_frame;
|
|
15
|
top: 1cm;
|
|
16
|
margin-top: 0;
|
|
17
|
margin-left: 1cm;
|
|
18
|
margin-right: 1cm;
|
|
19
|
height: 1cm;
|
|
20
|
}
|
|
21
|
}
|
|
22
|
body {font-size: 0.4cm;}
|
|
23
|
table {margin-top:5pt;font-weight: normal}
|
|
24
|
td, th {padding: 3pt 4pt; text-align:left; border: 1pt solid #aaaaaa}
|
|
25
|
button {display: none; }
|
|
26
|
li {list-style-type: none;}
|
|
27
|
div.frame h3 {border-bottom: 1pt solid #555; padding: 2pt 3pt}
|
|
28
|
.normal {font-weight: normal}
|
|
29
|
.block h3 {background-color:#cccccc;padding: 2pt 5pt}
|
|
30
|
label {font-weight: bold}
|
|
31
|
.screen-only {display: none}
|
|
32
|
|
|
33
|
|
|
34
|
div.block h2 { background-color: #EFEFEF; padding: 2pt 5pt}
|
|
35
|
table th, table td {background-color:#aaaaaa;font-weight: normal}
|
|
36
|
</style>
|
|
37
|
|
|
38
|
<div id="header_frame">
|
|
39
|
<h1><span class="lastname">{{ object.last_name }}</span> {{ object.first_name }} - Dossier {{ object.id }}</h1>
|
|
40
|
</div>
|
|
41
|
|
|
42
|
<div class="block">
|
|
43
|
<h2>Général</h2>
|
|
44
|
<ul>
|
|
45
|
<li><label>N° dossier papier :</label> {{ object.paper_id|default_if_none:"Non renseigné" }}</li>
|
|
46
|
<li><label>N° dossier informatique :</label> <span class="lightgray">{{ object.id }}</span></li>
|
|
47
|
<li><label>Nom :</label> <span class="lastname">{{ object.last_name }}</span></li>
|
|
48
|
<li><label>Prénom :</label> {{ object.first_name }}</li>
|
|
49
|
<li><label>Genre :</label> {{ object.get_gender_display|default_if_none:"Non renseigné" }}</li>
|
|
50
|
<li><label>Date de naissance :</label> {% if object.birthdate %}{{ object.birthdate|date:"d/m/Y" }} ({{ object.age }}){% else %}Non renseignée{% endif %}</li>
|
|
51
|
<li>
|
|
52
|
{% if nb_place_of_lifes == 1 %}
|
|
53
|
<label>Lieux de vie :</label>
|
|
54
|
{% elif nb_place_of_lifes > 1 %}
|
|
55
|
<label class="highlight">{{ nb_place_of_lifes }} lieux de vie :</label>
|
|
56
|
{% else %}
|
|
57
|
<label class="highlight">Aucun lieu de vie d'indiqué</label>
|
|
58
|
{% endif %}
|
|
59
|
{% if object.contact_comment %}
|
|
60
|
<p>{{ object.contact_comment }}</p>
|
|
61
|
{% endif %}
|
|
62
|
{% if object.addresses.all %}
|
|
63
|
<ul>
|
|
64
|
{% for address in object.addresses.all %}
|
|
65
|
{% if address.place_of_life %}<li>{{ address.display_name }}</li>{% endif %}
|
|
66
|
{% endfor %}
|
|
67
|
</ul>
|
|
68
|
{% endif %}
|
|
69
|
</li>
|
|
70
|
<li><label>Date de contact :</label> {{ initial_state.date_selected|date:"d/m/Y" }}</li>
|
|
71
|
<li><label>Date de création :</label> {{ object.created|date:"d/m/Y" }}</li>
|
|
72
|
<li><label>Lieu de socialisation :</label> {{ object.school|default_if_none:"Non renseigné" }}</li>
|
|
73
|
{% include "dossiers/patientrecord_print_coordinators.html" %}
|
|
74
|
<li><label>Commentaire </label><br/>
|
|
75
|
{{ object.comment }}
|
|
76
|
</li>
|
|
77
|
<li><label>Dernier acte :</label>
|
|
78
|
{% if last_rdv %}
|
|
79
|
{% if last_rdv.is_absent %}<span style="font-weight: bold;">{% endif %}
|
|
80
|
{{ last_rdv.start_datetime|date:"d/m/Y" }} -
|
|
81
|
{% for participant in last_rdv.participants %}
|
|
82
|
<span class="lastname">{{ participant.last_name }}</span> -
|
|
83
|
{% endfor %}
|
|
84
|
{{ last_rdv.act_type }}
|
|
85
|
{% else %}
|
|
86
|
Aucun
|
|
87
|
{% endif %}
|
|
88
|
{% if last_rdv.is_absent %} ({{ last_rdv.act_state }})</span>{% endif %}
|
|
89
|
</li>
|
|
90
|
<li><label>Prochain rendez-vous :</label>
|
|
91
|
{% if next_rdv %}
|
|
92
|
{% if next_rdv.is_absent %}<span style="font-weight: bold;">{% endif %}
|
|
93
|
{{ next_rdv.start_datetime|date:"d/m/Y" }} -
|
|
94
|
{% for participant in next_rdv.participants.all %}
|
|
95
|
<span class="lastname">{{ participant.last_name }}</span> -
|
|
96
|
{% endfor %}
|
|
97
|
{{ next_rdv.act_type }}
|
|
98
|
{% else %}
|
|
99
|
Aucun
|
|
100
|
{% endif %}
|
|
101
|
{% if next_rdv.is_absent %} ({{ next_rdv.act.get_state }})</span>{% endif %}
|
|
102
|
</li>
|
|
103
|
</ul>
|
|
104
|
{% if future_state %}
|
|
105
|
<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>
|
|
106
|
{% else %}
|
|
107
|
<p><strong>État courant du dossier:</strong> {{ current_state.status.name.lower }} depuis le {{ current_state.date_selected|date:"d/m/Y" }}</p>
|
|
108
|
{% endif %}
|
|
109
|
{% if object.pause_comment %}<p><label>Commentaire de la pause facturation:</label><br />{{ object.pause_comment }}</p>{% endif %}
|
|
110
|
</div>
|
|
111
|
|
|
112
|
<pdf:nextpage />
|
|
113
|
|
|
114
|
<div class="block">
|
|
115
|
<h2>Fiche administrative</h2>
|
|
116
|
<h3>Inscription</h3>
|
|
117
|
<ul>
|
|
118
|
<li><label>Motif(analyse)</label> {{ object.analysemotive|default_if_none:'' }}</li>
|
|
119
|
<li><label>Motif(famille)</label> {{ object.familymotive|default_if_none:'' }}</li>
|
|
120
|
<li><label>Conseilleur</label> {{ object.provenance|default_if_none:'' }}</li>
|
|
121
|
<li><label>Demandeur</label> {{ object.advicegiver|default_if_none:'' }}</li>
|
|
122
|
<li><label>Lieu de provenance</label> {{ object.provenanceplace|default_if_none:'' }}</li>
|
|
123
|
</ul>
|
|
124
|
|
|
125
|
<h3>Sortie</h3>
|
|
126
|
<ul>
|
|
127
|
<li><label>Motif de sortie</label> {{ object.outmotive|default_if_none:'' }}</li>
|
|
128
|
<li><label>Orientation</label> {{ object.outto|default_if_none:'' }}</li>
|
|
129
|
</ul>
|
|
130
|
|
|
131
|
<h3>Famille</h3>
|
|
132
|
<ul>
|
|
133
|
<li><label>Place dans la fratrie</label> {{ object.sibship_place|default_if_none:'' }}</li>
|
|
134
|
<li><label>Nombre d'enfants dans la fratrie</label> {{ object.nb_children_family|default_if_none:'' }}</li>
|
|
135
|
<li><label>Rang (gémellité)</label> {{ object.twinning_rank|default_if_none:'Aucun' }}</li>
|
|
136
|
<li><label>Autorité parentale</label> {{ object.parental_authority|default_if_none:'' }}</li>
|
|
137
|
<li><label>Situation familiale</label> {{ object.family_situation|default_if_none:'' }}</li>
|
|
138
|
<li><label>Garde parentale</label> {{ object.child_custody|default_if_none:'' }}</li>
|
|
139
|
<li><label>Profession de la mère</label> {{ object.job_mother|default_if_none:'' }}</li>
|
|
140
|
<li><label>Profession du père</label> {{ object.job_father|default_if_none:'' }}</li>
|
|
141
|
<li><label>Régime matrimonial de la mère</label> {{ object.rm_mother|default_if_none:'' }}</li>
|
|
142
|
<li><label>Régime matrimonial du père</label> {{ object.rm_father|default_if_none:'' }}</li>
|
|
143
|
<li><label>Commentaire</label> {{ object.family_comment|default_if_none:'' }}</li>
|
|
144
|
</ul>
|
|
145
|
|
|
146
|
<h3>Transport</h3>
|
|
147
|
<ul>
|
|
148
|
<li><label>Type de transport</label> {{ object.transporttype|default_if_none:'' }}</li>
|
|
149
|
<li><label>Compagnie de transport</label> {{ object.transportcompany|default_if_none:'' }}</li>
|
|
150
|
{% if last_prescription %}<li><label>Dernière prescription le</label> {{ last_prescription.created }}</li>{% endif %}
|
|
151
|
</ul>
|
|
152
|
|
|
153
|
<h3 style="background-color:#cccccc">Suivi du patient</h3>
|
|
154
|
<ul>
|
|
155
|
{% include "dossiers/patientrecord_print_coordinators.html" %}
|
|
156
|
<li><label>Médecin extérieur</label> {{ object.externaldoctor|default_if_none:'' }}</li>
|
|
157
|
<li><label>Intervenant extérieur</label> {{ object.externalintervener|default_if_none:'' }}</li>
|
|
158
|
</ul>
|
|
159
|
|
|
160
|
<h3>Mesures de protection</h3>
|
|
161
|
<ul>
|
|
162
|
{% for protection in object.protectionstate_set.all %}
|
|
163
|
<li>
|
|
164
|
<p>Depuis le {{ protection.start_date }} : {{ protection.status.name }}</p>
|
|
165
|
<ul>
|
|
166
|
{% if protection.end_date %}<li><label>Date de fin</label> : {{ protection.end_date }}</li>{% endif %}
|
|
167
|
{% if protection.comment %}<li><label>Commentaire</label> : {{ protection.comment }}</li>{% endif %}
|
|
168
|
</ul>
|
|
169
|
</li>
|
|
170
|
{% endfor %}
|
|
171
|
</ul>
|
|
172
|
</div>
|
|
173
|
|
|
174
|
<pdf:nextpage />
|
|
175
|
|
|
176
|
<div class="block">
|
|
177
|
<h2>Adresses/contacts</h2>
|
|
178
|
{% if object.policyholder.contact_comment %}
|
|
179
|
<p>
|
|
180
|
<label>Commentaire</label>
|
|
181
|
{{ object.policyholder.contact_comment }}
|
|
182
|
</p>
|
|
183
|
{% endif %}
|
|
184
|
<div>
|
|
185
|
<table>
|
|
186
|
<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>
|
|
187
|
{% for contact in object.contacts.all %}
|
|
188
|
{% if not contact.addresses.all %}
|
|
189
|
<tr><td><h4>{% if contact.gender == 1 %}M.{% elif contact.gender == 2 %}Mme{% endif %}
|
|
190
|
{{ 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>
|
|
191
|
{% include "dossiers/patientrecord_tab3_contact.html" %}
|
|
192
|
</td></tr>
|
|
193
|
{% endif %}
|
|
194
|
{% endfor %}
|
|
195
|
</table>
|
|
196
|
</div>
|
|
197
|
|
|
198
|
<div>
|
|
199
|
<table>
|
|
200
|
{% for address in addresses %}
|
|
201
|
<tr><td colspan="2">
|
|
202
|
<h3>{{ address }}{% if address.place_of_life %}<span class="normal">(lieu de vie)</span>{% endif %}</h3>
|
|
203
|
{% if address.phone %}<p><label>Téléphone</label> {{ address.phone|phone }}</span></p>{% endif %}
|
|
204
|
{% if address.comment %}<p><label>Commentaire :</label>{{ address.comment }}</p>{% endif %}</td></tr>
|
|
205
|
{% for contact in address.patientcontact_set.all %}
|
|
206
|
{% if contact.id != object.id %}
|
|
207
|
<tr><td>
|
|
208
|
<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>
|
|
209
|
</td><td>
|
|
210
|
<div>
|
|
211
|
{% include "dossiers/patientrecord_tab3_contact.html" %}
|
|
212
|
</div>
|
|
213
|
</td></tr>
|
|
214
|
{% endif %}
|
|
215
|
{% endfor %}
|
|
216
|
</div>
|
|
217
|
</table>
|
|
218
|
</div>
|
|
219
|
{% endfor %}
|
|
220
|
</div>
|
|
221
|
|
|
222
|
<pdf:nextpage />
|
|
223
|
|
|
224
|
<div class="block">
|
|
225
|
<h2>Prise en charge</h2>
|
|
226
|
{% include "dossiers/patientrecord_tab4_notifs.html" %}
|
|
227
|
</div>
|
|
228
|
|
|
229
|
<pdf:nextpage />
|
|
230
|
|
|
231
|
<div class="block">
|
|
232
|
<h2>Actes passés</h2>
|
|
233
|
{% include "dossiers/patientrecord_tab5_actes_passes.html" %}
|
|
234
|
</div>
|
|
235
|
|
|
236
|
<pdf:nextpage />
|
|
237
|
|
|
238
|
<div class="block">
|
|
239
|
<h2>Prochains rendez-vous</h2>
|
|
240
|
{% include "dossiers/patientrecord_tab6_next_rdv.html" %}
|
|
241
|
</div>
|
|
242
|
|
|
243
|
<pdf:nextpage />
|
|
244
|
|
|
245
|
<div class="block">
|
|
246
|
<h2>Socialisation</h2>
|
|
247
|
{% include "dossiers/patientrecord_tab7_socialisation.html" %}
|
|
248
|
</div>
|
|
249
|
|
|
250
|
<pdf:nextpage />
|
|
251
|
|
|
252
|
<div class="block">
|
|
253
|
<h2>Données à caractère médical</h2>
|
|
254
|
<ul>
|
|
255
|
<li><label>Taille (cm):</label> {{ object.size|default_if_none:'' }}</li>
|
|
256
|
<li><label>Poids (gr):</label> {{ object.weight|default_if_none:'' }}</li>
|
|
257
|
<li><label>Terme en semaines:</label> {{ object.pregnancy_term|default_if_none:'' }}</li>
|
|
258
|
<li><label>Périmètre cranien:</label> {{ object.cranium_perimeter|default_if_none:'' }}</li>
|
|
259
|
<li><label>Périmètre thoracique:</label> {{ object.chest_perimeter|default_if_none:'' }}</li>
|
|
260
|
<li><label>Test d'Apgar (1):</label> {{ object.apgar_score_one|default_if_none:'' }}</li>
|
|
261
|
<li><label>Test d'Apgar (5):</label> {{ object.apgar_score_two|default_if_none:'' }}</li>
|
|
262
|
<li><label>Axe I : catégories cliniques</label>
|
|
263
|
<ul>
|
|
264
|
{% for m in object.mises_1.all %}
|
|
265
|
<li>{{ m }}</li>
|
|
266
|
{% endfor %}
|
|
267
|
</ul>
|
|
268
|
</li>
|
|
269
|
|
|
270
|
<li><label>Axe II : facteurs organiques</label>
|
|
271
|
<ul>
|
|
272
|
{% for m in object.mises_2.all %}
|
|
273
|
<li>{{ m }}</li>
|
|
274
|
{% endfor %}
|
|
275
|
</ul>
|
|
276
|
</li>
|
|
277
|
|
|
278
|
<li><label>Axe III : facteurs environnementaux</label>
|
|
279
|
<ul>
|
|
280
|
{% for m in object.mises_3.all %}
|
|
281
|
<li>{{ m }}</li>
|
|
282
|
{% endfor %}
|
|
283
|
</ul>
|
|
284
|
</li>
|
|
285
|
{% if object.deficiency_intellectual %}
|
|
286
|
<li><label>Déficiences intellectuelles: </label> {{ object.get_deficiency_intellectual_display }}</li>
|
|
287
|
{% endif %}
|
|
288
|
{% if object.deficiency_autism_and_other_ted %}
|
|
289
|
<li><label>Autisme et autres TED:</label> {{ object.get_deficiency_autism_and_other_ted_display }}</li>
|
|
290
|
{% endif %}
|
|
291
|
{% if object.deficiency_mental_disorder %}
|
|
292
|
<li><label>Troubles psychiques:</label> {{ object.get_deficiency_mental_disorder_display }}</li>
|
|
293
|
{% endif %}
|
|
294
|
{% if object.deficiency_learning_disorder %}
|
|
295
|
<li><label>Troubles du langage et des apprentissages:</label> {{ object.get_deficiency_learning_disorder_display }}</li>
|
|
296
|
{% endif %}
|
|
297
|
{% if object.deficiency_auditory %}
|
|
298
|
<li><label>Déficiences auditives:</label> {{ object.get_deficiency_auditory_display }}</li>
|
|
299
|
{% endif %}
|
|
300
|
{% if object.deficiency_visual %}
|
|
301
|
<li><label>Déficiences visuelles:</label> {{ object.get_deficiency_visual_display }}</li>
|
|
302
|
{% endif %}
|
|
303
|
{% if object.deficiency_motor %}
|
|
304
|
<li><label>Déficiences motrices:</label> {{ object.get_deficiency_motor_display }}</li>
|
|
305
|
{% endif %}
|
|
306
|
{% if object.deficiency_metabolic_disorder %}
|
|
307
|
<li><label>Déficiences métaboliques:</label> {{ object.get_deficiency_metabolic_disorder_display }}</li>
|
|
308
|
{% endif %}
|
|
309
|
{% if object.deficiency_brain_damage %}
|
|
310
|
<li><label>Cérébro-lésions:</label> {{ object.get_deficiency_brain_damage_display }}</li>
|
|
311
|
{% endif %}
|
|
312
|
{% if object.deficiency_polyhandicap %}
|
|
313
|
<li><label>Polyhandicap</label></li>
|
|
314
|
{% endif %}
|
|
315
|
{% if object.deficiency_behavioral_disorder %}
|
|
316
|
<li><label>Troubles de la conduite et du comportement:</label> {{ object.get_deficiency_brain_damage_display }}</li>
|
|
317
|
{% endif %}
|
|
318
|
{% if object.deficiency_in_diagnostic %}
|
|
319
|
<li><label>En diagnostic</label></li>
|
|
320
|
{% endif %}
|
|
321
|
{% if object.deficiency_other_disorder %}
|
|
322
|
<li><label>Autres types de déficience:</label> {{ object.get_deficiency_other_disorder_display }}</li>
|
|
323
|
{% endif %}
|
|
324
|
</ul>
|
|
325
|
</div>
|
|
326
|
|
|
327
|
</html>
|