Produits Entr'ouvert » Calebasse

{% load dossiers %}

<div id="tabs-2">

  <form method="post" action="tab2" id="administrative-form" class="patientrecordform">{% csrf_token %}

    <p><button class="save enable-on-change">Enregistrer</button></p>

    <div class="frame inline">

      <h3>État civil</h3>

      <table class="basic">

        <tbody>

        {% get_fieldset last_name,first_name,birthplace,birthdate,gender,nationality as id_fields from form %}

        {% for field in id_fields %}

        <tr>

          <td class="width-limited">{{ field.label_tag }}</td>

          <td>{{ field }}</td>

          <td>{{ field.errors }}</td>

        </tr>

        {% endfor %}

        </tbody>

      </table>

      <input type="hidden"  name="tab"  value="1">

    </div>

    <div class="frame inline">

      <h3>Inscription</h3>

      <table class="basic">

        <tbody>

        {% get_fieldset analysemotive,familymotive,provenance,advicegiver,provenanceplace as inscription_fields from form %}

        {% for field in inscription_fields %}

        <tr><td class="width-limited">{{ field.label_tag }}</td><td>{{ field }}

            <button type="button"

              class="dialog-button"

              data-url="../../ressources/{{ field.name }}/new/ #form-content"

              data-default-button="Ajouter"

              data-next-url="{{ request.get_full_path }}#tab=1"

              data-add-select="#id_inscription-{{ field.name }}"

              title="Ajouter un {{ field.label.lower }}"

              type="button">+</button></td><td>{{ field.errors }}</td></tr>

        {% endfor %}

        </tbody>

      </table>

      <input type="hidden"  name="tab"  value="1">

    </div>

    <div class="frame inline">

      <h3>Sortie</h3>

      <table class="basic">

        <tbody>

        {% get_fieldset outmotive,outto as out_fields from form %}

        {% for field in out_fields %}

        <tr><td class="width-limited">{{ field.label_tag  }}</td><td>{{ field }}

            <button type="button"

              class="dialog-button"

              data-url="../../ressources/{{ field.name }}/new/ #form-content"

              data-default-button="Ajouter"

              data-next-url="{{ request.get_full_path }}#tab=1"

              data-add-select="#id_out-{{ field.name }}"

              title="Ajouter un {{ field.label.lower }}"

              type="button">+</button></td><td>{{ field.errors }}</td></tr>

        {% endfor %}

        </tbody>

      </table>

      <input type="hidden"  name="tab"  value="1">

    </div>

    <div class="frame inline">

      <h3>Famille</h3>

      <table class="basic">

        <tbody>

        <tr><td class="width-limited">{{ form.sibship_place.label_tag  }}</td><td>{{ form.sibship_place }}</td><td>{{ form.sibship_place.errors }}</td></tr>

        <tr><td class="width-limited">{{ form.nb_children_family.label_tag  }}</td><td>{{ form.nb_children_family }}</td><td>{{ form.nb_children_family.errors }}</td></tr>

        <tr><td class="width-limited"><label>Rang (gémellité) :  </label></td><td>{{ object.twinning_rank|default_if_none:"Aucun" }}</td><td></td></tr>

        {% get_fieldset parental_authority,family_situation,child_custody,job_mother,job_father,rm_mother,rm_father as familly_fields from form %}

        {% for field in familly_fields %}

        <tr>

          <td class="width-limited">{{ field.label_tag }}</td><td>{{ field }}

            <button type="button"

              class="dialog-button"

              data-url="../../ressources/parentalauthoritytype/new/ #form-content"

              data-default-button="Ajouter"

              data-next-url="{{ request.get_full_path }}#tab=1"

              data-add-select="#id_family-parental_authority"

              title="Ajouter {{ field.label.lower }}">+</button></td><td>{{ field.errors }}</td>

        </tr>

        {% endfor %}

        <tr><td class="width-limited">{{ form.family_comment.label_tag  }}</td><td>{{ form.family_comment }}</td><td>{{ form.family_comment.errors }}</td></tr>

        </tbody>

      </table>

      <input type="hidden"  name="tab"  value="1">

    </div>

    <div class="frame inline">

      <h3>Transport</h3>

      <table class="basic">

        <tbody>

        {% get_fieldset transporttype,transportcompany,simple_appointment_transport,periodic_appointment_transport as transport_fields from form %}

        {% for field in transport_fields %}

        <tr><td class="width-limited">{{ field.label_tag }}</td><td>{{ field }}

            <button type="button"

              class="dialog-button"

              data-url="../../ressources/{{ field.name }}/new/ #form-content"

              data-default-button="Ajouter"

              data-next-url="{{ request.get_full_path }}#tab=1"

              data-add-select="#id_transport-{{ field.name }}"

              title="Ajouter {% if field.label.lower == "type de transport" %}un{% else %}une{% endif %} {{ field.label.lower }}">+</button></td><td>{{ field.errors }}</td></tr>

        {% endfor %}

        </tbody>

      </table>

      <br/>

      <table>

        <tr>

          <td><!--<button id="attestation-transport-btn">Attestation de transport</button>--></td><td><button id="prescription-transport-btn">Prescription de transport</button></td>

        </tr>

        <tr>

          <td></td>

          <td>{% if last_prescription %} Dernière prescription le {{ last_prescription.created }}{% endif %}</td>

        </tr>

      </table>

    </div>

    <div class="frame inline">

      <h3>Suivi du patient</h3>

      <table class="basic">

        <tbody>

        <tr><td class="width-limited">{{ form.coordinators.label_tag  }}</td><td>{{ form.coordinators }}</td><td>{{ form.coordinators.errors }}</td></tr>

        <tr><td class="width-limited">{{ form.externaldoctor.label_tag  }}</td><td>{{ form.externaldoctor }}

            <button type="button"

              class="dialog-button"

              data-url="../../personnes/externaltherapist/new/ #form-content"

              data-default-button="Ajouter"

              data-next-url="{{ request.get_full_path }}#tab=1"

              data-add-select="#id_followup-externaldoctor"

              title="Ajouter un médecin extérieur">+</button></td><td>{{ form.externaldoctor.errors }}</td></tr>

        <tr><td class="width-limited">{{ form.externalintervener.label_tag  }}</td><td>{{ form.externalintervener }}

            <button type="button"

              class="dialog-button"

              data-url="../../personnes/externalworker/new/ #form-content"

              data-default-button="Ajouter"

              data-next-url="{{ request.get_full_path }}#tab=1"

              data-add-select="#id_followup-externalintervener"

              title="Ajouter un intervenant extérieur">+</button></td><td>{{ form.externalintervener.errors }}</td></tr>

        </tbody>

      </table>

    </div>

    <input type="hidden"  name="tab"  value="1">

    <p><button class="save enable-on-change">Enregistrer</button></p>

  </form>

  <div class="frame">

    <h3>Mesures de protection</h3>

    <p><button id="new-protection-btn">Nouvelle mesure de protection</button></p>

    {% for protection in object.protectionstate_set.all %}

    <div class="subframe">

      Depuis le {{ protection.start_date }} : {{ protection.status.name }}

      <div class="buttons">

        <button type="button" data-id="{{ protection.id }}" class="del-protection icon-minus" title="Supprimer"></button>

        <button type="button" data-id="{{ protection.id }}" class="update-protection-btn icon-edit" title="Modifier"></button>

      </div>

      <div>

        <ul>

          {% if protection.end_date %}<li><label>Date de fin</label> : {{ protection.end_date }}</li>{% endif %}

          {% if protection.comment %}<li><label>Commentaire</label> : {{ protection.comment }}</li>{% endif %}

        </ul>

      </div>

    </div>

    {% endfor %}

  </div>

</div>