Produits Entr'ouvert » Calebasse

{% load dossiers %}

<div id="tabs-3">

  <form method="post" action="tab3" id="policyholder-form" class="patientrecordform">{% csrf_token %}

    <p>

    {% if nb_place_of_lifes == 1 %}

    <span>Un lieu de vie unique est indiqué</span>

    {% elif nb_place_of_lifes > 1 %}

    <span class="highlight">Il y a {{ nb_place_of_lifes }} lieux de vie d'indiqués</span>

    {% else %}

    <span class="highlight">Aucun lieu de vie d'indiqué</span>

    {% endif %}

    </p>

    <p>

    <label>Commentaire <button class="save enable-on-change btn-maj">✔</button></label>

    {{ forms.policyholder.contact_comment }}

    </p>

    <p>

    <button type="button" id="new-address-btn" class="icon-home-space">Nouvelle adresse</button>

    <button type="button" id="new-contact-btn" class="icon-user-space">Nouveau contact</button>

    </p>

    <div class="contact patient">

      <h4 class="icon-user-space">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>

        {% include "dossiers/patientrecord_tab3_contact.html" with contact=object %}

      </div>

    </div>

    {% for contact in object.contacts.all %}

    {% if not contact.addresses.all %}

    <div class="contact">

      <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>

        {% include "dossiers/patientrecord_tab3_contact.html" %}

      </div>

    </div>

    {% endif %}

    {% endfor %}

    {% for address in addresses %}

    <div class="frame {% if address.place_of_life %}orange{% endif %}">

      <h3 class="icon-home-space">{{ address }}</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-phone">{{ address.phone|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">

        <h4 class="icon-user-space">{% 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>

          {% include "dossiers/patientrecord_tab3_contact.html" %}

        </div>

      </ul>

    </span>

  </div>

  {% endif %}

  {% endfor %}

</div>

{% endfor %}

  </form>

</div>