{% extends 'Pdf/pdf_base.html.twig' %} {% block title %} {{ 'case'|trans({}, 'label', locale) }} - {{ patientCase.code }} {% endblock %} {% block body %}
1. {{ 'overview_patient'|trans({}, 'button', locale) }}
| {{ 'case_code'|trans({}, 'label', locale) }} | {{ patientCase.code }} |
| {{ 'last_name'|trans({}, 'label', locale) }} | {{ patient.lastName }} |
| {{ 'first_name'|trans({}, 'label', locale) }} | {{ patient.firstName }} |
| {{ 'sex'|trans({}, 'label', locale) }} | {{ patient.gender }} |
| {{ 'address_1'|trans({}, 'label', locale) }} | {{ patient.address1 }} |
| {{ 'number'|trans({}, 'label', locale) }} | {{ patient.streetNumber }} |
| {{ 'postal_code'|trans({}, 'label', locale) }} | {{ patient.zip }} |
| {{ 'city'|trans({}, 'label', locale) }} | {{ patient.city }} |
| {{ 'date_of_birth'|trans({}, 'label', locale) }} | {{ patient.dateOfBirth|date('d/m/Y') }} |
| {{ 'nationality'|trans({}, 'label', locale) }} | {{ patient.nationality }} |
| {{ 'age_on_accident'|trans({}, 'label', locale) }} | {{ accident.ageInYears }} {{ 'years'|trans({}, 'label', locale) }} {{ accident.ageInMonths }} {{ 'months'|trans({}, 'label', locale) }} |
| {{ 'phone'|trans({}, 'label', locale) }} | {{ patient.phone }} |
| {{ 'mobile'|trans({}, 'label', locale) }} | {{ patient.mobile }} |
| {{ 'email'|trans({}, 'label', locale) }} | {{ patient.email }} |
| {{ 'status'|trans({}, 'label', locale) }} | {{ patient.maritalStatus|trans({}, 'enum', locale) }} |
| {{ 'occupation'|trans({}, 'label', locale) }} | {{ patient.occupation|trans({}, 'enum', locale) }} |
2. {{ 'beneficiary'|trans({}, 'label', locale) }}
| {{ 'is_patient_beneficiary'|trans({}, 'label', locale) }} | {{ 'yes'|trans({}, 'label', locale) }} |
| {{ 'is_patient_beneficiary'|trans({}, 'label', locale) }} | {{ 'no'|trans({}, 'label', locale) }} |
| {{ 'patient_relation'|trans({}, 'label', locale) }} | {{ patient.relation|trans({}, 'enum', locale) }} |
| {{ 'last_name'|trans({}, 'label', locale) }} | {{ patient.relationLastName }} |
| {{ 'first_name'|trans({}, 'label', locale) }} | {{ patient.relationFirstName }} |
| {{ 'email'|trans({}, 'label', locale) }} | {{ patient.relationEmail }} |
| {{ 'phone'|trans({}, 'label', locale) }} | {{ patient.relationPhone }} |
3. {{ 'family_aid'|trans({}, 'enum', locale) }}
| {{ 'number_of_person_on_incoming'|trans({}, 'label', locale) }} | {{ familySituation }} |
4. {{ 'accident_info'|trans({}, 'info', locale) }}
| {{ 'date_accident'|trans({}, 'label', locale) }} | {{ accident.accidentDate|date('d/m/Y') }} | |
| {{ 'country_accident'|trans({}, 'label', locale) }} | {{ accident.country }} | |
| {{ 'postcode_accident'|trans({}, 'label', locale) }} | {{ accident.postalCode }} | |
| {{ 'category'|trans({}, 'label', locale) }} | {% for category in accident.categorisation %} {{ category|trans({}, 'enum', locale) }}{{ not loop.last ? ',' }} {% endfor %} | |
| {{ 'location_burnwounds'|trans({}, 'label', locale) }} | {% for locationBurnWound in accident.locationBurnWounds %} {{ locationBurnWound|trans({}, 'enum', locale) }}{{ not loop.last ? ',' }} {% endfor %} | |
| {{ 'depth_burnwounds'|trans({}, 'label', locale) }} | {% for depthBurnWound in accident.depthOfWounds %} {{ depthBurnWound|trans({}, 'enum', locale) }}{{ not loop.last ? ',' }} {% endfor %} | |
| {{ 'percentage_burnwounds'|trans({}, 'label', locale) }} | {{ accident.percentageOfWounds }} | |
| {{ 'burnwound_criteria'|trans({}, 'label', locale) }} | {% for admissionCriteria in accident.admissionCriteria %} {{ admissionCriteria|trans({}, 'enum', locale) }}{{ not loop.last ? ',' }} {% endfor %} | |
| {{ 'cause_of_accident'|trans({}, 'label', locale) }} | {{ accident.cause|trans({}, 'enum', locale) }} | |
| {{ 'kind_of_accident'|trans({}, 'label', locale) }} | {{ accident.type|trans({}, 'enum', locale) }} | |
| {{ 'reponsability_third_party'|trans({}, 'label', locale) }} | {{ accident.responsabilityThirdParties ? 'yes'|trans({}, 'label', locale) : 'no'|trans({}, 'label', locale) }} | |
| {{ 'extra_information'|trans({}, 'label', locale) }} | {{ accident.moreInformation }} | |
| {{ 'hospitalization'|trans({}, 'enum', locale) }} | ||
|---|---|---|
| {{ 'type'|trans({}, 'label', locale) }} | {{ hospitalization.type|trans({}, 'enum', locale) }} | |
| {{ 'location'|trans({}, 'label', locale) }} | {% if hospitalization.type == 'burncenter' %}{{ burnCenterRepository.byId(hospitalization.location).name }} | {% else %}{{ hospitalization.location }} | {% endif %}
| {{ 'start_date'|trans({}, 'label', locale) }} | {{ hospitalization.startDate|date('d/m/Y') }} | |
| {{ 'end_date'|trans({}, 'label', locale) }} | {{ hospitalization.endDate|date('d/m/Y') }} | |
| {{ 'duration'|trans({}, 'label', locale) }} | {{ hospitalization.startDate.diff(hospitalization.endDate).days }} |
5. {{ 'insurance'|trans({}, 'enum', locale) }}
| {{ 'insurance'|trans({}, 'enum', locale) }} | |
|---|---|
| {{ 'name'|trans({}, 'label', locale) }} | {{ insurance.name }} |
| {{ 'type'|trans({}, 'label', locale) }} | {{ insurance.type|trans({}, 'enum', locale) }} |
| {{ 'contract_number'|trans({}, 'label', locale) }} | {{ insurance.contractNumber }} |
6. {{ 'financial_situation'|trans({}, 'tab', locale) }}
| {{ financialItem.type|trans({}, 'enum', locale) }} | |
|---|---|
| {{ financialItem.subType|trans({}, 'enum', locale) }} | {{ financialItem.amount|number_format(2, ',', '') }} € |
| {{ 'total'|trans({}, 'label', locale) }} | {{ financialItemsInTotal|number_format(2, ',', '') }} € |
| {{ financialItem.type|trans({}, 'enum', locale) }} | |
| {{ financialItem.subType|trans({}, 'enum', locale) }} | {{ financialItem.amount|number_format(2, ',', '') }} € |
| {{ 'total'|trans({}, 'label', locale) }} | {{ financialItemsOutTotal|number_format(2, ',', '') }} € |
| {{ 'saldo'|trans({}, 'label', locale) }} | {{ financialItemsSaldo|number_format(2, ',', '') }} € |
| {{ 'saldo_per_person'|trans({}, 'label', locale) }} | {{ financialItemsSaldoPerPerson|number_format(2, ',', '') }} € |
7. {{ 'additional_care'|trans({}, 'enum', locale) }}
| {{ 'refund_level'|trans({}, 'label', locale) }} | {{ refundPercentage }} % | ||||
|---|---|---|---|---|---|
| {{ expense.category|trans({}, 'enum', locale) }} | {{ 'amount_requested'|trans({}, 'label', locale) }} | {{ 'refund_level'|trans({}, 'label', locale) }} | {{ 'amount_decision'|trans({}, 'label', locale) }} | ||
| {{ expense.subcategory|trans({}, 'enum', locale) }} | {{ expense.amount|number_format(2, ',', '') }} € | {% if expense.expenseItemCalculation %}{{ expense.expenseItemCalculation.percentage }} % | {{ expense.expenseItemCalculation.calculatedAmount|number_format(2, ',', '') }}€ | {% endif %}||
| {{ 'total'|trans({}, 'label', locale) }} | {{ patientCase.totalAmountForExpenses(expensesByType)|number_format(2, ',', '') }} € | {{ patientCase.totalCalculatedAmountForExpenses(expensesByType)|number_format(2, ',', '') }} € | |||
| {{ 'general_total'|trans({}, 'label', locale) }} | {{ patientCase.totalAmountForExpenses(expenses)|number_format(2, ',', '') }} € | {{ patientCase.totalCalculatedAmountForExpenses(expenses)|number_format(2, ',', '') }}€ | |||
| {{ 'payements'|trans({}, 'label', locale) }} | |||||
| {{ 'amount'|trans({}, 'label', locale) }} | {{ 'iban'|trans({}, 'label', locale) }} | {{ 'bic'|trans({}, 'label', locale) }} | {{ 'name_beneficiary'|trans({}, 'label', locale) }} | {{ 'expense_message'|trans({}, 'label', locale) }} | {{ 'internal_reference'|trans({}, 'label', locale) }} |
| {{ payment.expenseItemCalculation.calculatedAmount|number_format(2, ',', '') }}€ | {{ payment.ibanBeneficiary }} | {{ payment.bicBeneficiary }} | {{ payment.nameBeneficiary }} | {{ payment.freeMessage ? payment.freeMessage : payment.structuredMessage }} | Ref: E{{ payment.id }} - {{ patient.lastName }} {{ patient.firstName }} |
| {{ 'motivation'|trans({}, 'label', locale) }} | {{ motivation }} | ||||
| {{ 'decision_commission'|trans({}, 'label', locale) }} | {{ commissionStatus|trans({}, 'enum', locale) }} | ||||
| {{ 'n_docs'|trans({}, 'label', locale) }} | |||||
| {{ document.originalName }} | |||||
| {{ document.originalName }} |