{{ 'receive.receive_title'|trans([], 'LocalizationBundle') }}: {{ 'receive.document'|trans([], 'LocalizationBundle') }}: (*) {#Hijo de#} {{ 'receive.son_of'|trans([], 'LocalizationBundle') }}: {#Fin Hijo de#} {#Tipo ID#} {{ 'receive.id_type'|trans([], 'LocalizationBundle') }}: (*) Seleccione {% for document in typeDocument %} {{ document.docType }} {% endfor %} {#Fin Tipo ID#} {#Tipo GS/RH#} {{ 'receive.GS_RH'|trans([], 'LocalizationBundle') }}: (*) {% for blood in bloodList %} {{ blood.tipo }}{{ blood.RH }} {% endfor %} {#Fin Tipo GS/RH#} {#Primer Nombre#} {{ 'receive.first_name'|trans([], 'LocalizationBundle') }}: (*) {#Fin Primer Nombre#} {#Segundo nombre #} {{ 'receive.second_name'|trans([], 'LocalizationBundle') }}: {#Fin Segundo nombre #} {#Primer apellido #} {{ 'receive.first_last_name'|trans([], 'LocalizationBundle') }}: (*) {#Fin Primer apellido #} {#Segundo apellido #} {{ 'receive.second_last_name'|trans([], 'LocalizationBundle') }}: {#Fin Segundo apellido #} {#Fecha de nacimiento #} {{ 'receive.birthday'|trans([], 'LocalizationBundle') }}( YYYY-mm-dd ) : (*) {#Fin Fecha de nacimiento #} {#Edad#} {{ 'receive.age_typing'|trans([], 'LocalizationBundle') }} : (*) {#Fin Edad#} {#Genero#} {{ 'receive.gender'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.men'|trans([], 'LocalizationBundle') }} {{ 'receive.women'|trans([], 'LocalizationBundle') }} {#Fin Genero#} {#Tipo edad#} {{ 'receive.old_type'|trans([], 'LocalizationBundle') }} : (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} {{ 'receive.years'|trans([], 'LocalizationBundle') }} {{ 'receive.months'|trans([], 'LocalizationBundle') }} {{ 'receive.days'|trans([], 'LocalizationBundle') }} {#Fin Tipo edad#} {#Departamento#} {{ 'receive.departament_name'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} {% for departamento in list_dept %} {{ departamento.departmentName }} {% endfor %} {#Fin Departamento#} {#Municipio#} {{ 'receive.municipality'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} {#Fin Municipio#} {#Zona residencial#} {{ 'receive.residential_zone'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.urban'|trans([], 'LocalizationBundle') }} {{ 'receive.rural'|trans([], 'LocalizationBundle') }} {#Fin Zona residencial#} {#Direccion#} {{ 'receive.address'|trans([], 'LocalizationBundle') }}: (*) {#Fin Direccion#} {#Telefono#} {{ 'receive.phone'|trans([], 'LocalizationBundle') }}: (*) {#Fin Telefono#} {#Celular#} {{ 'receive.cellphone'|trans([], 'LocalizationBundle') }}: {#Fin celular#} {#Acudiente#} {{ 'receive.guardian'|trans([], 'LocalizationBundle') }}: {#Fin Acudiente#} {#Correo#} {{ 'receive.email'|trans([], 'LocalizationBundle') }}: {#Fin Correo#} {# Btn Actualizar datos #} {# Btn Actualizar datos #} {# Fin Btn Actualizar datos #} {#Doctor#} {{ 'receive.doctor_referring'|trans([], 'LocalizationBundle') }}: (*) {#Fin Doctor#} {#trae info clinica#} {{ 'receive.clinicalData'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.yes'|trans([], 'LocalizationBundle') }} {{ 'receive.no'|trans([], 'LocalizationBundle') }} {#Fin trae info clinica#} {#prioridad#} {{ 'patient.prio.label'|trans([], 'LocalizationBundle') }}: (*) {% for priority in priList %} {{ priority.priName }} {% endfor %} {#Fin prioridad#} {#procedencia#} {{ 'patient.prec.label'|trans([], 'LocalizationBundle') }}: (*) {% for provenance in proList %} {{ provenance.name }} {% endfor %} {#Fin procedencia#} {#convenio#} {{ 'receive.agreement'|trans([], 'LocalizationBundle') }}: (*) {% for eps in epsList %} {{ eps.name }} {% endfor %} {#Fin convenio#} {#Modalidad#} {{ 'receive.modality'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} {% for mod in modList %} {{ mod.varMod }} {% endfor %} {#Fin Modalidad#} {#Estudios#} {{ 'receive.study'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} {#Fin Estudios#} {#Sala#} {{ 'receive.room'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} {#Fin Sala#} {#Boton +#} {#Fin Boton +#} {#Fin modality_st#} {#Adicionar campos con select2#} {##} {#Modalidad {{ 'receive.modality'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} {% for mod in modList %} {{ mod.varMod }} {% endfor %} #} {#Fin Modalidad#} {#Sala {{ 'receive.room'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} #} {#Fin Sala#} {##} {#Estudios {{ 'receive.study'|trans([], 'LocalizationBundle') }}: (*) {{ 'receive.select'|trans([], 'LocalizationBundle') }} #} {#Fin Estudios#} {#Boton + +#} {#Fin Boton +#} {# #}{#Fin modality_st#} {# ################################# #} {#orden medica#} {{ 'patient.order.label'|trans([], 'LocalizationBundle') }}: (*) {#Fin orden medica#} {% endblock %}