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>
var tCrpv = {
  AM: {nomCrpv: "AMIENS", eMail: "pharmacovig
ilance@chu-amiens.fr"},
  AN: {nomCrpv: "ANGERS", eMail: "pharmacovig
ilance@chu-angers.fr"},
  BS: {nomCrpv: "BESANÇON", eMail: "pharmaco
vigilance@chu-besancon.fr"},
  BX: {nomCrpv: "BORDEAUX", eMail: "pharmacov
igilance@u-bordeaux2.fr"},
  BR: {nomCrpv: "BREST", eMail: "crpv.brest@c
hu-brest.fr"},
  CN: {nomCrpv: "CAEN", eMail: "pharmacovigil
ance@chu-caen.fr"},
  CF: {nomCrpv: "CLERMONT-FERRAND", eMail: "p
harmacovigilance@chu-clermontferrand.fr"},
  DJ: {nomCrpv: "DIJON", eMail: "pharmacovigi
lance@chu-dijon.fr"},
  GR: {nomCrpv: "GRENOBLE", eMail: "pharmacov
igilance@chu-grenoble.fr"},
  LL: {nomCrpv: "LILLE", eMail: "crpv@chru-li
lle.fr"},
  LM: {nomCrpv: "LIMOGES", eMail: "pharmacovi
gilance@chu-limoges.fr"},
  LY: {nomCrpv: "LYON", eMail: "centre.pharma
covigilance@chu-lyon.fr"},
  MA: {nomCrpv: "MARSEILLE", eMail: "pharmaco
vigilance@ap-hm.fr"},
  MP: {nomCrpv: "MONTPELLIER", eMail: "pharma
covigilance@chu-montpellier.fr"},
  NY: {nomCrpv: "NANCY", eMail: "crpv@chu-nan
cy.fr"},
  NT: {nomCrpv: "NANTES", eMail: "pharmacovig
ilance@chu-nantes.fr"},
  NC: {nomCrpv: "NICE", eMail: "pharmacovigil
ance@chu-nice.fr"},
  PB: {nomCrpv: "PARIS HEGP", eMail: "crpv.he
gp@egp.aphp.fr"},
  PC: {nomCrpv: "PARIS HENRI MONDOR", eMail: 
"pharmacovigilance.henri-mondor@hmn.aphp.fr"}
,
  PA: {nomCrpv: "PARIS FERNAND-WIDAL", eMail:
 "pharmacovigilance.fwd@lrb.aphp.fr"},
  PP: {nomCrpv: "PARIS PITIE-SALPETRIERE", eM
ail: "pharmaco.vigilance@psl.aphp.fr"},
  PS: {nomCrpv: "PARIS SAINT-ANTOINE", eMail:
 "pharmacovigilance.huep@sat.aphp.fr"},
  PV: {nomCrpv: "PARIS COCHIN – PORT-ROYAL"
, eMail: "pharmacovigilance.hupc@aphp.fr"},
  PO: {nomCrpv: "POITIERS", eMail: "pharmaco.
clin@chu-poitiers.fr"},
  RE: {nomCrpv: "REIMS", eMail: "pharmacovigi
lance@chu-reims.fr"},
  RS: {nomCrpv: "RENNES", eMail: "pharmacovig
ilance@chu-rennes.fr"},
  RN: {nomCrpv: "ROUEN", eMail: "pharmacovigi
lance@chu-rouen.fr"},
  SE: {nomCrpv: "SAINT-ÉTIENNE", eMail: "pha
rmacovigilance@chu-st-etienne.fr"},
  ST: {nomCrpv: "STRASBOURG", eMail: "pharmac
ovigilance@chru-strasbourg.fr"},
  TO: {nomCrpv: "TOULOUSE", eMail: "pharmacov
igilance@chu-toulouse.fr"},
  TS: {nomCrpv: "TOURS", eMail: "crpv@chu-tou
rs.fr"}
}

var tDept = {
  D01: {crpv: "LY", nom: "Ain"},
  D02: {crpv: "AM", nom: "Aisne"},
  D03: {crpv: "CF", nom: "Allier"},
  D04: {crpv: "MA", nom: "Alpes-de-Haute-Prov
ence"},
  D05: {crpv: "NC", nom: "Hautes-Alpes"},
  D06: {crpv: "NC", nom: "Alpes-Maritimes"},
  D07: {crpv: "LY", nom: "Ardèche"},
  D08: {crpv: "RE", nom: "Ardennes"},
  D09: {crpv: "TO", nom: "Ariège"},
  D10: {crpv: "RE", nom: "Aube"},
  D11: {crpv: "MP", nom: "Aude"},
  D12: {crpv: "TO", nom: "Aveyron"},
  D13: {crpv: "MA", nom: "Bouches-du-Rhône"}
,
  D14: {crpv: "CN", nom: "Calvados"},
  D15: {crpv: "CF", nom: "Cantal"},
  D16: {crpv: "PO", nom: "Charente"},
  D17: {crpv: "PO", nom: "Charente-Maritime"}
,
  D18: {crpv: "TS", nom: "Cher"},
  D19: {crpv: "LM", nom: "Corrèze"},
  D2A: {crpv: "MA", nom: "Corse-du-Sud"},
  D2B: {crpv: "MA", nom: "Haute-Corse"},
  D21: {crpv: "DJ", nom: "Côte-d'Or"},
  D22: {crpv: "RS", nom: "Côtes-d'Armor"},
  D23: {crpv: "LM", nom: "Creuse"},
  D24: {crpv: "BX", nom: "Dordogne"},
  D25: {crpv: "BS", nom: "Doubs"},
  D26: {crpv: "LY", nom: "Drôme"},
  D27: {crpv: "RN", nom: "Eure"},
  D28: {crpv: "PP", nom: "Eure-et-Loire"},
  D29: {crpv: "BR", nom: "Finistère"},
  D30: {crpv: "MP", nom: "Gard"},
  D31: {crpv: "TO", nom: "Haute-Garonne"},
  D32: {crpv: "TO", nom: "Gers"},
  D33: {crpv: "BX", nom: "Gironde"},
  D34: {crpv: "MP", nom: "Hérault"},
  D35: {crpv: "RS", nom: "Ille-et-Vilaine"},
  D36: {crpv: "LM", nom: "Indre"},
  D37: {crpv: "TS", nom: "Indre-et-Loire"},
  D38: {crpv: "GR", nom: "Isère"},
  D39: {crpv: "BS", nom: "Jura"},
  D40: {crpv: "BX", nom: "Landes"},
  D41: {crpv: "TS", nom: "Loir-et-Cher"},
  D42: {crpv: "SE", nom: "Loire"},
  D43: {crpv: "CF", nom: "Haute-Loire"},
  D44: {crpv: "NT", nom: "Loire-Atlantique"},
  D45: {crpv: "TS", nom: "Loiret"},
  D46: {crpv: "TO", nom: "Lot"},
  D47: {crpv: "BX", nom: "Lot-et-Garonne"},
  D48: {crpv: "MP", nom: "Lozère"},
  D49: {crpv: "AN", nom: "Maine-et-Loire"},
  D50: {crpv: "CN", nom: "Manche"},
  D51: {crpv: "RE", nom: "Marne"},
  D52: {crpv: "RE", nom: "Haute-Marne"},
  D53: {crpv: "AN", nom: "Mayenne"},
  D54: {crpv: "NY", nom: "Meurthe-et-Moselle"
},
  D55: {crpv: "NY", nom: "Meuse"},
  D56: {crpv: "BR", nom: "Morbihan"},
  D57: {crpv: "NY", nom: "Moselle"},
  D58: {crpv: "DJ", nom: "Nièvre"},
  D59: {crpv: "LL", nom: "Nord"},
  D60: {crpv: "AM", nom: "Oise"},
  D61: {crpv: "CN", nom: "Orne"},
  D62: {crpv: "LL", nom: "Pas-de-Calais"},
  D63: {crpv: "CF", nom: "Puy-de-Dôme"},
  D64: {crpv: "BX", nom: "Pyrénées-Atlantiq
ues"},
  D65: {crpv: "TO", nom: "Hautes-Pyrénées"}
,
  D66: {crpv: "MP", nom: "Pyrénées-Oriental
es"},
  D67: {crpv: "ST", nom: "Bas-Rhin"},
  D68: {crpv: "ST", nom: "Haut-Rhin"},
  D69: {crpv: "LY", nom: "Rhône"},
  D70: {crpv: "BS", nom: "Haute-Saône"},
  D71: {crpv: "DJ", nom: "Saône-et-Loire"},
  D72: {crpv: "AN", nom: "Sarthe"},
  D73: {crpv: "LY", nom: "Savoie"},
  D74: {crpv: "LY", nom: "Haute-Savoie"},
  D75: {crpv: "??", nom: "Paris"},
  D76: {crpv: "RN", nom: "Seine-Maritime"},
  D77: {crpv: "PC", nom: "Seine-et-Marne"},
  D78: {crpv: "PA", nom: "Yvelines"},
  D79: {crpv: "PO", nom: "Deux-Sèvres"},
  D80: {crpv: "AM", nom: "Somme"},
  D81: {crpv: "TO", nom: "Tarn"},
  D82: {crpv: "TO", nom: "Tarn-et-Garonne"},
  D83: {crpv: "NC", nom: "Var"},
  D84: {crpv: "MA", nom: "Vaucluse"},
  D85: {crpv: "NT", nom: "Vendée"},
  D86: {crpv: "PO", nom: "Vienne"},
  D87: {crpv: "LM", nom: "Haute-Vienne"},
  D88: {crpv: "NY", nom: "Vosges"},
  D89: {crpv: "DJ", nom: "Yonne"},
  D90: {crpv: "BS", nom: "Territoire-de-Belfo
rt"},
  D91: {crpv: "PV", nom: "Essonne"},
  D92: {crpv: "PB", nom: "Hauts-de-Seine"},
  D93: {crpv: "PS", nom: "Seine-Saint-Denis"}
,
  D94: {crpv: "PC", nom: "Val-de-Marne"},
  D95: {crpv: "PA", nom: "Val d'Oise"},
  D97: {crpv: "BX", nom: "DOM : Guadeloupe, M
artinique, Guyane, Polynésie Française et R
éunion"}
}

var tParis = {
  A01: "PB",
  A02: "PA",
  A03: "PS",
  A04: "PS",
  A05: "PP",
  A06: "PV",
  A07: "PV",
  A08: "PP",
  A09: "PA",
  A10: "PA",
  A11: "PS",
  A12: "PS",
  A13: "PP",
  A14: "PB",
  A15: "PB",
  A16: "PB",
  A17: "PA",
  A18: "PA",
  A19: "PA",
  A20: "PS"
}  
    
var codeDept = xfa.form.topmostSubform.Page1.
codeDept;
var nomDept = xfa.form.topmostSubform.Page1.n
omDept;
var codeArrdt = xfa.form.topmostSubform.Page1
.codeArrdt;
var textArrdt = xfa.form.topmostSubform.Page1
.textArrdt;
var nomCRPV = xfa.form.topmostSubform.Page1.n
omCRPV;
var mailCRPV = xfa.form.topmostSubform.Page1.
mailCRPV;

var dept = 'D' + codeDept.rawValue;
if (dept in tDept) {  
	if (dept != 'D75') {
		var crpv = tDept[dept]['crpv'];
		codeArrdt.presence = 'invisible';
		textArrdt.presence = 'invisible';		
		nomDept.rawValue = 'Département : ' + tDep
t[dept]['nom'];
		nomCRPV.rawValue = 'CRPV : ' + tCrpv[crpv][
'nomCrpv'];
		mailCRPV.rawValue = tCrpv[crpv]['eMail'];
	} else {
		codeArrdt.presence = 'visible';
		textArrdt.presence = 'visible';		
		nomDept.rawValue = '';
		nomCRPV.rawValue = '';
		mailCRPV.rawValue = '';	
		xfa.host.setFocus(codeArrdt);
	}
} else {
	nomDept.rawValue = '';
	nomCRPV.rawValue = '';
	mailCRPV.rawValue = '';
	xfa.host.messageBox('Code département incon
nu !');
}
</script
></event
><value
><text maxChars="2"
/></value
><traversal
><traverse ref="codeArrdt[0]"
/></traversal
></field
><field name="nomDept" y="59.99mm" x="141.445
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><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden" cap="butt"
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><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="justify"
/><validate nullTest="warning"
/><traversal
><traverse ref="nomCRPV[0]"
/></traversal
></field
><field name="nomCRPV" y="64.694mm" x="141.44
5mm" w="58.656mm" h="3.81mm"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden" cap="butt"
/></border
><margin
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></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="justify"
/><validate nullTest="warning"
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><traverse ref="mailCRPV[0]"
/></traversal
></field
><field name="mailCRPV" y="69.348mm" x="141.3
76mm" w="58.656mm" h="3.81mm"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden" cap="butt"
/></border
><margin
/></textEdit
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="justify"
/><validate nullTest="warning"
/><traversal
><traverse ref="Identification_PS[0]"
/></traversal
></field
><field name="Bouton1" y="26.414mm" x="165.1m
m" w="43.586mm" h="6mm"
><ui
><button
/></ui
><font typeface="Myriad Pro"
/><caption
><value
><text
>Transmettre</text
></value
><para vAlign="middle" hAlign="center"
/><font typeface="Arial" size="9pt"
><fill
><color value="0,0,128"
/></fill
></font
></caption
><border hand="right"
><edge presence="hidden" cap="butt"
/><fill
><color value="212, 208, 200"
/></fill
><?templateDesigner StyleID apbx0?></border
><bind match="none"
/><event activity="click" name="event__click"
><script contentType="application/x-javascrip
t"
>
var mail = xfa.form.topmostSubform.Page1.mail
CRPV;

if (mail.isNull) {
    xfa.host.messageBox("Pas d'adresse email 
de CRPV ! Veuillez indiquer le numéro de vot
re département","Envoi impossible");
} else {
	var objMail = {
	  bUI: false,
	  cTo: mail.rawValue,
	  cCc: '',
	  cBcc: '',
	  cSubject: "Fiche de déclaration d'effet(s
) indésirable(s)",
	  cMsg: "Bonjour,\r\n\r\nVeuillez trouver ci
-jointe une fiche de déclaration professionn
el de santé d'évènement(s) indésirable(s)
 correspondant à votre territoire géographi
que d'intervention.",
	  cSubmitAs: 'PDF'
	}
	event.target.mailDoc(objMail);
}

</script
></event
><?PDF_OBJR Bouton1[0]?></field
><field name="Nom_Patient" y="80.619mm" x="40
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><textEdit hScrollPolicy="off"
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><edge presence="hidden" cap="butt"
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><font typeface="Arial" size="9pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><validate nullTest="warning"
/><assist
><toolTip
>POUR QUE LE SIGNALEMENT SOIT PRIS EN COMPTE,
 IL EST INDISPENSABLE QUE SOIENT INDIQUES AU 
MINIMUM LE NOM DU MEDICAMENT OU PRODUIT SUSPE
CTE, LA NATURE DE L'EFFET INDESIRABLE, ET QUE
 LE DECLARANT (PROFESSIONNEL DE SANTE) AINSI 
QUE LE PATIENT (âge, sexe, ou date de naissa
nce au minimum) SOIENT IDENTIFIES.</toolTip
></assist
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><bind match="global"
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><exclGroup name="Groupe_de_boutons_radio" x=
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><field y="0mm" x="0mm" w="5.067mm" h="4.572m
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><ui
><checkButton
><border hand="right"
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><edge cap="butt" thickness="0.0254mm"
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></ui
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/><para vAlign="middle"
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><text
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></items
></field
><validate nullTest="warning"
/><?templateDesigner itemValuesSpecified 1?><
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><traverse ref="Poids[0]"
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><bind match="global"
/><?templateDesigner expand 1?></exclGroup
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" w="10.16mm" h="0.184028in"
><ui
><numericEdit hScrollPolicy="off"
><border presence="hidden" hand="right"
><?templateDesigner StyleID aped0?></border
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></ui
><font typeface="Arial" size="9pt"
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><para vAlign="middle" hAlign="center"
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></format
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></field
><field name="Unité_poids" y="103.822mm" x="
22.58mm" w="8.89mm" h="4.572mm"
><ui
><choiceList
><border hand="right" presence="hidden"
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></choiceList
></ui
><font typeface="Arial" size="9pt"
><fill
><color value="0,0,128"
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></font
><para vAlign="middle"
/><validate nullTest="warning"
/><items save="1"
><text
>kg</text
><text
>gr</text
></items
><value
><text
>kg</text
></value
><traversal
><traverse ref="Taille[0]"
/></traversal
></field
><field name="Age" y="101.122mm" x="66.802mm"
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><ui
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><field name="Unité_Age" y="101.122mm" x="77
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><ui
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><text
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><text
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><text
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></value
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><field name="Taille" y="103.822mm" x="35.016
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><ui
><textEdit
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><para vAlign="middle" hAlign="center"
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><field name="Unité_Taille" y="103.822mm" x=
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><font size="9pt" typeface="Arial"
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><para vAlign="middle"
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><ui
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><field name="père" y="103.32mm" x="87.445mm
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><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
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><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
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/></traversal
></field
><field name="Gravité_MJPVital" y="255.985mm
" x="60.855mm" w="4.572mm" h="4.572mm"
><ui
><checkButton
><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
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></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
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/></traversal
></field
><field name="Gravité_Décès" y="261.275mm"
 x="60.855mm" w="4.572mm" h="4.572mm"
><ui
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><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
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><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
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><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
><traverse ref="Gravité_Anomalie_Malformatio
n_congénitale[0]"
/></traversal
></field
><field name="Gravité_Anomalie_Malformation_
congénitale" y="267.095mm" x="60.855mm" w="4
.572mm" h="4.572mm"
><ui
><checkButton
><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
><traverse ref="Gravité_Autre_situation[0]"
/></traversal
></field
><field name="Gravité_Autre_situation" y="27
2.785mm" x="60.855mm" w="4.572mm" h="4.572mm"
><ui
><checkButton
><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
><traverse ref="Guérison_Non_Grave[0]"
/></traversal
></field
><field name="Guérison_Non_Grave" y="278.21m
m" x="60.855mm" w="4.572mm" h="4.572mm"
><ui
><checkButton
><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
><traverse ref="Evolution_Guérison[0]"
/></traversal
></field
><field name="Evolution_Guérison" y="241.639
mm" x="122.774mm" w="4.572mm" h="4.572mm"
><ui
><checkButton
><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
><traverse ref="Guérison_evolution[0]"
/></traversal
></field
><field name="Evolution_Sujet_NEE" y="257.88m
m" x="122.774mm" w="4.572mm" h="4.572mm"
><ui
><checkButton
><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
><traverse ref="Evolution_Décès[0]"
/></traversal
></field
><field name="Evolution_Décès" y="263.347mm
" x="122.774mm" w="4.572mm" h="4.572mm"
><ui
><checkButton
><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
><traverse ref="Décès_effet[0]"
/></traversal
></field
><field name="Evolution_Inconnue" y="278.873m
m" x="122.774mm" w="4.572mm" h="4.572mm"
><ui
><checkButton
><border hand="right"
><fill
><color value="255, 255, 255"
/></fill
><?templateDesigner StyleID apcb1?></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><value
><integer
>0</integer
></value
><items
><integer
>1</integer
><integer
>0</integer
><integer
>2</integer
></items
><traversal
><traverse ref="Date_Début_1[0]"
/></traversal
></field
><exclGroup name="Guérison_evolution" x="132
.113mm" y="247.3mm"
><?templateDesigner itemValuesSpecified 1?><f
ield y="0mm" w="2.032mm" h="2.032mm" name="Gu
érison_ss"
><ui
><checkButton
><border hand="right"
><?templateDesigner StyleID apcb1?><fill
><color value="255, 255, 255"
/></fill
></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><bind match="global"
/><items
><text
>ss</text
></items
></field
><validate nullTest="warning"
/><traversal
><traverse ref="Guérison_evolution[1]"
/></traversal
><bind match="global"
/><?templateDesigner expand 1?></exclGroup
><exclGroup name="Guérison_evolution" x="132
.113mm" y="251.46mm"
><?templateDesigner itemValuesSpecified 1?><f
ield x="0mm" w="2.032mm" h="2.032mm" name="Gu
érison_as"
><ui
><checkButton
><border hand="right"
><?templateDesigner StyleID apcb1?><fill
><color value="255, 255, 255"
/></fill
></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><bind match="global"
/><items
><text
>as</text
></items
></field
><validate nullTest="warning"
/><traversal
><traverse ref="Guérison_evolution[2]"
/></traversal
><bind match="global"
/><?templateDesigner expand 1?></exclGroup
><exclGroup name="Guérison_evolution" x="132
.113mm" y="255.27mm"
><?templateDesigner itemValuesSpecified 1?><f
ield w="2.032mm" h="2.032mm" name="Guérison_
ec"
><ui
><checkButton
><border hand="right"
><?templateDesigner StyleID apcb1?><fill
><color value="255, 255, 255"
/></fill
></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><bind match="global"
/><items
><text
>ec</text
></items
></field
><validate nullTest="warning"
/><traversal
><traverse ref="Evolution_Sujet_NEE[0]"
/></traversal
><bind match="global"
/><?templateDesigner expand 1?></exclGroup
><exclGroup name="Décès_effet" x="132.113mm
" y="268.732mm"
><?templateDesigner itemValuesSpecified 1?><f
ield x="0mm" w="2.032mm" h="2.032mm" name="D
cès_du_effet"
><ui
><checkButton
><border hand="right"
><?templateDesigner StyleID apcb1?><fill
><color value="255, 255, 255"
/></fill
></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><items
><text
>de</text
></items
><bind match="global"
/></field
><traversal
><traverse ref="Décès_effet[1]"
/></traversal
><bind match="global"
/><?templateDesigner expand 1?></exclGroup
><exclGroup name="Décès_effet" x="132.113mm
" y="272.796mm"
><bind match="global"
/><?templateDesigner itemValuesSpecified 1?><
field x="0mm" w="2.032mm" h="2.032mm" name="D
écès_effet_contribuer"
><ui
><checkButton
><border hand="right"
><?templateDesigner StyleID apcb1?><fill
><color value="255, 255, 255"
/></fill
></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><items
><text
>ec</text
></items
></field
><traversal
><traverse ref="Décès_effet[2]"
/></traversal
><?templateDesigner expand 1?></exclGroup
><exclGroup name="Décès_effet" x="132.113mm
" y="276.682mm"
><bind match="global"
/><?templateDesigner itemValuesSpecified 1?><
field x="0mm" w="2.032mm" h="2.032mm" name="D
écès_sans_rapport"
><ui
><checkButton
><border hand="right"
><?templateDesigner StyleID apcb1?><fill
><color value="255, 255, 255"
/></fill
></border
></checkButton
></ui
><font size="0pt" typeface="Adobe Pi Std"
/><para vAlign="middle"
/><items
><text
>re</text
></items
></field
><traversal
><traverse ref="Evolution_Inconnue[0]"
/></traversal
><?templateDesigner expand 1?></exclGroup
><field name="Voie_Aministration_1" y="144.46
mm" x="58.74mm" w="26.924mm" h="5.334mm"
><ui
><choiceList textEntry="1"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
></choiceList
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><validate nullTest="warning"
/><items save="1"
><text
>auriculaire</text
><text
>cutanée</text
><text
>sous-cutanée</text
><text
>intraveineuse</text
><text
>intramusculaire</text
><text
>intradermique</text
><text
>ophtalmique</text
><text
>nasale</text
><text
>orale</text
><text
>rectale</text
></items
><traversal
><traverse ref="Posologie_1[0]"
/></traversal
></field
><field name="Voie_Aministration_2" y="151.47
5mm" x="58.74mm" w="26.924mm" h="5.334mm"
><ui
><choiceList textEntry="1"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
></choiceList
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><validate nullTest="warning"
/><items save="1"
><text
>auriculaire</text
><text
>cutanée</text
><text
>sous-cutanée</text
><text
>intraveineuse</text
><text
>intramusculaire</text
><text
>intradermique</text
><text
>ophtalmique</text
><text
>nasale</text
><text
>orale</text
><text
>rectale</text
></items
><traversal
><traverse ref="Posologie_2[0]"
/></traversal
></field
><field name="Voie_Aministration_3" y="158.35
5mm" x="58.74mm" w="26.924mm" h="5.334mm"
><ui
><choiceList textEntry="1"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
></choiceList
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><validate nullTest="warning"
/><items save="1"
><text
>auriculaire</text
><text
>cutanée</text
><text
>sous-cutanée</text
><text
>intraveineuse</text
><text
>intramusculaire</text
><text
>intradermique</text
><text
>ophtalmique</text
><text
>nasale</text
><text
>orale</text
><text
>rectale</text
></items
><traversal
><traverse ref="Posologie_3[0]"
/></traversal
></field
><field name="Voie_Aministration_4" y="165.63
mm" x="58.74mm" w="26.924mm" h="5.334mm"
><ui
><choiceList textEntry="1"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
></choiceList
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><validate nullTest="warning"
/><items save="1"
><text
>auriculaire</text
><text
>cutanée</text
><text
>sous-cutanée</text
><text
>intraveineuse</text
><text
>intramusculaire</text
><text
>intradermique</text
><text
>ophtalmique</text
><text
>nasale</text
><text
>orale</text
><text
>rectale</text
></items
><traversal
><traverse ref="Posologie_4[0]"
/></traversal
></field
><field name="Voie_Aministration_5" y="172.37
5mm" x="58.74mm" w="26.924mm" h="5.334mm"
><ui
><choiceList textEntry="1"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
></choiceList
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><validate nullTest="warning"
/><items save="1"
><text
>auriculaire</text
><text
>cutanée</text
><text
>sous-cutanée</text
><text
>intraveineuse</text
><text
>intramusculaire</text
><text
>intradermique</text
><text
>ophtalmique</text
><text
>nasale</text
><text
>orale</text
><text
>rectale</text
></items
><traversal
><traverse ref="Posologie_5[0]"
/></traversal
></field
><field name="Voie_Aministration_6" y="179.39
mm" x="58.74mm" w="26.924mm" h="5.334mm"
><ui
><choiceList textEntry="1"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
></choiceList
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><validate nullTest="warning"
/><items save="1"
><text
>auriculaire</text
><text
>cutanée</text
><text
>sous-cutanée</text
><text
>intraveineuse</text
><text
>intramusculaire</text
><text
>intradermique</text
><text
>ophtalmique</text
><text
>nasale</text
><text
>orale</text
><text
>rectale</text
></items
><traversal
><traverse ref="Posologie_6[0]"
/></traversal
></field
><field name="Médicament_1" y="144.33mm" x="
14.55mm" w="43.18mm" h="5.842mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font size="6pt" typeface="Arial"
><fill
><color value="0,0,128"
/></fill
></font
><para hAlign="justify"
/><validate nullTest="warning"
/><value
><text maxChars="200"
/></value
><traversal
><traverse ref="Voie_Aministration_1[0]"
/></traversal
><assist
><toolTip
>POUR QUE LE SIGNALEMENT SOIT PRIS EN COMPTE,
 IL EST INDISPENSABLE QUE SOIENT INDIQUES AU 
MINIMUM LE NOM DU MEDICAMENT OU PRODUIT SUSPE
CTE, LA NATURE DE L'EFFET INDESIRABLE, ET QUE
 LE DECLARANT (PROFESSIONNEL DE SANTE) AINSI 
QUE LE PATIENT (âge, sexe, ou date de naissa
nce au minimum) SOIENT IDENTIFIES.</toolTip
></assist
></field
><field name="Médicament_2" y="151.21mm" x="
14.55mm" w="43.18mm" h="5.842mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font size="6pt" typeface="Arial"
><fill
><color value="0,0,128"
/></fill
></font
><para hAlign="justify"
/><validate nullTest="warning"
/><value
><text maxChars="200"
/></value
><traversal
><traverse ref="Voie_Aministration_2[0]"
/></traversal
></field
><field name="Médicament_3" y="158.09mm" x="
14.55mm" w="43.18mm" h="5.842mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font size="6pt" typeface="Arial"
><fill
><color value="0,0,128"
/></fill
></font
><para hAlign="justify"
/><validate nullTest="warning"
/><value
><text maxChars="200"
/></value
><traversal
><traverse ref="Voie_Aministration_3[0]"
/></traversal
></field
><field name="Médicament_4" y="165.1mm" x="1
4.55mm" w="43.18mm" h="5.842mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font size="6pt" typeface="Arial"
><fill
><color value="0,0,128"
/></fill
></font
><para hAlign="justify"
/><validate nullTest="warning"
/><value
><text maxChars="200"
/></value
><traversal
><traverse ref="Voie_Aministration_4[0]"
/></traversal
></field
><field name="Médicament_5" y="172.11mm" x="
14.55mm" w="43.18mm" h="5.842mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font size="6pt" typeface="Arial"
><fill
><color value="0,0,128"
/></fill
></font
><para hAlign="justify"
/><validate nullTest="warning"
/><value
><text maxChars="200"
/></value
><traversal
><traverse ref="Voie_Aministration_5[0]"
/></traversal
></field
><field name="Médicament_6" y="179.52mm" x="
14.55mm" w="43.18mm" h="5.842mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font size="6pt" typeface="Arial"
><fill
><color value="0,0,128"
/></fill
></font
><para hAlign="justify"
/><validate nullTest="warning"
/><value
><text maxChars="200"
/></value
><traversal
><traverse ref="Voie_Aministration_6[0]"
/></traversal
></field
><field name="Posologie_1" y="144.46mm" x="86
.96mm" w="20.066mm" h="5.283mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><value
><text maxChars="50"
/></value
><validate nullTest="warning"
/><traversal
><traverse ref="Date_Début_1[1]"
/></traversal
></field
><field name="Posologie_2" y="151.52mm" x="86
.96mm" w="20.066mm" h="5.283mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><value
><text maxChars="50"
/></value
><validate nullTest="warning"
/><traversal
><traverse ref="Date_Début_2[0]"
/></traversal
></field
><field name="Posologie_3" y="158.573mm" x="8
6.96mm" w="20.066mm" h="5.283mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><value
><text maxChars="50"
/></value
><validate nullTest="warning"
/><traversal
><traverse ref="Date_Début_3[0]"
/></traversal
></field
><field name="Posologie_4" y="165.453mm" x="8
6.96mm" w="20.066mm" h="5.283mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
><?templateDesigner StyleID aped0?></border
><margin
/></textEdit
></ui
><font typeface="Arial" size="7pt"
><fill
><color value="0,0,128"
/></fill
></font
><para vAlign="middle" hAlign="center"
/><value
><text maxChars="50"
/></value
><validate nullTest="warning"
/><traversal
><traverse ref="Date_Début_4[0]"
/></traversal
></field
><field name="Posologie_5" y="172.507mm" x="8
6.96mm" w="20.066mm" h="5.283mm"
><ui
><textEdit multiLine="1" hScrollPolicy="off" 
vScrollPolicy="off"
><border hand="right" presence="hidden"
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var tCrpv = {
  AM: {nomCrpv: "AMIENS", eMail: "pharmacovig
ilance@chu-amiens.fr"},
  AN: {nomCrpv: "ANGERS", eMail: "pharmacovig
ilance@chu-angers.fr"},
  BS: {nomCrpv: "BESANÇON", eMail: "pharmaco
vigilance@chu-besancon.fr"},
  BX: {nomCrpv: "BORDEAUX", eMail: "pharmacov
igilance@pharmaco.u-bordeaux2.fr"},
  BR: {nomCrpv: "BREST", eMail: "crpv.brest@c
hu-brest.fr"},
  CN: {nomCrpv: "CAEN", eMail: "pharmacovigil
ance@chu-caen.fr"},
  CF: {nomCrpv: "CLERMONT-FERRAND", eMail: "p
harmacovigilance@chu-clermontferrand.fr"},
  DJ: {nomCrpv: "DIJON", eMail: "pharmacovigi
lance@chu-dijon.fr"},
  GR: {nomCrpv: "GRENOBLE", eMail: "pharmacov
igilance@chu-grenoble.fr"},
  LL: {nomCrpv: "LILLE", eMail: "crpv@chru-li
lle.fr"},
  LM: {nomCrpv: "LIMOGES", eMail: "pharmacovi
gilance@chu-limoges.fr"},
  LY: {nomCrpv: "LYON", eMail: "centre.pharma
covigilance@chu-lyon.fr"},
  MA: {nomCrpv: "MARSEILLE", eMail: "pharmaco
vigilance@ap-hm.fr"},
  MP: {nomCrpv: "MONTPELLIER", eMail: "pharma
covigilance@chu-montpellier.fr"},
  NY: {nomCrpv: "NANCY", eMail: "crpv@chu-nan
cy.fr"},
  NT: {nomCrpv: "NANTES", eMail: "pharmacovig
ilance@chu-nantes.fr"},
  NC: {nomCrpv: "NICE", eMail: "pharmacovigil
ance@chu-nice.fr"},
  PB: {nomCrpv: "PARIS HEGP", eMail: "crpv.he
gp@egp.aphp.fr"},
  PC: {nomCrpv: "PARIS HENRI MONDOR", eMail: 
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  PA: {nomCrpv: "PARIS FERNAND-WIDAL", eMail:
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  PP: {nomCrpv: "PARIS PITIE-SALPETRIERE", eM
ail: "pharmaco.vigilance@psl.aphp.fr"},
  PS: {nomCrpv: "PARIS SAINT-ANTOINE", eMail:
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  PV: {nomCrpv: "PARIS COCHIN – PORT-ROYAL"
, eMail: "pharmacovigilance.hupc@aphp.fr"},
  PO: {nomCrpv: "POITIERS", eMail: "pharmaco.
clin@chu-poitiers.fr"},
  RE: {nomCrpv: "REIMS", eMail: "pharmacovigi
lance@chu-reims.fr"},
  RS: {nomCrpv: "RENNES", eMail: "pharmacovig
ilance@chu-rennes.fr"},
  RN: {nomCrpv: "ROUEN", eMail: "pharmacovigi
lance@chu-rouen.fr"},
  SE: {nomCrpv: "SAINT-ÉTIENNE", eMail: "pha
rmacovigilance@chu-st-etienne.fr"},
  ST: {nomCrpv: "STRASBOURG", eMail: "pharmac
ovigilance@chru-strasbourg.fr"},
  TO: {nomCrpv: "TOULOUSE", eMail: "pharmacov
igilance@chu-toulouse.fr"},
  TS: {nomCrpv: "TOURS", eMail: "crpv@chu-tou
rs.fr"}
}

var tParis = {
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  A04: "PS",
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  A06: "PV",
  A07: "PV",
  A08: "PP",
  A09: "PA",
  A10: "PA",
  A11: "PS",
  A12: "PS",
  A13: "PP",
  A14: "PB",
  A15: "PB",
  A16: "PB",
  A17: "PA",
  A18: "PA",
  A19: "PA",
  A20: "PS"
}  
    
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var nomDept = xfa.form.topmostSubform.Page1.n
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var codeArrdt = xfa.form.topmostSubform.Page1
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var textArrdt = xfa.form.topmostSubform.Page1
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var nomCRPV = xfa.form.topmostSubform.Page1.n
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var mailCRPV = xfa.form.topmostSubform.Page1.
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var arrdt = 'A' + codeArrdt.rawValue;
if (arrdt in tParis) {  
	var crpv = tParis[arrdt];
	nomDept.rawValue = 'PARIS ' + codeArrdt.rawV
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	nomCRPV.rawValue = 'CRPV : ' + tCrpv[crpv]['
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