<!DOCTYPE html>
<html xmlns="http://www.w3.org/1999/html">
<head>
<title>Claim for - Reimbursement - Administrative Check /Medical information</title>
<meta charset="utf-8" />
<!-- the next meta info is used for some compatibility issue in IE11 -->
<meta http-equiv="X-UA-Compatible" content="IE=9" />
<meta sedName="H020" sedPackage="Sector Components/Horizontal/H020" sedGVer="4" sedVer="1" sedPatch="0"/>
<meta name="viewport" content="width=device-width, initial-scale=1.0" />

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<script src="_forms/angular/js/src/checklist-model.js"></script>
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<script src="_forms/angular/js/src/select.js"></script>
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</head>
<body ng-app="sedAngularApp">
	<div ng-controller = "ControllerH020" class="met-root">
		<div>
			<h3 class="sedHeadingAC">H020 - Claim for - Reimbursement - Administrative Check /Medical information <br/> Article 87 of Regulation (EC) No 987/2009</h3>
			<div style="position:absolute;top:0;right:0;font-size:70%">SED API version: 0.15.3 build preview 1<br/>Model version: 4.1.0</div>
		</div>
		<!--  
		<ui-layout class= "layout" options = "{sizes:['99%', '1%']}" >
		-->
		<div class="layoutAC">
		<bg-splitter orientation="vertical" position="VM.splitterPosition" class="met-splitter">
		<bg-pane min-size="100" scroll-to-id="viewModel.scrollToId">
			<div ng-controller="SedController" ng-cloak ng-init = "section = model.H020; metaSection = metaModel.H020" class="wb-stretch">
				<div id = "content-angular_H020" class="content-angular container-fluid" ng-model-options="{ debounce: 250 }" ng-form="H020" sedName="H020" sedPackage="Sector Components/Horizontal/H020" sedGVer="4" sedVer="1" sedPatch="0">
					<div class="tab-content met-content" ng-init="sedForm = H020">
						<div met_start_tag class="form-group" ng-controller="WbAngularSedCtrl">
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.GlobalClaim; metaSection = $parent.metaSection.GlobalClaim" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SECTION_ROW"    id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label SECTION_ROW">1. Global Claim <i>*</i>
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="Overall claim for reimbursement made by the creditor institution (totalization of individual claims)." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
									<div class="SECTION_ROW_WHITESPACE"></div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.CreditorInstitution; metaSection = $parent.metaSection.CreditorInstitution" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">1.1. Creditor institution <i>*</i>
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="State the social security coordination institution (in the sense of article 1 of Regulation (EC) no 883/2004 and article 1 of Regulation (EC) no 987/2009) that is relevant in this context." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.institutionID.$$error,'has-warning': validateForm && metaSection.institutionID.$$warning && !metaSection.institutionID.$$error}">
									<label class="control-label col-xs-3">1.1.1. Institution ID <i>*</i></label>
									<div class="tooltip-handler" tooltip="Identification number of the institution, as included in the EESSI Institution Repository (formerly known as Directory Service)." tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div class="col-xs-7">
										<irwidget ng-model="section.institutionID" disabled="false" institution="section" name="institutionID" value="" id="field_{{getNextUUID(metaSection.institutionID)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.institutionID.$$error">{{metaSection.institutionID.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.institutionID.$$warning && !metaSection.institutionID.$$error">{{metaSection.institutionID.$$warning}}</label>
									<div class="col-xs-7"><br/></div>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.institutionName.$$error,'has-warning': validateForm && metaSection.institutionName.$$warning && !metaSection.institutionName.$$error}">
									<label class="control-label col-xs-3">1.1.2. Institution Name <i>*</i></label>
									<div class="col-xs-7">
										<irwidget ng-model="section.institutionName" disabled="false" institution="section" name="institutionName" value="" id="field_{{getNextUUID(metaSection.institutionName)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.institutionName.$$error">{{metaSection.institutionName.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.institutionName.$$warning && !metaSection.institutionName.$$error">{{metaSection.institutionName.$$warning}}</label>
									<div class="col-xs-7"><br/></div>
								   </div>
								</div>
							</div>
							</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.globalReferenceSetByCreditorInstitution.$$error,'has-warning': validateForm && metaSection.globalReferenceSetByCreditorInstitution.$$warning && !metaSection.globalReferenceSetByCreditorInstitution.$$error}">
									<label class="control-label col-xs-3">1.2. Global Reference set by Creditor Institution <i>*</i></label>
									<div class="col-xs-7">
										<input ng-model="section.globalReferenceSetByCreditorInstitution" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.globalReferenceSetByCreditorInstitution)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.globalReferenceSetByCreditorInstitution.$$error">{{metaSection.globalReferenceSetByCreditorInstitution.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.globalReferenceSetByCreditorInstitution.$$warning && !metaSection.globalReferenceSetByCreditorInstitution.$$error">{{metaSection.globalReferenceSetByCreditorInstitution.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.totalNumberInvoices.$$error,'has-warning': validateForm && metaSection.totalNumberInvoices.$$warning && !metaSection.totalNumberInvoices.$$error}">
									<label class="control-label col-xs-3">1.3. Total number of invoices <i>*</i></label>
									<div class="col-xs-7"><input ng-model="section.totalNumberInvoices" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.totalNumberInvoices)}}" /><br/></div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.totalNumberInvoices.$$error">{{metaSection.totalNumberInvoices.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.totalNumberInvoices.$$warning && !metaSection.totalNumberInvoices.$$error">{{metaSection.totalNumberInvoices.$$warning}}</label>
								   </div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.TotalClaimAmountInCurrencyCreditorInstitution; metaSection = $parent.metaSection.TotalClaimAmountInCurrencyCreditorInstitution" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">1.4. Total Claim amount in currency of creditor institution <i>*</i>
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="Total amount of the global claim in the currency of the creditor institution." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.amount.$$error,'has-warning': validateForm && metaSection.amount.$$warning && !metaSection.amount.$$error}">
									<label class="control-label col-xs-3">1.4.1. Amount <i>*</i></label>
									<div class="col-xs-7"><input ng-model="section.amount" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.amount)}}" /><br/></div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.amount.$$error">{{metaSection.amount.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.amount.$$warning && !metaSection.amount.$$error">{{metaSection.amount.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.currency.$$error,'has-warning': validateForm && metaSection.currency.$$warning && !metaSection.currency.$$error}">
									<label class="control-label col-xs-3">1.4.2. Currency <i>*</i></label>
									<div 		class="col-xs-7">
										
										<!--  single enum: multiplicity 1 and size greater that 5 entries -->
										<ui-select type="enum" ng-model="section.currency" ng-disabled="false" reset-search-input="false" lazy-load="true" id="field_{{getNextUUID(metaSection.currency)}}">
											<ui-select-match allow-clear="true" placeholder="{{locale['Noneselected']}}"> {{$select.selected[ 'name']}} </ui-select-match>
											<ui-select-choices repeat="option['value'] as option in input.EESSIEUEFTACurrencyType | filter: $select.search">
												<div ng-bind-html="option['name'] | highlight: $select.search"></div>
											</ui-select-choices>
										</ui-select>
										<br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.currency.$$error">{{metaSection.currency.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.currency.$$warning && !metaSection.currency.$$error">{{metaSection.currency.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.paymentDueOn.$$error,'has-warning': validateForm && metaSection.paymentDueOn.$$warning && !metaSection.paymentDueOn.$$error}">
									<label class="control-label col-xs-3">1.4.3. Payment due on</label>
									<div class="col-xs-7" ng-controller="DatePicker1">
										<p class="input-group">
											<span ng-class="{'met-datepicker-up': metaSection.paymentDueOn.$$elemNo >= metaModel.H020.$$elementsNo - 4}">
												<input type="text" class="form-control" datepicker-popup-met ng-model="section.paymentDueOn" ng-disabled="false" is-open="status.opened" min-date="minDate" max-date="maxDate" datepicker-options="dateOptions" date-disabled="disabled(date, mode)" close-text="Close" show-weeks="false" year-rows="9" year-columns="9" time-arrow="backward" datepicker-mode="year" placeholder="dd-MM-yyyy" id="field_{{getNextUUID(metaSection.paymentDueOn)}}" />
											</span>
											<span class="input-group-btn">
												<button ng-class="{'has-error-date-button': validateForm && metaSection.paymentDueOn.$$error, 'has-warning-date-button': validateForm && !metaSection.paymentDueOn.$$error && metaSection.paymentDueOn.$$warning}" ng-disabled="false" type="button" class="btn btn-default" ng-click="open($event)"><i class="glyphicon glyphicon-calendar"></i></button>
											</span>
										</p>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.paymentDueOn.$$error">{{metaSection.paymentDueOn.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.paymentDueOn.$$warning && !metaSection.paymentDueOn.$$error">{{metaSection.paymentDueOn.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.DebtorInstitution; metaSection = $parent.metaSection.DebtorInstitution" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">1.5. Debtor institution
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="State the social security coordination institution (in the sense of article 1 of Regulation (EC) no 883/2004 and article 1 of Regulation (EC) no 987/2009) that is relevant in this context." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.institutionID.$$error,'has-warning': validateForm && metaSection.institutionID.$$warning && !metaSection.institutionID.$$error}">
									<label class="control-label col-xs-3">1.5.1. Institution ID <i>*</i></label>
									<div class="tooltip-handler" tooltip="Identification number of the institution, as included in the EESSI Institution Repository (formerly known as Directory Service)." tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div class="col-xs-7">
										<irwidget ng-model="section.institutionID" disabled="false" institution="section" name="institutionID" value="" id="field_{{getNextUUID(metaSection.institutionID)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.institutionID.$$error">{{metaSection.institutionID.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.institutionID.$$warning && !metaSection.institutionID.$$error">{{metaSection.institutionID.$$warning}}</label>
									<div class="col-xs-7"><br/></div>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.institutionName.$$error,'has-warning': validateForm && metaSection.institutionName.$$warning && !metaSection.institutionName.$$error}">
									<label class="control-label col-xs-3">1.5.2. Institution Name <i>*</i></label>
									<div class="col-xs-7">
										<irwidget ng-model="section.institutionName" disabled="false" institution="section" name="institutionName" value="" id="field_{{getNextUUID(metaSection.institutionName)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.institutionName.$$error">{{metaSection.institutionName.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.institutionName.$$warning && !metaSection.institutionName.$$error">{{metaSection.institutionName.$$warning}}</label>
									<div class="col-xs-7"><br/></div>
								   </div>
								</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.BankDetails; metaSection = $parent.metaSection.BankDetails" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">1.6. Bank details
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="Information required to identify the bank account for the transfer of the payments." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.IBAN.$$error,'has-warning': validateForm && metaSection.IBAN.$$warning && !metaSection.IBAN.$$error}">
									<label class="control-label col-xs-3">1.6.1. IBAN <i>*</i></label>
									<div class="tooltip-handler" tooltip="State the IBAN (International Bank Account Number) code of the bank account where the money has to be transferred. IBAN is an internationally agreed system of identifying bank accounts across national borders." tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div class="col-xs-7">
										<input ng-model="section.IBAN" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.IBAN)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.IBAN.$$error">{{metaSection.IBAN.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.IBAN.$$warning && !metaSection.IBAN.$$error">{{metaSection.IBAN.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.BICSWIFT.$$error,'has-warning': validateForm && metaSection.BICSWIFT.$$warning && !metaSection.BICSWIFT.$$error}">
									<label class="control-label col-xs-3">1.6.2. BIC-SWIFT</label>
									<div class="tooltip-handler" tooltip="State the sort code (BIC/SWIFT) of the relevant branch in the banking institution where the bank account is hold. (BIC/SWIFT). The SWIFT/BIC code is a standard code that is used when transferring money between banks to uniquely identify banks and financial institutions globally." tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div class="col-xs-7">
										<input ng-model="section.BICSWIFT" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.BICSWIFT)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.BICSWIFT.$$error">{{metaSection.BICSWIFT.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.BICSWIFT.$$warning && !metaSection.BICSWIFT.$$error">{{metaSection.BICSWIFT.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.Claim; metaSection = $parent.metaSection.Claim" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SECTION_ROW"    id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label SECTION_ROW">2. Claim
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="The individual claims of which the global claim is composed." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
									<div class="SECTION_ROW_WHITESPACE"></div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.Person; metaSection = $parent.metaSection.Person" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">2.1. Person <i>*</i>
									</label>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.PersonInformation; metaSection = $parent.metaSection.PersonInformation" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">2.1.1. Person Information <i>*</i>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.familyName.$$error,'has-warning': validateForm && metaSection.familyName.$$warning && !metaSection.familyName.$$error}">
									<label class="control-label col-xs-3">2.1.1.1. Family name(s) <i>*</i></label>
									<div class="col-xs-7">
										<input ng-model="section.familyName" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.familyName)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.familyName.$$error">{{metaSection.familyName.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.familyName.$$warning && !metaSection.familyName.$$error">{{metaSection.familyName.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.forename.$$error,'has-warning': validateForm && metaSection.forename.$$warning && !metaSection.forename.$$error}">
									<label class="control-label col-xs-3">2.1.1.2. Forename(s) <i>*</i></label>
									<div class="col-xs-7">
										<input ng-model="section.forename" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.forename)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.forename.$$error">{{metaSection.forename.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.forename.$$warning && !metaSection.forename.$$error">{{metaSection.forename.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.dateBirth.$$error,'has-warning': validateForm && metaSection.dateBirth.$$warning && !metaSection.dateBirth.$$error}">
									<label class="control-label col-xs-3">2.1.1.3. Date of birth <i>*</i></label>
									<div class="col-xs-7" ng-controller="DatePicker1">
										<p class="input-group">
											<span ng-class="{'met-datepicker-up': metaSection.dateBirth.$$elemNo >= metaModel.H020.$$elementsNo - 4}">
												<input type="text" class="form-control" datepicker-popup-met ng-model="section.dateBirth" ng-disabled="false" is-open="status.opened" min-date="minDate" max-date="maxDate" datepicker-options="dateOptions" date-disabled="disabled(date, mode)" close-text="Close" show-weeks="false" year-rows="9" year-columns="9" time-arrow="backward" datepicker-mode="year" placeholder="dd-MM-yyyy" id="field_{{getNextUUID(metaSection.dateBirth)}}" />
											</span>
											<span class="input-group-btn">
												<button ng-class="{'has-error-date-button': validateForm && metaSection.dateBirth.$$error, 'has-warning-date-button': validateForm && !metaSection.dateBirth.$$error && metaSection.dateBirth.$$warning}" ng-disabled="false" type="button" class="btn btn-default" ng-click="open($event)"><i class="glyphicon glyphicon-calendar"></i></button>
											</span>
										</p>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.dateBirth.$$error">{{metaSection.dateBirth.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.dateBirth.$$warning && !metaSection.dateBirth.$$error">{{metaSection.dateBirth.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.sex.$$error,'has-warning': validateForm && metaSection.sex.$$warning && !metaSection.sex.$$error}">
									<label class="control-label col-xs-3">2.1.1.4. Sex <i>*</i></label>
									<div 		class="col-xs-7">
										<!--  single enum: multiplicity 1 and size lower than 5 entries -->
										<div class="radio radio-met radio-met-primary" ng-model="section.sex" ng-repeat="option in input.EESSISexType track by $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.sex)}}">
										   <input id="2.1.1.4.{{getNextUUID(metaSection.sex)}}{{option.value}}" type="radio" ng-model="section.sex" ng-click="radioClearSelection($parent.section,'sex',$event)" ng-disabled="false" value="{{option.value}}"> <label for="2.1.1.4.{{getNextUUID(metaSection.sex)}}{{option.value}}">{{option.name}}</label><br/></input>
										</div>
										<br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.sex.$$error">{{metaSection.sex.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.sex.$$warning && !metaSection.sex.$$error">{{metaSection.sex.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.familyNameAtBirth.$$error,'has-warning': validateForm && metaSection.familyNameAtBirth.$$warning && !metaSection.familyNameAtBirth.$$error}">
									<label class="control-label col-xs-3">2.1.2. Family name(s) at birth</label>
									<div class="tooltip-handler" tooltip="State the family name(s) of the person at birth if different from the current family name(s)." tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div class="col-xs-7">
										<input ng-model="section.familyNameAtBirth" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.familyNameAtBirth)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.familyNameAtBirth.$$error">{{metaSection.familyNameAtBirth.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.familyNameAtBirth.$$warning && !metaSection.familyNameAtBirth.$$error">{{metaSection.familyNameAtBirth.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.forenameAtBirth.$$error,'has-warning': validateForm && metaSection.forenameAtBirth.$$warning && !metaSection.forenameAtBirth.$$error}">
									<label class="control-label col-xs-3">2.1.3. Forename(s) at birth</label>
									<div class="tooltip-handler" tooltip="State the forename(s) of the person at birth if different from current forename(s)." tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div class="col-xs-7">
										<input ng-model="section.forenameAtBirth" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.forenameAtBirth)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.forenameAtBirth.$$error">{{metaSection.forenameAtBirth.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.forenameAtBirth.$$warning && !metaSection.forenameAtBirth.$$error">{{metaSection.forenameAtBirth.$$warning}}</label>
								   </div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.PersonIdentificationNumber; metaSection = $parent.metaSection.PersonIdentificationNumber" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">2.1.4. Person Identification Number <i>*</i>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.pINPersonInCompetentMemberState.$$error,'has-warning': validateForm && metaSection.pINPersonInCompetentMemberState.$$warning && !metaSection.pINPersonInCompetentMemberState.$$error}">
									<label class="control-label col-xs-3">2.1.4.1. PIN of the person in Competent Member State <i>*</i></label>
									<div class="col-xs-7">
										<input ng-model="section.pINPersonInCompetentMemberState" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.pINPersonInCompetentMemberState)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.pINPersonInCompetentMemberState.$$error">{{metaSection.pINPersonInCompetentMemberState.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.pINPersonInCompetentMemberState.$$warning && !metaSection.pINPersonInCompetentMemberState.$$error">{{metaSection.pINPersonInCompetentMemberState.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.pINPersonInMemberStateStayOrResidence.$$error,'has-warning': validateForm && metaSection.pINPersonInMemberStateStayOrResidence.$$warning && !metaSection.pINPersonInMemberStateStayOrResidence.$$error}">
									<label class="control-label col-xs-3">2.1.4.2. PIN of the person in Member State of Stay or Residence</label>
									<div class="col-xs-7">
										<input ng-model="section.pINPersonInMemberStateStayOrResidence" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.pINPersonInMemberStateStayOrResidence)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.pINPersonInMemberStateStayOrResidence.$$error">{{metaSection.pINPersonInMemberStateStayOrResidence.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.pINPersonInMemberStateStayOrResidence.$$warning && !metaSection.pINPersonInMemberStateStayOrResidence.$$error">{{metaSection.pINPersonInMemberStateStayOrResidence.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag ng-repeat="section in section.Reimbursement" ng-init = "metaSection = metaSection.Reimbursement[$index]" ng-hide = "metaSection.$$isHidden" ng-class="'color' + ($index % 2)" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">2.2. Reimbursement <i>*</i>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.inReferenceYour.$$error,'has-warning': validateForm && metaSection.inReferenceYour.$$warning && !metaSection.inReferenceYour.$$error}">
									<label class="control-label col-xs-3">2.2.1. In reference to your <i>*</i></label>
									<div class="tooltip-handler" tooltip="State the invoice number of the individual claim." tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div 		class="col-xs-7">
										<!--  single enum: multiplicity 1 and size lower than 5 entries -->
										<div class="radio radio-met radio-met-primary" ng-model="section.inReferenceYour" ng-repeat="option in input.HReferenceListType track by $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.inReferenceYour)}}">
										   <input id="2.2.1.{{getNextUUID(metaSection.inReferenceYour)}}{{option.value}}" type="radio" ng-model="section.inReferenceYour" ng-click="radioClearSelection($parent.section,'inReferenceYour',$event)" ng-disabled="false" value="{{option.value}}"> <label for="2.2.1.{{getNextUUID(metaSection.inReferenceYour)}}{{option.value}}">{{option.name}}</label><br/></input>
										</div>
										<br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.inReferenceYour.$$error">{{metaSection.inReferenceYour.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.inReferenceYour.$$warning && !metaSection.inReferenceYour.$$error">{{metaSection.inReferenceYour.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.issuedOn.$$error,'has-warning': validateForm && metaSection.issuedOn.$$warning && !metaSection.issuedOn.$$error}">
									<label class="control-label col-xs-3">2.2.2. Issued on <i>*</i></label>
									<div class="col-xs-7" ng-controller="DatePicker1">
										<p class="input-group">
											<span ng-class="{'met-datepicker-up': metaSection.issuedOn.$$elemNo >= metaModel.H020.$$elementsNo - 4}">
												<input type="text" class="form-control" datepicker-popup-met ng-model="section.issuedOn" ng-disabled="false" is-open="status.opened" min-date="minDate" max-date="maxDate" datepicker-options="dateOptions" date-disabled="disabled(date, mode)" close-text="Close" show-weeks="false" year-rows="9" year-columns="9" time-arrow="backward" datepicker-mode="year" placeholder="dd-MM-yyyy" id="field_{{getNextUUID(metaSection.issuedOn)}}" />
											</span>
											<span class="input-group-btn">
												<button ng-class="{'has-error-date-button': validateForm && metaSection.issuedOn.$$error, 'has-warning-date-button': validateForm && !metaSection.issuedOn.$$error && metaSection.issuedOn.$$warning}" ng-disabled="false" type="button" class="btn btn-default" ng-click="open($event)"><i class="glyphicon glyphicon-calendar"></i></button>
											</span>
										</p>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.issuedOn.$$error">{{metaSection.issuedOn.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.issuedOn.$$warning && !metaSection.issuedOn.$$error">{{metaSection.issuedOn.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.invoiceNumberCreditorInstitution.$$error,'has-warning': validateForm && metaSection.invoiceNumberCreditorInstitution.$$warning && !metaSection.invoiceNumberCreditorInstitution.$$error}">
									<label class="control-label col-xs-3">2.2.3. Invoice number of creditor institution <i>*</i></label>
									<div class="col-xs-7">
										<input ng-model="section.invoiceNumberCreditorInstitution" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.invoiceNumberCreditorInstitution)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.invoiceNumberCreditorInstitution.$$error">{{metaSection.invoiceNumberCreditorInstitution.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.invoiceNumberCreditorInstitution.$$warning && !metaSection.invoiceNumberCreditorInstitution.$$error">{{metaSection.invoiceNumberCreditorInstitution.$$warning}}</label>
								   </div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.InvoiceAmountInCurrencyCreditorInstitution; metaSection = $parent.metaSection.InvoiceAmountInCurrencyCreditorInstitution" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">2.2.4. Invoice amount in currency of creditor institution <i>*</i>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.amount.$$error,'has-warning': validateForm && metaSection.amount.$$warning && !metaSection.amount.$$error}">
									<label class="control-label col-xs-3">2.2.4.1. Amount <i>*</i></label>
									<div class="col-xs-7"><input ng-model="section.amount" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.amount)}}" /><br/></div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.amount.$$error">{{metaSection.amount.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.amount.$$warning && !metaSection.amount.$$error">{{metaSection.amount.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.currency.$$error,'has-warning': validateForm && metaSection.currency.$$warning && !metaSection.currency.$$error}">
									<label class="control-label col-xs-3">2.2.4.2. Currency <i>*</i></label>
									<div 		class="col-xs-7">
										
										<!--  single enum: multiplicity 1 and size greater that 5 entries -->
										<ui-select type="enum" ng-model="section.currency" ng-disabled="false" reset-search-input="false" lazy-load="true" id="field_{{getNextUUID(metaSection.currency)}}">
											<ui-select-match allow-clear="true" placeholder="{{locale['Noneselected']}}"> {{$select.selected[ 'name']}} </ui-select-match>
											<ui-select-choices repeat="option['value'] as option in input.EESSIEUEFTACurrencyType | filter: $select.search">
												<div ng-bind-html="option['name'] | highlight: $select.search"></div>
											</ui-select-choices>
										</ui-select>
										<br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.currency.$$error">{{metaSection.currency.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.currency.$$warning && !metaSection.currency.$$error">{{metaSection.currency.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
								<div style="background-color:#f9f9f9;width:100%;text-align:right" class="repetitive-section-footer">
									<span class="arrow_r"></span> 2.2.Reimbursement
									<button type="button" data-section-count="1" class="btn-link section-btn-link" ng-click="addSection($parent.section.Reimbursement, $parent.metaSection.Reimbursement, $index)">
										<span>{{locale['Add']}}</span>
									</button>
									<button type="button" data-section-count="1" class="close section-btn-close" ng-click="removeSection($parent.section.Reimbursement, $parent.metaSection.Reimbursement, $index)">
										<span>×</span>
									</button>
								</div>
							</div>
							</div>
							</div>
						</div>
					</div>
				</div>
			</div>
			</bg-pane>
			<bg-pane min-size="1">
			<div class = "footer-content" ng-controller="FooterController" ng-cloak>
					<table ng-show="errors.length > 0" st-table="errorListDisplay" st-safe-src="errors" class="table table-condensed table-striped table-hover">
					<tbody>
					<tr ng-repeat="row in errorListDisplay | orderBy:'level'">
						<td width="95%" ng-click="showError(row)" class="wb-link" 
							ng-style="{'color':row.severity == 'Error'?'red':'orange'}">
							{{ row.severityMessage }} :
							{{ row.message }}
						</td>
					</tr>
					</tbody>
				</table>
			</div>
		 </bg-pane>
		 </bg-splitter>
		</div>
		<script>
		
		/*
		angular.module("sedAngularApp").run( function() {
			angular.module("sedAngularApp").lazy.controller("ControllerH020",["$scope", ControllerH020]);	
		});
		*/
		
		angular.module("sedAngularApp").lazy.controller("ControllerH020",["$scope", ControllerH020]);
		
		function ControllerH020($scope){
			
			$scope.VM = { splitterPosition:1 };
			
			$scope.contentDiv = "content-angular_H020";
			
			$scope.errors = new Array();

			// isteven widget translations
			$scope.localLang = {
				selectAll       : LOCALE['Selectall'],
				selectNone      : LOCALE['Selectnone'],
				reset           : LOCALE['Reset'],
				search          : LOCALE['Search'],
				nothingSelected : LOCALE['Noneselected']
			};
		
			$scope.MODEL = {
	"H020":{
		"sedPackage":"Sector Components/Horizontal/H020",
		"sedGVer":"4",
		"sedVer":"1",
		"GlobalClaim":{
			"CreditorInstitution":{
				"institutionID":"",
				"institutionName":""
			},
			"globalReferenceSetByCreditorInstitution":"",
			"totalNumberInvoices":"",
			"TotalClaimAmountInCurrencyCreditorInstitution":{
				"amount":"",
				"currency":"",
				"paymentDueOn":""
			},
			"DebtorInstitution":{
				"institutionID":"",
				"institutionName":""
			},
			"BankDetails":{
				"IBAN":"",
				"BICSWIFT":""
			}
		},
		"Claim":{
			"Person":{
				"PersonInformation":{
					"familyName":"",
					"forename":"",
					"dateBirth":"",
					"sex":""
				},
				"familyNameAtBirth":"",
				"forenameAtBirth":"",
				"PersonIdentificationNumber":{
					"pINPersonInCompetentMemberState":"",
					"pINPersonInMemberStateStayOrResidence":""
				}
			},
			"Reimbursement":[{
				"inReferenceYour":"",
				"issuedOn":"",
				"invoiceNumberCreditorInstitution":"",
				"InvoiceAmountInCurrencyCreditorInstitution":{
					"amount":"",
					"currency":""
				}
			}]
		}
	}
};
		
			$scope.META_MODEL = {
					"H020":{
							"$$name" : "H020",
							"$$heading":"",
							"$$mandatory":true, 
							"$$repetition":false, 
							"$$type":"sed",
							"$$uuid":"H020",
							"$$hasData":false,
							"GlobalClaim":{
								"$$name":"GlobalClaim",
								"$$heading":"1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"CreditorInstitution":{
								"$$name":"CreditorInstitution",
								"$$heading":"1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"institutionID":{
								"$$name":"institutionID",
								"$$heading":"1.1.1",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "pattern":"(AT|BE|BG|HR|CY|CZ|DK|EE|FI|FR|DE|EL|HU|IS|IE|IT|LV|LI|LT|LU|MT|NL|NO|PL|PT|RO|SK|SI|ES|SE|CH|UK|EU):[a-zA-Z0-9]{4,10}" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"institutionName":{
								"$$name":"institutionName",
								"$$heading":"1.1.2",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							},
							"globalReferenceSetByCreditorInstitution":{
								"$$name":"globalReferenceSetByCreditorInstitution",
								"$$heading":"1.2",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"25" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"totalNumberInvoices":{
								"$$name":"totalNumberInvoices",
								"$$heading":"1.3",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"int",
								"$$uuid":0,
								"$$hasData":false
							},
							"TotalClaimAmountInCurrencyCreditorInstitution":{
								"$$name":"TotalClaimAmountInCurrencyCreditorInstitution",
								"$$heading":"1.4",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"amount":{
								"$$name":"amount",
								"$$heading":"1.4.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "pattern":"(([1-9][0-9]{0,9})(\\.\\d{2,2})?|([0]{1})(\\.\\d{2,2})?)" },
								"$$type":"double",
								"$$uuid":0,
								"$$hasData":false
							},
							"currency":{
								"$$name":"currency",
								"$$heading":"1.4.2",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"paymentDueOn":{
								"$$name":"paymentDueOn",
								"$$heading":"1.4.3",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"date",
								"$$uuid":0,
								"$$hasData":false
							}
							},
							"DebtorInstitution":{
								"$$name":"DebtorInstitution",
								"$$heading":"1.5",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"institutionID":{
								"$$name":"institutionID",
								"$$heading":"1.5.1",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "pattern":"(AT|BE|BG|HR|CY|CZ|DK|EE|FI|FR|DE|EL|HU|IS|IE|IT|LV|LI|LT|LU|MT|NL|NO|PL|PT|RO|SK|SI|ES|SE|CH|UK|EU):[a-zA-Z0-9]{4,10}" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"institutionName":{
								"$$name":"institutionName",
								"$$heading":"1.5.2",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							},
							"BankDetails":{
								"$$name":"BankDetails",
								"$$heading":"1.6",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"IBAN":{
								"$$name":"IBAN",
								"$$heading":"1.6.1",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "pattern":"[a-zA-Z]{2}[0-9]{2}[a-zA-Z0-9]{4}[a-zA-Z0-9]{7}([a-zA-Z0-9]?){0,16}" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"BICSWIFT":{
								"$$name":"BICSWIFT",
								"$$heading":"1.6.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "pattern":"([a-zA-Z]){4}([a-zA-Z]){2}([0-9a-zA-Z]){2}([0-9a-zA-Z]{3})?", "minLength":"1", "maxLength":"11" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							},
							"Claim":{
								"$$name":"Claim",
								"$$heading":"2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"Person":{
								"$$name":"Person",
								"$$heading":"2.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"PersonInformation":{
								"$$name":"PersonInformation",
								"$$heading":"2.1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"familyName":{
								"$$name":"familyName",
								"$$heading":"2.1.1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"forename":{
								"$$name":"forename",
								"$$heading":"2.1.1.2",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"dateBirth":{
								"$$name":"dateBirth",
								"$$heading":"2.1.1.3",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"date",
								"$$uuid":0,
								"$$hasData":false
							},
							"sex":{
								"$$name":"sex",
								"$$heading":"2.1.1.4",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							}
							},
							"familyNameAtBirth":{
								"$$name":"familyNameAtBirth",
								"$$heading":"2.1.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"forenameAtBirth":{
								"$$name":"forenameAtBirth",
								"$$heading":"2.1.3",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"PersonIdentificationNumber":{
								"$$name":"PersonIdentificationNumber",
								"$$heading":"2.1.4",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"pINPersonInCompetentMemberState":{
								"$$name":"pINPersonInCompetentMemberState",
								"$$heading":"2.1.4.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"65" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"pINPersonInMemberStateStayOrResidence":{
								"$$name":"pINPersonInMemberStateStayOrResidence",
								"$$heading":"2.1.4.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"65" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							},
							"Reimbursement":[{
								"$$name":"Reimbursement",
								"$$heading":"2.2",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":true,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"inReferenceYour":{
								"$$name":"inReferenceYour",
								"$$heading":"2.2.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"issuedOn":{
								"$$name":"issuedOn",
								"$$heading":"2.2.2",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"date",
								"$$uuid":0,
								"$$hasData":false
							},
							"invoiceNumberCreditorInstitution":{
								"$$name":"invoiceNumberCreditorInstitution",
								"$$heading":"2.2.3",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"65" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"InvoiceAmountInCurrencyCreditorInstitution":{
								"$$name":"InvoiceAmountInCurrencyCreditorInstitution",
								"$$heading":"2.2.4",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"amount":{
								"$$name":"amount",
								"$$heading":"2.2.4.1",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "pattern":"(([1-9][0-9]{0,9})(\\.\\d{2,2})?|([0]{1})(\\.\\d{2,2})?)" },
								"$$type":"double",
								"$$uuid":0,
								"$$hasData":false
							},
							"currency":{
								"$$name":"currency",
								"$$heading":"2.2.4.2",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							}]
							}
				}
			};
		}
		
		/* Without flags */
		var INPUT = 
		{
			"EESSIEUEFTACurrencyType":
			 [
						{name: "["+"EUR"+"] Euro", value: "EUR$", ticked: false},
						{name: "["+"BGN"+"] Bulgarian Lev", value: "BGN$", ticked: false},
						{name: "["+"CZK"+"] Czech Koruna", value: "CZK$", ticked: false},
						{name: "["+"DKK"+"] Danish Krone", value: "DKK$", ticked: false},
						{name: "["+"GBP"+"] British Pound", value: "GBP$", ticked: false},
						{name: "["+"HRK"+"] Croatian Kuna", value: "HRK$", ticked: false},
						{name: "["+"HUF"+"] Hungarian Forint", value: "HUF$", ticked: false},
						{name: "["+"PLN"+"] Polish Zloty", value: "PLN$", ticked: false},
						{name: "["+"RON"+"] Romanian New Leu", value: "RON$", ticked: false},
						{name: "["+"SEK"+"] Swedish Krona", value: "SEK$", ticked: false},
						{name: "["+"CHF"+"] Swiss Franc", value: "CHF$", ticked: false},
						{name: "["+"ISK"+"] Icelandic Krona", value: "ISK$", ticked: false},
						{name: "["+"NOK"+"] Norwegian Krone", value: "NOK$", ticked: false},
						{name: "["+"LTL"+"] Lithuanian Litas", value: "LTL$", ticked: false},
						{name: "["+"LVL"+"] Latvian Lats", value: "LVL$", ticked: false}
			 ],
			"EESSISexType":
			 [
						{name: "["+"01"+"] Male", value: "01$", ticked: false},
						{name: "["+"02"+"] Female", value: "02$", ticked: false},
						{name: "["+"98"+"] Unknown", value: "98$", ticked: false}
			 ],
			"HReferenceListType":
			 [
						{name: "["+"01"+"] Administrative check request", value: "01$", ticked: false},
						{name: "["+"02"+"] Medical examination request", value: "02$", ticked: false}
			 ],
			"structureEnd": {}
		};
		
		var ERROR_MESSAGES =
		{
			"section": "section",
			"field": "field",
			"error": "Error",
			"warning": "Warning",
			"requiresdata": "requires data",
			"invalidformat": "has invalid formatted data",
			"norestriction": "does not comply with restriction"
		};
		
		var LOCALE =
		{
			"Add": "Add",
			"Translate": "Translate",
			"Noneselected": "None selected",
			"Reset": "Reset",
			"Search": "Search",
			"Selectnone": "Select None",
			"Selectall": "Select All",
		};
		
		</script>	
	</div>

</body>
</html>