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<title>Reply to Claim for Reimbursement - Administrative Check /Medical information</title>
<meta charset="utf-8" />
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<meta http-equiv="X-UA-Compatible" content="IE=9" />
<meta sedName="H021" sedPackage="Sector Components/Horizontal/H021" sedGVer="4" sedVer="1" sedPatch="0"/>
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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 = "ControllerH021" class="met-root">
		<div>
			<h3 class="sedHeadingAC">H021 - Reply to 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.H021; metaSection = metaModel.H021" class="wb-stretch">
				<div id = "content-angular_H021" class="content-angular container-fluid" ng-model-options="{ debounce: 250 }" ng-form="H021" sedName="H021" sedPackage="Sector Components/Horizontal/H021" sedGVer="4" sedVer="1" sedPatch="0">
					<div class="tab-content met-content" ng-init="sedForm = H021">
						<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.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SECTION_ROW"    id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label SECTION_ROW">1. Global Claim <i>*</i>
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="Overall claim for reimbursement made by the Creditor institution." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
									<div class="SECTION_ROW_WHITESPACE"></div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.CreditorInstitution; metaSection = $parent.metaSection.CreditorInstitution" ng-hide = "metaSection.$$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="tooltip-handler" tooltip="State the unique number of H020 that concerns the claim for reimbursement. The unique number is the number that is generated by the Access Point." tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<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.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.globalReferenceSetByDebtorInstitution.$$error,'has-warning': validateForm && metaSection.globalReferenceSetByDebtorInstitution.$$warning && !metaSection.globalReferenceSetByDebtorInstitution.$$error}">
									<label class="control-label col-xs-3">1.3. Global Reference set by Debtor Institution <i>*</i></label>
									<div class="col-xs-7">
										<input ng-model="section.globalReferenceSetByDebtorInstitution" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.globalReferenceSetByDebtorInstitution)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.globalReferenceSetByDebtorInstitution.$$error">{{metaSection.globalReferenceSetByDebtorInstitution.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.globalReferenceSetByDebtorInstitution.$$warning && !metaSection.globalReferenceSetByDebtorInstitution.$$error">{{metaSection.globalReferenceSetByDebtorInstitution.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.totalNumberInvoices.$$error,'has-warning': validateForm && metaSection.totalNumberInvoices.$$warning && !metaSection.totalNumberInvoices.$$error}">
									<label class="control-label col-xs-3">1.4. 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.$$warning}}</label>
								   </div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.Payment; metaSection = $parent.metaSection.Payment" ng-hide = "metaSection.$$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. Payment
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="Information on the number and the amount of individual claims that have been accepted." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
								</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.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">1.5.1. Total Claim Amount in currency of creditor institution <i>*</i>
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.amount.$$error,'has-warning': validateForm && metaSection.amount.$$warning && !metaSection.amount.$$error}">
									<label class="control-label col-xs-3">1.5.1.1. 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">1.5.1.2. 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.TotalClaimAmountRejectedInCreditorCurrency; metaSection = $parent.metaSection.TotalClaimAmountRejectedInCreditorCurrency" ng-hide = "metaSection.$$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">1.5.2. Total Claim Amount Rejected In Creditor Currency
									</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">1.5.2.1. 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">1.5.2.2. 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.TotalPaymentInCreditorCurrency; metaSection = $parent.metaSection.TotalPaymentInCreditorCurrency" ng-hide = "metaSection.$$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">1.5.3. Total Payment In Creditor Currency <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">1.5.3.1. 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">1.5.3.2. 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.paymentReferenceForTransferCreditorInstitution.$$error,'has-warning': validateForm && metaSection.paymentReferenceForTransferCreditorInstitution.$$warning && !metaSection.paymentReferenceForTransferCreditorInstitution.$$error}">
									<label class="control-label col-xs-3">1.5.4. Payment reference for transfer to creditor institution</label>
									<div class="col-xs-7">
										<trwidget  ng-model="section.paymentReferenceForTransferCreditorInstitution" disabled="false" style="resize:vertical;" class="form-control" type="text" value="" rows="5" cols="30"  sedName="H021 - Reply to Claim for Reimbursement - Administrative Check /Medical information" elName="1.5.4. Payment reference for transfer to creditor institution" id="field_{{getNextUUID(metaSection.paymentReferenceForTransferCreditorInstitution)}}"><br/></trwidget>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.paymentReferenceForTransferCreditorInstitution.$$error">{{metaSection.paymentReferenceForTransferCreditorInstitution.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.paymentReferenceForTransferCreditorInstitution.$$warning && !metaSection.paymentReferenceForTransferCreditorInstitution.$$error">{{metaSection.paymentReferenceForTransferCreditorInstitution.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.Claim; metaSection = $parent.metaSection.Claim" ng-hide = "metaSection.$$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
									</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.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">2.1. Person <i>*</i>
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip="Identification of the person." tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
									</label>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.PersonInformation; metaSection = $parent.metaSection.PersonInformation" ng-hide = "metaSection.$$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.$$elemNo >= metaModel.H021.$$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.inReferenceOur.$$error,'has-warning': validateForm && metaSection.inReferenceOur.$$warning && !metaSection.inReferenceOur.$$error}">
									<label class="control-label col-xs-3">2.2.1. In reference to our <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.inReferenceOur" ng-repeat="option in input.HReferenceListType track by $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.inReferenceOur)}}">
										   <input id="2.2.1.{{getNextUUID(metaSection.inReferenceOur)}}{{option.value}}" type="radio" ng-model="section.inReferenceOur" ng-click="radioClearSelection($parent.section,'inReferenceOur',$event)" ng-disabled="false" value="{{option.value}}"> <label for="2.2.1.{{getNextUUID(metaSection.inReferenceOur)}}{{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.inReferenceOur.$$error">{{metaSection.inReferenceOur.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.inReferenceOur.$$warning && !metaSection.inReferenceOur.$$error">{{metaSection.inReferenceOur.$$warning}}</label>
								   </div>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.issuedOn.$$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.$$elemNo >= metaModel.H021.$$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.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.rejection.$$error,'has-warning': validateForm && metaSection.rejection.$$warning && !metaSection.rejection.$$error}">
									<label class="control-label col-xs-3">2.2.5. Rejection:</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.rejection" ng-repeat="option in input.RejectedWholePartlyType track by $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.rejection)}}">
										   <input id="2.2.5.{{getNextUUID(metaSection.rejection)}}{{option.value}}" type="radio" ng-model="section.rejection" ng-click="radioClearSelection($parent.section,'rejection',$event)" ng-disabled="false" value="{{option.value}}"> <label for="2.2.5.{{getNextUUID(metaSection.rejection)}}{{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.rejection.$$error">{{metaSection.rejection.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.rejection.$$warning && !metaSection.rejection.$$error">{{metaSection.rejection.$$warning}}</label>
								   </div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.DetailPartialFullRejection; metaSection = $parent.metaSection.DetailPartialFullRejection" ng-hide = "metaSection.$$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">2.2.6. Detail of Partial or Full Rejection
									</label>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.InvoiceAmountRejectedInCurrencyCreditor; metaSection = $parent.metaSection.InvoiceAmountRejectedInCurrencyCreditor" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<label style="vertical-align:bottom" class="control-label">2.2.6.1. Invoice Amount Rejected in currency of creditor institution
									</label>
								</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.amount.$$error,'has-warning': validateForm && metaSection.amount.$$warning && !metaSection.amount.$$error}">
									<label class="control-label col-xs-3">2.2.6.1.1. 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">2.2.6.1.2. 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
							</div>
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.rejectionReason.$$error,'has-warning': validateForm && metaSection.rejectionReason.$$warning && !metaSection.rejectionReason.$$error}">
									<label class="control-label col-xs-3">2.2.7. Rejection reason</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.rejectionReason" ng-repeat="option in input.RejectionReasonType track by $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.rejectionReason)}}">
										   <input id="2.2.7.{{getNextUUID(metaSection.rejectionReason)}}{{option.value}}" type="radio" ng-model="section.rejectionReason" ng-click="radioClearSelection($parent.section,'rejectionReason',$event)" ng-disabled="false" value="{{option.value}}"> <label for="2.2.7.{{getNextUUID(metaSection.rejectionReason)}}{{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.rejectionReason.$$error">{{metaSection.rejectionReason.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.rejectionReason.$$warning && !metaSection.rejectionReason.$$error">{{metaSection.rejectionReason.$$warning}}</label>
								   </div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.PleaseFillInFollowingIfRejectionReasonOther; metaSection = $parent.metaSection.PleaseFillInFollowingIfRejectionReasonOther" ng-hide = "metaSection.$$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">2.2.8. Please fill in the following if "Rejection reason" = "Other"
									</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.other.$$error,'has-warning': validateForm && metaSection.other.$$warning && !metaSection.other.$$error}">
									<label class="control-label col-xs-3">2.2.8.1. Other</label>
									<div class="col-xs-7">
										<input ng-model="section.other" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.other)}}" /><br/>
									</div>
									
									<label class="control-label col-xs-2 error-msg warning-msg" ng-show="validateForm && metaSection.other.$$error">{{metaSection.other.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.other.$$warning && !metaSection.other.$$error">{{metaSection.other.$$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("ControllerH021",["$scope", ControllerH021]);	
		});
		*/
		
		angular.module("sedAngularApp").lazy.controller("ControllerH021",["$scope", ControllerH021]);
		
		function ControllerH021($scope){
			
			$scope.VM = { splitterPosition:1 };
			
			$scope.contentDiv = "content-angular_H021";
			
			$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 = {
	"H021":{
		"sedPackage":"Sector Components/Horizontal/H021",
		"sedGVer":"4",
		"sedVer":"1",
		"GlobalClaim":{
			"CreditorInstitution":{
				"institutionID":"",
				"institutionName":""
			},
			"globalReferenceSetByCreditorInstitution":"",
			"globalReferenceSetByDebtorInstitution":"",
			"totalNumberInvoices":"",
			"Payment":{
				"TotalClaimAmountInCurrencyCreditorInstitution":{
					"amount":"",
					"currency":""
				},
				"TotalClaimAmountRejectedInCreditorCurrency":{
					"amount":"",
					"currency":""
				},
				"TotalPaymentInCreditorCurrency":{
					"amount":"",
					"currency":""
				},
				"paymentReferenceForTransferCreditorInstitution":""
			}
		},
		"Claim":{
			"Person":{
				"PersonInformation":{
					"familyName":"",
					"forename":"",
					"dateBirth":"",
					"sex":""
				},
				"familyNameAtBirth":"",
				"forenameAtBirth":"",
				"PersonIdentificationNumber":{
					"pINPersonInCompetentMemberState":"",
					"pINPersonInMemberStateStayOrResidence":""
				}
			},
			"Reimbursement":[{
				"inReferenceOur":"",
				"issuedOn":"",
				"invoiceNumberCreditorInstitution":"",
				"InvoiceAmountInCurrencyCreditorInstitution":{
					"amount":"",
					"currency":""
				},
				"rejection":"",
				"DetailPartialFullRejection":{
					"InvoiceAmountRejectedInCurrencyCreditor":{
						"amount":"",
						"currency":""
					}
				},
				"rejectionReason":"",
				"PleaseFillInFollowingIfRejectionReasonOther":{
					"other":""
				}
			}]
		}
	}
};
		
			$scope.META_MODEL = {
					"H021":{
							"$$name" : "H021",
							"$$heading":"",
							"$$mandatory":true, 
							"$$repetition":false, 
							"$$type":"sed",
							"$$uuid":"H021",
							"$$hasData":false,
							"GlobalClaim":{
								"$$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
							},
							"globalReferenceSetByDebtorInstitution":{
								"$$name":"globalReferenceSetByDebtorInstitution",
								"$$heading":"1.3",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"25" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"totalNumberInvoices":{
								"$$name":"totalNumberInvoices",
								"$$heading":"1.4",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"int",
								"$$uuid":0,
								"$$hasData":false
							},
							"Payment":{
								"$$name":"Payment",
								"$$heading":"1.5",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"TotalClaimAmountInCurrencyCreditorInstitution":{
								"$$name":"TotalClaimAmountInCurrencyCreditorInstitution",
								"$$heading":"1.5.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"amount":{
								"$$name":"amount",
								"$$heading":"1.5.1.1",
								"$$mandatory":true,
								"$$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",
								"$$heading":"1.5.1.2",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							}
							},
							"TotalClaimAmountRejectedInCreditorCurrency":{
								"$$name":"TotalClaimAmountRejectedInCreditorCurrency",
								"$$heading":"1.5.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"amount":{
								"$$name":"amount",
								"$$heading":"1.5.2.1",
								"$$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":"1.5.2.2",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							}
							},
							"TotalPaymentInCreditorCurrency":{
								"$$name":"TotalPaymentInCreditorCurrency",
								"$$heading":"1.5.3",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"amount":{
								"$$name":"amount",
								"$$heading":"1.5.3.1",
								"$$mandatory":true,
								"$$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",
								"$$heading":"1.5.3.2",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							}
							},
							"paymentReferenceForTransferCreditorInstitution":{
								"$$name":"paymentReferenceForTransferCreditorInstitution",
								"$$heading":"1.5.4",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"255" },
								"$$type":"string",
								"$$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,
							"inReferenceOur":{
								"$$name":"inReferenceOur",
								"$$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
							}
							},
							"rejection":{
								"$$name":"rejection",
								"$$heading":"2.2.5",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"DetailPartialFullRejection":{
								"$$name":"DetailPartialFullRejection",
								"$$heading":"2.2.6",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"InvoiceAmountRejectedInCurrencyCreditor":{
								"$$name":"InvoiceAmountRejectedInCurrencyCreditor",
								"$$heading":"2.2.6.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"amount":{
								"$$name":"amount",
								"$$heading":"2.2.6.1.1",
								"$$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":"2.2.6.1.2",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							},
							"rejectionReason":{
								"$$name":"rejectionReason",
								"$$heading":"2.2.7",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"PleaseFillInFollowingIfRejectionReasonOther":{
								"$$name":"PleaseFillInFollowingIfRejectionReasonOther",
								"$$heading":"2.2.8",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"other":{
								"$$name":"other",
								"$$heading":"2.2.8.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$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}
			 ],
			"RejectedWholePartlyType":
			 [
						{name: "["+"01"+"] No Rejection", value: "01$", ticked: false},
						{name: "["+"02"+"] Partial Rejection", value: "02$", ticked: false},
						{name: "["+"03"+"] Full Rejection", value: "03$", ticked: false}
			 ],
			"RejectionReasonType":
			 [
						{name: "["+"01"+"] This invoice does not concern us", value: "01$", ticked: false},
						{name: "["+"02"+"] No Payment applicable for this invoice", value: "02$", ticked: false},
						{name: "["+"03"+"] No reply to request received", value: "03$", ticked: false},
						{name: "["+"04"+"] Information received not compliant with original request", value: "04$", ticked: false},
						{name: "["+"99"+"] Other", value: "99$", 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>