S011 - Information on urgent vitally necessary treatment - outside Member State of residence
Articles 20, 27 (3) of Regulation (EC) No 883/2004; Article 26 of Regulation (EC) No 987/2009
SED API version: 0.14.2 PREVIEW build 3
Model version: 4.0.16
1. Person
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1.1. Person Identification
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1.1.1. Family name(s)
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1.1.2. Forename(s)
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1.1.3. Date of birth
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1.1.4. Sex
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1.1.5. Family name(s) at birth
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1.1.6. Forename(s) at birth
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1.1.7. PIN of the person in each institution
1.1.7.1. Personal Identification Number(s)
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1.1.7.1.1. Country
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1.1.7.1.2. Personal Identification Number (PIN)
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1.1.7.1.3. Sector
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1.1.7.1.4. Institution
1.1.7.1.4.1. Institution ID
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1.1.7.1.4.2. Institution Name
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1.1.7.1.Personal Identification Number(s)
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1.1.8. If PIN not provided for every institution, please provide
1.1.8.1. Place of birth
1.1.8.1.1. Town
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1.1.8.1.2. Region
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1.1.8.1.3. Country
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1.1.8.2. Father's family name at birth
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1.1.8.3. Forename of father
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1.1.8.4. Mother's family name at birth
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1.1.8.5. Forename of mother
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1.2. Additional information on the person
1.2.1. Nationality
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2. Person's address
2.1. Street
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2.2. Building Name
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2.3. Town
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2.4. Postal Code
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2.5. Region
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2.6. Country
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3. Institution of place of stay
3.1. Country
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3.2. Institution
3.2.1. Institution ID
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3.2.2. Institution Name
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4. Starting-Ending date of entitlement
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4.1. Start Date
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4.2. End Date
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5. Attachments
5.1. Attachment
5.1.1. Attachments
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5.1.2. Other Attachments
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5.1.Attachment
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6. Treatment
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6.1. Description
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6.2. Date of the request by person
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6.3. Provider
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6.3.1. Name
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6.3.2. Address
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6.3.2.1. Street
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6.3.2.2. Building Name
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6.3.2.3. Town
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6.3.2.4. Postal Code
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6.3.2.5. Region
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6.3.2.6. Country
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