<!DOCTYPE html>
<html xmlns="http://www.w3.org/1999/html">
<head>
<title> Zgłoszenie informacji medycznej/Odpowiedź na wniosek o informacje medyczne </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="H121" sedPackage="Sector Components/Horizontal/H121" sedGVer="4" sedVer="2" sedPatch="0"/>
<meta name="viewport" content="width=device-width, initial-scale=1.0" />

<link href="_forms/angular/css/bootstrap.min.css" rel="stylesheet" />
<!-- http://isteven.github.io/angular-multi-select CSS -->
<link href="_forms/angular/css/isteven-multi-select.css" rel="stylesheet" />
<link href="_forms/angular/css/select.css" rel="stylesheet" />
<link href="_forms/angular/css/sed_angular_common_MET.css" rel="stylesheet" />
<link href="_forms/angular/css/sed_angular_common.css" rel="stylesheet" />
<link href="_forms/angular/css/splitter.css" rel="stylesheet" />
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<script src="_forms/angular/js/lib/angular.js"></script>
<script src="_forms/angular/js/lib/angular-animate.js"></script>
<script src="_forms/angular/js/lib/angular-sanitize.js"></script>
<script src="_forms/angular/js/lib/ui-bootstrap-tpls.js"></script>

<script src="_forms/angular/js/src/datePicker1.js"></script>
<!-- http://isteven.github.io/angular-multi-select JS -->
<script src="_forms/angular/js/src/isteven-multi-select.js"></script>
<!-- https://vitalets.github.io/checklist-model JS -->
<script src="_forms/angular/js/src/checklist-model.js"></script>
<!-- ui-select files -->
<script src="_forms/angular/js/src/select.js"></script>
<!-- http://lorenzofox3.github.io/smart-table-website/ -->
<script src="_forms/angular/js/src/smart-table.js"></script>
<!-- RINA style checkbox -->
<script src="_forms/angular/js/src/angular-bootstrap-checkbox-met.js"></script>
<!-- IR widget -->
<script src="_forms/angular/js/src/angular-bootstrap-IR.js"></script>
<!-- TR widget -->
<script src="_forms/angular/js/src/angular-bootstrap-TR.js"></script>
<!-- DH widget -->
<script src="_forms/angular/js/src/angular-bootstrap-DH.js"></script>

<!-- <script src="_forms/angular/js/src/sed_angular.js"></script> -->
<script src="_forms/angular/js/src/sed_angular_common.js"></script>
<script src="_forms/angular/js/src/sed_angular_common_MET.js"></script>
<script src="_forms/angular/js/src/sed_angular_common_RINA.js"></script>

</head>
<body ng-app="sedAngularApp">
		<div ng-controller = "ControllerH121" class="met-root">
		<div>
			<h3 class="sedHeadingAC">H121 -  Zgłoszenie informacji medycznej/Odpowiedź na wniosek o informacje medyczne  <br/>  Art. 21 i 34, art. 36 ust. 3, art. 82 rozporządzenia (WE) nr 883/2004; Art. 27 ust. 5, 6 i 10, art. 28 ust. 3 i 5, art. 33 ust. 1, art. 87 ust. 1, 2 i 4 rozporządzenia (WE) nr 987/2009  </h3>
			<div style="position:absolute;top:0;right:0;font-size:70%">SED API version: 0.16.2 build 2<br/>Model version: 4.2.0</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.H121; metaSection = metaModel.H121" class="wb-stretch">
				<div id = "content-angular_H121" class="content-angular container-fluid" ng-model-options="{ debounce: 250 }" ng-form="H121" sedName="H121" sedPackage="Sector Components/Horizontal/H121" sedGVer="4" sedVer="2" sedPatch="0">
					<div class="tab-content met-content" ng-init="sedForm = H121">
						<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.Person; metaSection = $parent.metaSection.Person" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=PersonType&dictionaryEntryName=37F5C6D1-7838-E611-80C9-000D3A22E8CD')"> </div>
									</div>
									<div>
										<label style="vertical-align:top" class="control-label SECTION_ROW"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Osoba  <i>*</i>
										</label>
										<i style="font-weight: normal; color:#8A2BE2">
										[ SED
										]
										</i>
									</div>
									<div class="SECTION_ROW_WHITESPACE"></div>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.PersonIdentification; metaSection = $parent.metaSection.PersonIdentification" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="CC">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonType&dictionaryEntryName=B0288BDE-175A-E611-80CA-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-2"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Identyfikacja osoby  <i>*</i>
										<i style="font-weight: normal; color:#8A2BE2">
										[ CC
										]
										</i>
									</label>
								</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.familyName.$$error,'has-warning': validateForm && metaSection.familyName.$$warning && !metaSection.familyName.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=4965465B-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.familyName.$$headingIndexed}}" headname="{{metaSection.familyName.$$name}}"> </dynheadingno>  Nazwisko (nazwiska)  <i>*</i></label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<input ng-model="section.familyName" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.familyName)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.forename.$$error,'has-warning': validateForm && metaSection.forename.$$warning && !metaSection.forename.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=3068CE1F-83AD-E611-80D2-000D3A22E8CD&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.forename.$$headingIndexed}}" headname="{{metaSection.forename.$$name}}"> </dynheadingno>  Imię (imiona)  <i>*</i></label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<input ng-model="section.forename" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.forename)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.dateBirth.$$error,'has-warning': validateForm && metaSection.dateBirth.$$warning && !metaSection.dateBirth.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIDateOfBirthType&dictionaryEntryName=4A65465B-9218-E611-80EA-000C292ED0D7')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.dateBirth.$$headingIndexed}}" headname="{{metaSection.dateBirth.$$name}}"> </dynheadingno>  Data urodzenia  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div class="col-xs-4" ng-controller="DatePicker1">
										<p class="input-group">
											<span ng-class="{'met-datepicker-up': metaSection.dateBirth.$$elemNo >= metaModel.H121.$$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>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.sex.$$error,'has-warning': validateForm && metaSection.sex.$$warning && !metaSection.sex.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-single-selection-handler" tooltip="Single select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSISexType&dictionaryEntryName=4B65465B-9218-E611-80EA-000C292ED0D7')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.sex.$$headingIndexed}}" headname="{{metaSection.sex.$$name}}"> </dynheadingno>  Płeć  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div 		class="col-xs-4">
										<!--  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 $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.sex)}}">
										   <input id="1.1.4.{{getNextUUID(metaSection.sex)}}{{option.value}}" type="radio" ng-model="section.sex" ng-click="radioClearSelection($parent.section,'sex',$event)" ng-disabled="false" value="{{option.value}}"> <label for="1.1.4.{{getNextUUID(metaSection.sex)}}{{option.value}}">{{option.name}}</label><br/></input>
										</div>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.familyNameAtBirth.$$error,'has-warning': validateForm && metaSection.familyNameAtBirth.$$warning && !metaSection.familyNameAtBirth.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=4C65465B-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.familyNameAtBirth.$$headingIndexed}}" headname="{{metaSection.familyNameAtBirth.$$name}}"> </dynheadingno>  Nazwisko (nazwiska) rodowe </label>

									<div class="tooltip-handler" tooltip=" Proszę podać nazwisko/nazwiska rodowe osoby, jeżeli różni/różnią się ono/one od obecnego nazwiska/obecnych nazwisk. " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>

									<div class="col-xs-4	">
										<input ng-model="section.familyNameAtBirth" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.familyNameAtBirth)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.forenameAtBirth.$$error,'has-warning': validateForm && metaSection.forenameAtBirth.$$warning && !metaSection.forenameAtBirth.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=4D65465B-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.forenameAtBirth.$$headingIndexed}}" headname="{{metaSection.forenameAtBirth.$$name}}"> </dynheadingno>  Imię (imiona) nadane przy urodzeniu </label>

									<div class="tooltip-handler" tooltip=" Proszę podać imię/imiona osoby przy urodzeniu, jeżeli różni/różnią się ono/one od obecnego imienia/obecnych imion. " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>

									<div class="col-xs-4	">
										<input ng-model="section.forenameAtBirth" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.forenameAtBirth)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.PINPersonInEachInstitution; metaSection = $parent.metaSection.PINPersonInEachInstitution" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="CC">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPINPersonInEachInstitutionType&dictionaryEntryName=4682CE51-F844-E611-80C9-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-3"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Numer identifikacyjny osoby w każdej instytucji 
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip=" Chociaż osobisty numer identyfikacyjny jest opcjonalny, zaleca się podanie informacji wskazanych w tej sekcji - dotyczących zarówno instytucji otrzymującej, jak i instytucji wysyłającej. Znacznie ułatwi to pomyślną realizację procesu. Wyjątki są dopuszczalne tylko w rzadkich sytuacjach, gdy osobisty numer identyfikacyjny w państwie wysyłającym jest nieznany lub nie istnieje. " tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
										<i style="font-weight: normal; color:#8A2BE2">
										[ CC
										]
										</i>
									</label>
								</div>
							<div style="vertical-align:bottom" met_start_tag ng-repeat="section in section.PersonalIdentificationNumber" ng-init = "metaSection = metaSection.PersonalIdentificationNumber[$index]" ng-hide = "metaSection.$$isHidden" ng-class="'color' + ($index % 2)" id="section_{{getNextUUID(metaSection)}}" component_type="CC">
								<div style="vertical-align:bottom" class="SUBSECTION_ROW" id="section_{{getNextUUID(metaSection)}}">
									<div>
										<!-- is repetition -->
											<div class="adinfo-repetitive-handler" tooltip="Repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPINClassType&dictionaryEntryName=4D82CE51-F844-E611-80C9-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-4"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Osobisty numer identyfikacyjny (osobiste numery identyfikacyjne)  <i>*</i>
										<i style="font-weight: normal; color:#8A2BE2">
										[ CC
										]
										</i>
									</label>
								</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.country.$$error,'has-warning': validateForm && metaSection.country.$$warning && !metaSection.country.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-single-selection-handler" tooltip="Single select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIEUEFTACountryType&dictionaryEntryName=35684F61-9218-E611-80EA-000C292ED0D7')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-5"> <dynheadingno headno="{{metaSection.country.$$headingIndexed}}" headname="{{metaSection.country.$$name}}"> </dynheadingno>  Państwo  <i>*</i></label>

									<div class="tooltip-handler" tooltip=" Proszę wskazać kraj, w którym wydano osobisty numer identyfikacyjny (PIN). " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div 		class="col-xs-4">
										
										<!--  single enum: multiplicity 1 and size greater that 5 entries -->
										<ui-select type="enum" ng-model="section.country" ng-disabled="false" reset-search-input="false" lazy-load="true" id="field_{{getNextUUID(metaSection.country)}}">
											<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.EESSIEUEFTACountryType | filter: $select.search">
												<div ng-bind-html="option['name'] | highlight: $select.search"></div>
											</ui-select-choices>
										</ui-select>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.country.$$error">{{metaSection.country.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.country.$$warning && !metaSection.country.$$error">{{metaSection.country.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.personalIdentificationNumber.$$error,'has-warning': validateForm && metaSection.personalIdentificationNumber.$$warning && !metaSection.personalIdentificationNumber.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPINType&dictionaryEntryName=37684F61-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=65')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-5"> <dynheadingno headno="{{metaSection.personalIdentificationNumber.$$headingIndexed}}" headname="{{metaSection.personalIdentificationNumber.$$name}}"> </dynheadingno>  Osobisty numer identyfikacyjny (PIN)  <i>*</i></label>

									<div class="tooltip-handler" tooltip=" Aby uzyskać więcej informacji na temat typów i struktury narodowych osobistych numerów identyfikacyjnych (PIN), proszę odnieść się do Słownika Osobistych Numerów Identyfikacyjnych, który można znaleźć na CIRCABC. W celu odnalezienia słownika proszę przejść do strony powitalnej CIRCABC (dostępnej po kliknięciu [[tutaj]]), a następnie przejść do menu głównego CIRCABC, 'Zobacz kategorie' (lewy górny róg), wybrać 'Zatrudnienie i Sprawy Socjalne' (pod nagłówkiem 'Komisja Europejska' - trzecia pozycja w dół), następnie wybrać folder 'Standardowe Dokumenty Elektroniczne i Dokumenty Przenośne'. Kliknąć 'Biblioteka” (lewa górna część strony), a następnie wybrać 'Słownik Osobistych Numerów Identyfikacyjnych (PIN)'. " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>

									<div class="col-xs-4	">
										<input ng-model="section.personalIdentificationNumber" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.personalIdentificationNumber)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.personalIdentificationNumber.$$error">{{metaSection.personalIdentificationNumber.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.personalIdentificationNumber.$$warning && !metaSection.personalIdentificationNumber.$$error">{{metaSection.personalIdentificationNumber.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.sector.$$error,'has-warning': validateForm && metaSection.sector.$$warning && !metaSection.sector.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-single-selection-handler" tooltip="Single select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSISectorsType&dictionaryEntryName=36684F61-9218-E611-80EA-000C292ED0D7')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-5"> <dynheadingno headno="{{metaSection.sector.$$headingIndexed}}" headname="{{metaSection.sector.$$name}}"> </dynheadingno>  Sektor </label>

									<div class="tooltip-handler" tooltip=" Proszę podać sektor, do którego zastosowanie ma wskazany osobisty numer identyfikacyjny (PIN).
Podanie tej informacji jest szczególnie przydatne w sprawach, które dotyczą sektorów: horyzontalnego, mającego zastosowanie ustawodawstwa, świadczeń różnych oraz odzyskiwania należności.
AWOD oznacza sektor wypadków przy pracy i chorób zawodowych. " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div 		class="col-xs-4">
										
										<!--  single enum: multiplicity 1 and size greater that 5 entries -->
										<ui-select type="enum" ng-model="section.sector" ng-disabled="false" reset-search-input="false" lazy-load="true" id="field_{{getNextUUID(metaSection.sector)}}">
											<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.EESSISectorsType | filter: $select.search">
												<div ng-bind-html="option['name'] | highlight: $select.search"></div>
											</ui-select-choices>
										</ui-select>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.sector.$$error">{{metaSection.sector.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.sector.$$warning && !metaSection.sector.$$error">{{metaSection.sector.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.Institution; metaSection = $parent.metaSection.Institution" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="CC">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIInstitutionType&dictionaryEntryName=DB2CB44F-9418-E611-80EA-000C292ED0D7')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-5"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Instytucja 
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip=" Proszę wskazać instytucję odpowiedzialną za koordynację zabezpieczenia społecznego (w rozumieniu art. 1 rozporządzenia (WE) nr 883/2004 i art. 1 rozporządzenia (WE) nr 987/2009), która jest istotna w tym kontekście. " tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
										<i style="font-weight: normal; color:#8A2BE2">
										[ CC
										]
										</i>
									</label>
								</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.institutionID.$$error,'has-warning': validateForm && metaSection.institutionID.$$warning && !metaSection.institutionID.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIInstitutionIDType&dictionaryEntryName=38684F61-9218-E611-80EA-000C292ED0D7&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}')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-6"> <dynheadingno headno="{{metaSection.institutionID.$$headingIndexed}}" headname="{{metaSection.institutionID.$$name}}"> </dynheadingno>  Identyfikator instytucji  <i>*</i></label>

									<div class="tooltip-handler" tooltip=" Numer identyfikacyjny instytucji zgodnie z repozytorium instytucji EESSI (wcześniej nazywanym usługą katalogową). " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>
									<div class="col-xs-4">
										<irwidget ng-model="section.institutionID" disabled="false" institution="section" name="institutionID" value="" id="field_{{getNextUUID(metaSection.institutionID)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
									<div class="col-xs-7"><br/></div>
								   </div>
								</div>
							</div>
							<div component_type="CDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.institutionName.$$error,'has-warning': validateForm && metaSection.institutionName.$$warning && !metaSection.institutionName.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIMediumStringType&dictionaryEntryName=2AAB0BC6-ACFA-E611-80D3-000D3A22E8CD&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-6"> <dynheadingno headno="{{metaSection.institutionName.$$headingIndexed}}" headname="{{metaSection.institutionName.$$name}}"> </dynheadingno>  Nazwa instytucji  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div class="col-xs-4">
										<irwidget ng-model="section.institutionName" disabled="false" institution="section" name="institutionName" value="" id="field_{{getNextUUID(metaSection.institutionName)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										CDT
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
									<div class="col-xs-7"><br/></div>
								   </div>
								</div>
							</div>
							</div>
							</div>
								<div style="background-color:#f9f9f9;width:100%;text-align:right" class="repetitive-section-footer">
									<span class="arrow_r"></span>  <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Osobisty numer identyfikacyjny (osobiste numery identyfikacyjne) 
									<button type="button" data-section-count="1" class="btn-link section-btn-link" ng-click="addSection($parent.section.PersonalIdentificationNumber, $parent.metaSection.PersonalIdentificationNumber, $index)">
										<span>{{locale['Add']}}</span>
									</button>
									<button type="button" data-section-count="1" class="close section-btn-close" ng-click="removeSection($parent.section.PersonalIdentificationNumber, $parent.metaSection.PersonalIdentificationNumber, $index)">
										<span>×</span>
									</button>
								</div>
							</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.IfPINNotProvidedForEveryInstitutionPleaseProvide; metaSection = $parent.metaSection.IfPINNotProvidedForEveryInstitutionPleaseProvide" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="CC">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIIfPINNotProvidedForEveryInstitutionPleaseProvideType&dictionaryEntryName=AEF8EE4C-495A-E611-80CA-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-3"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  W przypadku braku numeru identyfikacyjnego dla każdej instytucji, proszę podać 
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip=" Jeśli nie podano osobistego numeru identyfikacyjnego (PIN) każdego państwa członkowskiego, które jest zaangażowane w sprawę, należy przekazać następujące informacje, aby pomóc państwu członkowskiemu bez numeru PIN w śledzeniu właściwego numeru PIN. " tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
										<i style="font-weight: normal; color:#8A2BE2">
										[ CC
										]
										</i>
									</label>
								</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.PlaceBirth; metaSection = $parent.metaSection.PlaceBirth" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="CC">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIAddressLimitedType&dictionaryEntryName=5CEA0F5C-9418-E611-80EA-000C292ED0D7')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-4"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Miejsce urodzenia 
										<div style="vertical-align:bottom" class="tooltip-handler" tooltip=" Proszę podać miejscowość, region i państwo urodzenia osoby. " tooltip-enable="true" tooltip-placement="right" tooltip-trigger="click"></div>
										<i style="font-weight: normal; color:#8A2BE2">
										[ CC
										]
										</i>
									</label>
								</div>
							<div component_type="CDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.town.$$error,'has-warning': validateForm && metaSection.town.$$warning && !metaSection.town.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIShortStringType&dictionaryEntryName=3E684F61-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=65')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-5"> <dynheadingno headno="{{metaSection.town.$$headingIndexed}}" headname="{{metaSection.town.$$name}}"> </dynheadingno>  Miejscowość  <i>*</i></label>

									<div class="tooltip-handler" tooltip=" Proszę podać miasto, w którym urodziła się osoba. Jeśli nie jest znane, proszę użyć angielskiego słowa: 'Unknown' z apostrofem (jak w przykładzie). " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>

									<div class="col-xs-4	">
										<input ng-model="section.town" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.town)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										CDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.town.$$error">{{metaSection.town.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.town.$$warning && !metaSection.town.$$error">{{metaSection.town.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="CDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.region.$$error,'has-warning': validateForm && metaSection.region.$$warning && !metaSection.region.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIShortStringType&dictionaryEntryName=3F684F61-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=65')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-5"> <dynheadingno headno="{{metaSection.region.$$headingIndexed}}" headname="{{metaSection.region.$$name}}"> </dynheadingno>  Region </label>

									<div class="tooltip-handler" tooltip=" Proszę podać nazwę regionu i niższej jednostki administracyjnej (o ile jest to istotne). " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>

									<div class="col-xs-4	">
										<input ng-model="section.region" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.region)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										CDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.region.$$error">{{metaSection.region.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.region.$$warning && !metaSection.region.$$error">{{metaSection.region.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.country.$$error,'has-warning': validateForm && metaSection.country.$$warning && !metaSection.country.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-single-selection-handler" tooltip="Single select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIWorldCountryHistoricType&dictionaryEntryName=5B7740C2-9218-E611-80EA-000C292ED0D7')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-5"> <dynheadingno headno="{{metaSection.country.$$headingIndexed}}" headname="{{metaSection.country.$$name}}"> </dynheadingno>  Państwo  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div 		class="col-xs-4">
										
										<!--  single enum: multiplicity 1 and size greater that 5 entries -->
										<ui-select type="enum" ng-model="section.country" ng-disabled="false" reset-search-input="false" lazy-load="true" id="field_{{getNextUUID(metaSection.country)}}">
											<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.EESSIWorldCountryHistoricType | filter: $select.search">
												<div ng-bind-html="option['name'] | highlight: $select.search"></div>
											</ui-select-choices>
										</ui-select>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.country.$$error">{{metaSection.country.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.country.$$warning && !metaSection.country.$$error">{{metaSection.country.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.fatherFamilyNameAtBirth.$$error,'has-warning': validateForm && metaSection.fatherFamilyNameAtBirth.$$warning && !metaSection.fatherFamilyNameAtBirth.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=4E65465B-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-4"> <dynheadingno headno="{{metaSection.fatherFamilyNameAtBirth.$$headingIndexed}}" headname="{{metaSection.fatherFamilyNameAtBirth.$$name}}"> </dynheadingno>  Nazwisko rodowe ojca </label>

									<div class="tooltip-handler" tooltip=" Proszę podać nazwisko rodowe ojca, jeżeli różni się ono od nazwiska rodowego danej osoby. " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>

									<div class="col-xs-4	">
										<input ng-model="section.fatherFamilyNameAtBirth" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.fatherFamilyNameAtBirth)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.fatherFamilyNameAtBirth.$$error">{{metaSection.fatherFamilyNameAtBirth.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.fatherFamilyNameAtBirth.$$warning && !metaSection.fatherFamilyNameAtBirth.$$error">{{metaSection.fatherFamilyNameAtBirth.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.forenameFather.$$error,'has-warning': validateForm && metaSection.forenameFather.$$warning && !metaSection.forenameFather.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=4F65465B-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-4"> <dynheadingno headno="{{metaSection.forenameFather.$$headingIndexed}}" headname="{{metaSection.forenameFather.$$name}}"> </dynheadingno>  Imię ojca </label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<input ng-model="section.forenameFather" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.forenameFather)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.forenameFather.$$error">{{metaSection.forenameFather.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.forenameFather.$$warning && !metaSection.forenameFather.$$error">{{metaSection.forenameFather.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.motherFamilyNameAtBirth.$$error,'has-warning': validateForm && metaSection.motherFamilyNameAtBirth.$$warning && !metaSection.motherFamilyNameAtBirth.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=5065465B-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-4"> <dynheadingno headno="{{metaSection.motherFamilyNameAtBirth.$$headingIndexed}}" headname="{{metaSection.motherFamilyNameAtBirth.$$name}}"> </dynheadingno>  Nazwisko rodowe matki </label>

									<div class="tooltip-handler" tooltip=" Proszę podać nazwisko rodowe matki, jeżeli różni się ono od nazwiska rodowego danej osoby. " tooltip-enable="true" tooltip-placement="left" tooltip-trigger="click"></div>

									<div class="col-xs-4	">
										<input ng-model="section.motherFamilyNameAtBirth" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.motherFamilyNameAtBirth)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.motherFamilyNameAtBirth.$$error">{{metaSection.motherFamilyNameAtBirth.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.motherFamilyNameAtBirth.$$warning && !metaSection.motherFamilyNameAtBirth.$$error">{{metaSection.motherFamilyNameAtBirth.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.forenameMother.$$error,'has-warning': validateForm && metaSection.forenameMother.$$warning && !metaSection.forenameMother.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=5165465B-9218-E611-80EA-000C292ED0D7&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-4"> <dynheadingno headno="{{metaSection.forenameMother.$$headingIndexed}}" headname="{{metaSection.forenameMother.$$name}}"> </dynheadingno>  Imię matki </label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<input ng-model="section.forenameMother" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.forenameMother)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.forenameMother.$$error">{{metaSection.forenameMother.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.forenameMother.$$warning && !metaSection.forenameMother.$$error">{{metaSection.forenameMother.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.AdditionalInformationPerson; metaSection = $parent.metaSection.AdditionalInformationPerson" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=AdditionalInformationPersonType&dictionaryEntryName=B1288BDE-175A-E611-80CA-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-2"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Dodatkowe informacje o osobie 
										<i style="font-weight: normal; color:#8A2BE2">
										[ SED
										]
										</i>
									</label>
								</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.nationality.$$error,'has-warning': validateForm && metaSection.nationality.$$warning && !metaSection.nationality.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-multi-selections-handler" tooltip="Multiple select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSINationalityMultipleType&dictionaryEntryName=AFBC8131-6A5D-E611-80CA-000D3A22E8CD')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.nationality.$$headingIndexed}}" headname="{{metaSection.nationality.$$name}}"> </dynheadingno>  Obywatelstwo </label>
									<div class="empty-div-with-width"> </div>
									<div 		class="col-xs-4">
			
										<!-- multiple enum version with select -->
										<div type="enumCodesMultiple" isteven-multi-select translation="localLang" input-model="input.EESSINationalityMultipleType" output-model="section.nationality" is-disabled="false" theme="bootstrap" tick-property="ticked" button-label="icon name" item-label="icon name" output-properties="value" on-reset="fReset()" lazy-load="true" max-height="400px" id="field_{{getNextUUID(metaSection.nationality)}}">
										</div>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.nationality.$$error">{{metaSection.nationality.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.nationality.$$warning && !metaSection.nationality.$$error">{{metaSection.nationality.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.previousFamilyName.$$error,'has-warning': validateForm && metaSection.previousFamilyName.$$warning && !metaSection.previousFamilyName.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=B0BC8131-6A5D-E611-80CA-000D3A22E8CD&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.previousFamilyName.$$headingIndexed}}" headname="{{metaSection.previousFamilyName.$$name}}"> </dynheadingno>  Poprzednie nazwisko (nazwiska) </label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<input ng-model="section.previousFamilyName" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.previousFamilyName)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.previousFamilyName.$$error">{{metaSection.previousFamilyName.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.previousFamilyName.$$warning && !metaSection.previousFamilyName.$$error">{{metaSection.previousFamilyName.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="BDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.previousForename.$$error,'has-warning': validateForm && metaSection.previousForename.$$warning && !metaSection.previousForename.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIPersonNameType&dictionaryEntryName=B1BC8131-6A5D-E611-80CA-000D3A22E8CD&minLength=1&maxLength=155')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.previousForename.$$headingIndexed}}" headname="{{metaSection.previousForename.$$name}}"> </dynheadingno>  Poprzednie imię </label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<input ng-model="section.previousForename" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.previousForename)}}" /><br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										BDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.previousForename.$$error">{{metaSection.previousForename.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.previousForename.$$warning && !metaSection.previousForename.$$error">{{metaSection.previousForename.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
							</div>
							</div>
							<div component_type="">
							<hr/><div class="col-xs-12">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EstimatedCostsMedicalEvidenceExaminationType&dictionaryEntryName=DC2C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>
									<input type="radio" ng-model="metaSection.$$choice_1" value = "0" ng-change='validateFromChoice()' />
									<span met_label> Odpowiedź na wniosek dotyczący podania szacowanych kosztów dokumentacji medycznej/badania lekarskiego </span>
									<i style="font-weight: normal; color:#8A2BE2">
									[ SED
									]
									</i>
									<br/>
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=MedicalExaminationReportType&dictionaryEntryName=DD2C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>
									<input type="radio" ng-model="metaSection.$$choice_1" value = "1" ng-change='validateFromChoice()' />
									<span met_label> Odpowiedź na wniosek o badanie/orzeczenie lekarskie </span>
									<i style="font-weight: normal; color:#8A2BE2">
									[ SED
									]
									</i>
									<br/>
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=MedicalEvidenceType&dictionaryEntryName=DA2C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>
									<input type="radio" ng-model="metaSection.$$choice_1" value = "2" ng-change='validateFromChoice()' />
									<span met_label> Odpowiedź na wniosek o przekazanie dokumentacji medycznej </span>
									<i style="font-weight: normal; color:#8A2BE2">
									[ SED
									]
									</i>
									<br/>
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=NotificationMedicalInformationType&dictionaryEntryName=6F51A431-67B2-E711-80DB-000D3A22E8CD')"> </div>
									</div>
									<input type="radio" ng-model="metaSection.$$choice_1" value = "3" ng-change='validateFromChoice()' />
									<span met_label> Zgłoszenie informacji medycznej </span>
									<i style="font-weight: normal; color:#8A2BE2">
									[ SED
									]
									</i>
									<br/><br/>
							</div><hr/> 
							</div>
							<div style="vertical-align:bottom" met_start_tag ng-controller = "SectionController" ng-init = "section = $parent.section.ReplyRequestForEstimatedCostsMedicalEvidence; metaSection = $parent.metaSection.ReplyRequestForEstimatedCostsMedicalEvidence" ng-hide = "$parent.metaSection.$$choice_1 != 0" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.ReplyRequestForEstimatedCostsMedicalEvidence; metaSection = $parent.metaSection.ReplyRequestForEstimatedCostsMedicalEvidence" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=ReplyRequestForEstimatedCostsMedicalEvidenceExaminationType&dictionaryEntryName=EE88E80B-1572-E711-80D7-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-2"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Odpowiedź na wniosek o podanie szacunkowych kosztów związanych z przedstawieniem dokumentacji medycznej lub przeprowadzeniem badania lekarskiego 
										<i style="font-weight: normal; color:#8A2BE2">
										[ SED
										]
										</i>
									</label>
								</div>
							<div component_type="PRIM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$error,'has-warning': validateForm && metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$warning && !metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIDecimalType&dictionaryEntryName=D82C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$headingIndexed}}" headname="{{metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$name}}"> </dynheadingno>  W odpowiedzi na wniosek dotyczący podania szacowanych kosztów dokumentacji medycznej/badania lekarskiego informujemy, że szacowane koszty wynoszą  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div class="col-xs-4"><input ng-model="section.replyForEstimatedCostsForMedicalEvidenceExamination" ng-disabled="false" class="form-control" type="text" 	value="" id="field_{{getNextUUID(metaSection.replyForEstimatedCostsForMedicalEvidenceExamination)}}" /><br/></div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										PRIM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$error">{{metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$warning && !metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$error">{{metaSection.replyForEstimatedCostsForMedicalEvidenceExamination.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.currency.$$error,'has-warning': validateForm && metaSection.currency.$$warning && !metaSection.currency.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-single-selection-handler" tooltip="Single select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIEUEFTACurrencyType&dictionaryEntryName=D22C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.currency.$$headingIndexed}}" headname="{{metaSection.currency.$$name}}"> </dynheadingno>  Waluta  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div 		class="col-xs-4">
										
										<!--  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>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 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.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
								<hr />
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag ng-controller = "SectionController" ng-init = "section = $parent.section.ReplyRequestForMedicalExaminationReport; metaSection = $parent.metaSection.ReplyRequestForMedicalExaminationReport" ng-hide = "$parent.metaSection.$$choice_1 != 1" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.ReplyRequestForMedicalExaminationReport; metaSection = $parent.metaSection.ReplyRequestForMedicalExaminationReport" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=ReplyRequestForMedicalExaminationReportType&dictionaryEntryName=08319044-A472-E711-80D7-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-2"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Odpowiedź na wniosek o badanie/orzeczenie lekarskie 
										<i style="font-weight: normal; color:#8A2BE2">
										[ SED
										]
										</i>
									</label>
								</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$error,'has-warning': validateForm && metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$warning && !metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-single-selection-handler" tooltip="Single select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=MedicalExaminationCarriedOutOrNotReasonIncludedType&dictionaryEntryName=D52C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$headingIndexed}}" headname="{{metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$name}}"> </dynheadingno>  W odpowiedzi na wniosek dotyczący badania lekarskiego informujemy, że  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div 		class="col-xs-4">
										<!--  single enum: multiplicity 1 and size lower than 5 entries -->
										<div class="radio radio-met radio-met-primary" ng-model="section.inReplyRequestConcerningMedicalExaminationInformIt" ng-repeat="option in input.MedicalExaminationCarriedOutOrNotReasonIncludedType track by $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.inReplyRequestConcerningMedicalExaminationInformIt)}}">
										   <input id="3.1.1.{{getNextUUID(metaSection.inReplyRequestConcerningMedicalExaminationInformIt)}}{{option.value}}" type="radio" ng-model="section.inReplyRequestConcerningMedicalExaminationInformIt" ng-click="radioClearSelection($parent.section,'inReplyRequestConcerningMedicalExaminationInformIt',$event)" ng-disabled="false" value="{{option.value}}"> <label for="3.1.1.{{getNextUUID(metaSection.inReplyRequestConcerningMedicalExaminationInformIt)}}{{option.value}}">{{option.name}}</label><br/></input>
										</div>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$error">{{metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$warning && !metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$error">{{metaSection.inReplyRequestConcerningMedicalExaminationInformIt.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.reasonForNotCarryingOutMedicalExamination.$$error,'has-warning': validateForm && metaSection.reasonForNotCarryingOutMedicalExamination.$$warning && !metaSection.reasonForNotCarryingOutMedicalExamination.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-single-selection-handler" tooltip="Single select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=ReasonExaminationNotPerformedType&dictionaryEntryName=D62C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.reasonForNotCarryingOutMedicalExamination.$$headingIndexed}}" headname="{{metaSection.reasonForNotCarryingOutMedicalExamination.$$name}}"> </dynheadingno>  Powód nieprzeprowadzenia badania lekarskiego </label>
									<div class="empty-div-with-width"> </div>
									<div 		class="col-xs-4">
										<!--  single enum: multiplicity 1 and size lower than 5 entries -->
										<div class="radio radio-met radio-met-primary" ng-model="section.reasonForNotCarryingOutMedicalExamination" ng-repeat="option in input.ReasonExaminationNotPerformedType track by $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.reasonForNotCarryingOutMedicalExamination)}}">
										   <input id="3.1.2.{{getNextUUID(metaSection.reasonForNotCarryingOutMedicalExamination)}}{{option.value}}" type="radio" ng-model="section.reasonForNotCarryingOutMedicalExamination" ng-click="radioClearSelection($parent.section,'reasonForNotCarryingOutMedicalExamination',$event)" ng-disabled="false" value="{{option.value}}"> <label for="3.1.2.{{getNextUUID(metaSection.reasonForNotCarryingOutMedicalExamination)}}{{option.value}}">{{option.name}}</label><br/></input>
										</div>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.reasonForNotCarryingOutMedicalExamination.$$error">{{metaSection.reasonForNotCarryingOutMedicalExamination.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.reasonForNotCarryingOutMedicalExamination.$$warning && !metaSection.reasonForNotCarryingOutMedicalExamination.$$error">{{metaSection.reasonForNotCarryingOutMedicalExamination.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.FillInIfReasonForNotCarryingOut; metaSection = $parent.metaSection.FillInIfReasonForNotCarryingOut" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=FillInIfReasonForNotCarryingOutMedicalExaminationOtherType&dictionaryEntryName=C0BC8131-6A5D-E611-80CA-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-3"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Proszę wypełnić poniższe pola, jeżeli „Powód nieprzeprowadzenia badania lekarskiego” = „Inny”: 
										<i style="font-weight: normal; color:#8A2BE2">
										[ SED
										]
										</i>
									</label>
								</div>
							<div component_type="CDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.otherReason.$$error,'has-warning': validateForm && metaSection.otherReason.$$warning && !metaSection.otherReason.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIVeryLongStringType&dictionaryEntryName=D72C853E-D754-E611-80CA-000D3A22E8CD&minLength=1&maxLength=500')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-4"> <dynheadingno headno="{{metaSection.otherReason.$$headingIndexed}}" headname="{{metaSection.otherReason.$$name}}"> </dynheadingno>  Inny powód </label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<trwidget  ng-model="section.otherReason" disabled="false" style="resize:vertical;" class="form-control" type="text" value="" rows="5" cols="30"  sedName="H121 - Notification of Medical Information / Reply to request for Medical Information" elName="3.1.3.1.  Inny powód " id="field_{{getNextUUID(metaSection.otherReason)}}"><br/></trwidget>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										CDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.otherReason.$$error">{{metaSection.otherReason.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.otherReason.$$warning && !metaSection.otherReason.$$error">{{metaSection.otherReason.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
							</div>
							</div>
								<hr />
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag ng-controller = "SectionController" ng-init = "section = $parent.section.ReplyRequestForMedicalEvidence; metaSection = $parent.metaSection.ReplyRequestForMedicalEvidence" ng-hide = "$parent.metaSection.$$choice_1 != 2" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.ReplyRequestForMedicalEvidence; metaSection = $parent.metaSection.ReplyRequestForMedicalEvidence" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=ReplyRequestForMedicalEvidenceType&dictionaryEntryName=09319044-A472-E711-80D7-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-2"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Odpowiedź na wniosek o przekazanie dokumentacji medycznej 
										<i style="font-weight: normal; color:#8A2BE2">
										[ SED
										]
										</i>
									</label>
								</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$error,'has-warning': validateForm && metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$warning && !metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-single-selection-handler" tooltip="Single select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIYesNoType&dictionaryEntryName=D92C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$headingIndexed}}" headname="{{metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$name}}"> </dynheadingno>  W odpowiedzi na wniosek dotyczący przekazania dokumentacji medycznej załączamy przedmiotową dokumentację medyczną  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div 		class="col-xs-4">
										<!--  single enum: multiplicity 1 and size lower than 5 entries -->
										<div class="radio radio-met radio-met-primary" ng-model="section.replyAttachedRequestedMedicalEvidenceIndicator" ng-repeat="option in input.EESSIYesNoType track by $index" type="enumCodesSingle" id="field_{{getNextUUID(metaSection.replyAttachedRequestedMedicalEvidenceIndicator)}}">
										   <input id="4.1.1.{{getNextUUID(metaSection.replyAttachedRequestedMedicalEvidenceIndicator)}}{{option.value}}" type="radio" ng-model="section.replyAttachedRequestedMedicalEvidenceIndicator" ng-click="radioClearSelection($parent.section,'replyAttachedRequestedMedicalEvidenceIndicator',$event)" ng-disabled="false" value="{{option.value}}"> <label for="4.1.1.{{getNextUUID(metaSection.replyAttachedRequestedMedicalEvidenceIndicator)}}{{option.value}}">{{option.name}}</label><br/></input>
										</div>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$error">{{metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$warning && !metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$error">{{metaSection.replyAttachedRequestedMedicalEvidenceIndicator.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="CDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$error,'has-warning': validateForm && metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$warning && !metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIVeryLongStringType&dictionaryEntryName=D32C853E-D754-E611-80CA-000D3A22E8CD&minLength=1&maxLength=500')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$headingIndexed}}" headname="{{metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$name}}"> </dynheadingno>  Powody niewysłania wymaganej dokumentacji medycznej </label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<trwidget  ng-model="section.reasonsForNotSendingRequestedMedicalEvidence" disabled="false" style="resize:vertical;" class="form-control" type="text" value="" rows="5" cols="30"  sedName="H121 - Notification of Medical Information / Reply to request for Medical Information" elName="4.1.2.  Powody niewysłania wymaganej dokumentacji medycznej " id="field_{{getNextUUID(metaSection.reasonsForNotSendingRequestedMedicalEvidence)}}"><br/></trwidget>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										CDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$error">{{metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$warning && !metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$error">{{metaSection.reasonsForNotSendingRequestedMedicalEvidence.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
								<hr />
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag ng-controller = "SectionController" ng-init = "section = $parent.section.NotificationMedicalInformation; metaSection = $parent.metaSection.NotificationMedicalInformation" ng-hide = "$parent.metaSection.$$choice_1 != 3" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<div style="vertical-align:bottom" met_start_tag class="met_lazy" ng-if="::shouldLoadSection">
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.NotificationMedicalInformation; metaSection = $parent.metaSection.NotificationMedicalInformation" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=MedicalInformationClassType&dictionaryEntryName=7051A431-67B2-E711-80DB-000D3A22E8CD')"> </div>
									</div>
									<label style="vertical-align:bottom" class="subsection-control-label subsection-padding-level-2"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Zgłoszenie informacji medycznej 
										<i style="font-weight: normal; color:#8A2BE2">
										[ SED
										]
										</i>
									</label>
								</div>
							<div component_type="ENUM">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.pleaseFindAttached.$$error,'has-warning': validateForm && metaSection.pleaseFindAttached.$$warning && !metaSection.pleaseFindAttached.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- mandatory -->
											<div class="adinfo-mandatory-handler" tooltip="Mandatory." tooltip-enable="true"tooltip-placement="right"> </div>
											   <div class="adinfo-multi-selections-handler" tooltip="Multiple select enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=MedicalInformationType&dictionaryEntryName=6D51A431-67B2-E711-80DB-000D3A22E8CD')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.pleaseFindAttached.$$headingIndexed}}" headname="{{metaSection.pleaseFindAttached.$$name}}"> </dynheadingno>  W załączeniu:  <i>*</i></label>
									<div class="empty-div-with-width"> </div>
									<div 		class="col-xs-4">
										
										<!-- multiple enum version with checkboxes -->
										<div type="enumCodesMultiple" ng-model="section.pleaseFindAttached" ng-repeat="option in input.MedicalInformationType track by $index">
											<span>
												<input type="checkbox" class="checkbox-met" checklist-model="section.pleaseFindAttached" ng-disabled="false" checklist-value="option" output-properties="value" id="field_{{getNextUUID(metaSection.pleaseFindAttached)}}" />
												<label> <span></span> {{option.name}}</label>
											</span>
										</div>
										<br/>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										ENUM
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.pleaseFindAttached.$$error">{{metaSection.pleaseFindAttached.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.pleaseFindAttached.$$warning && !metaSection.pleaseFindAttached.$$error">{{metaSection.pleaseFindAttached.$$warning}}</label>
								   </div>
								</div>
							</div>
							<div component_type="CDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.otherMedicalInformation.$$error,'has-warning': validateForm && metaSection.otherMedicalInformation.$$warning && !metaSection.otherMedicalInformation.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIVeryLongStringType&dictionaryEntryName=6E51A431-67B2-E711-80DB-000D3A22E8CD&minLength=1&maxLength=500')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-3"> <dynheadingno headno="{{metaSection.otherMedicalInformation.$$headingIndexed}}" headname="{{metaSection.otherMedicalInformation.$$name}}"> </dynheadingno>  Pozostałe informacje medyczne </label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<trwidget  ng-model="section.otherMedicalInformation" disabled="false" style="resize:vertical;" class="form-control" type="text" value="" rows="5" cols="30"  sedName="H121 - Notification of Medical Information / Reply to request for Medical Information" elName="5.1.2.  Pozostałe informacje medyczne " id="field_{{getNextUUID(metaSection.otherMedicalInformation)}}"><br/></trwidget>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										CDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.otherMedicalInformation.$$error">{{metaSection.otherMedicalInformation.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.otherMedicalInformation.$$warning && !metaSection.otherMedicalInformation.$$error">{{metaSection.otherMedicalInformation.$$warning}}</label>
								   </div>
								</div>
							</div>
							</div>
							</div>
								<hr />
							</div>
							</div>
							<div style="vertical-align:bottom" met_start_tag  ng-controller = "SectionController" ng-init = "section = $parent.section.AdditionalInformation; metaSection = $parent.metaSection.AdditionalInformation" ng-hide = "metaSection.$$isHidden" id="section_{{getNextUUID(metaSection)}}" component_type="">
								<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)}}">
									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=AdditionalInformationType&dictionaryEntryName=DB2C853E-D754-E611-80CA-000D3A22E8CD')"> </div>
									</div>
									<div>
										<label style="vertical-align:top" class="control-label SECTION_ROW"> <dynheadingno headno="{{metaSection.$$headingIndexed}}" headname="{{metaSection.$$name}}"> </dynheadingno>  Dodatkowe informacje 
										</label>
										<i style="font-weight: normal; color:#8A2BE2">
										[ SED
										]
										</i>
									</div>
									<div class="SECTION_ROW_WHITESPACE"></div>
								</div>
							<div component_type="CDT">
								<!-- div met_start_tag met_if = "!isChoice" class="container-fluid row"></div-->
								<div met_start_tag class="container-fluid container-fluid-reset-padding" ng-hide="false">
								<div ng-class="{'has-error': validateForm && metaSection.additionalInformation.$$error,'has-warning': validateForm && metaSection.additionalInformation.$$warning && !metaSection.additionalInformation.$$error}">

									<div>
										<!-- not repetition -->
											<div class="adinfo-notrepetitive-handler" tooltip="Non-repetitive." tooltip-enable="true"tooltip-placement="right"> </div>
										<!-- optional -->
											<div class="adinfo-optional-handler" tooltip="Optional." tooltip-enable="true"tooltip-placement="right"> </div>

										<!-- not enum -->
											<div class="adinfo-notenumeration-handler" tooltip="Not-enumeration." tooltip-enable="true"tooltip-placement="right"> </div>
										
										<!-- details: more info -->
										<div class="adinfo-details-handler" tooltip="Information about patterns and tags." tooltip-enable="true" tooltip-placement="right" onclick="adinfoDetailsFunction('&dataTypeTechName=EESSIVeryLongStringType&dictionaryEntryName=D42C853E-D754-E611-80CA-000D3A22E8CD&minLength=1&maxLength=500')"> </div>
									</div>

									<label class="subsection-control-label col-xs-3 subsection-padding-level-2"> <dynheadingno headno="{{metaSection.additionalInformation.$$headingIndexed}}" headname="{{metaSection.additionalInformation.$$name}}"> </dynheadingno>  Dodatkowe informacje </label>
									<div class="empty-div-with-width"> </div>

									<div class="col-xs-4	">
										<trwidget  ng-model="section.additionalInformation" disabled="false" style="resize:vertical;" class="form-control" type="text" value="" rows="5" cols="30"  sedName="H121 - Notification of Medical Information / Reply to request for Medical Information" elName="6.1.  Dodatkowe informacje " id="field_{{getNextUUID(metaSection.additionalInformation)}}"><br/></trwidget>
									</div>
									
									<!-- style="background-color:#ffff00; -->
									<i style="font-weight: normal; color:#8A2BE2">
									[
										CDT
									]
									</i>

									<label class="control-label col-xs-4 error-msg warning-msg" ng-show="validateForm && metaSection.additionalInformation.$$error">{{metaSection.additionalInformation.$$error}}</label>
									<label class="control-label col-xs-2 warning-msg" ng-show="validateForm && metaSection.additionalInformation.$$warning && !metaSection.additionalInformation.$$error">{{metaSection.additionalInformation.$$warning}}</label>
								   </div>
								</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("ControllerH121",["$scope", ControllerH121]);	
		});
		*/
		
		angular.module("sedAngularApp").lazy.controller("ControllerH121",["$scope", ControllerH121]);
		
		function ControllerH121($scope){
			
			$scope.VM = { splitterPosition:1 };
			
			$scope.contentDiv = "content-angular_H121";
			
			$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 = {
	"H121":{
		"sedPackage":"Sector Components/Horizontal/H121",
		"sedGVer":"4",
		"sedVer":"2",
		"Person":{
			"PersonIdentification":{
				"familyName":"",
				"forename":"",
				"dateBirth":"",
				"sex":"",
				"familyNameAtBirth":"",
				"forenameAtBirth":"",
				"PINPersonInEachInstitution":{
					"PersonalIdentificationNumber":[{
						"country":"",
						"personalIdentificationNumber":"",
						"sector":"",
						"Institution":{
							"institutionID":"",
							"institutionName":""
						}
					}]
				},
				"IfPINNotProvidedForEveryInstitutionPleaseProvide":{
					"PlaceBirth":{
						"town":"",
						"region":"",
						"country":""
					},
					"fatherFamilyNameAtBirth":"",
					"forenameFather":"",
					"motherFamilyNameAtBirth":"",
					"forenameMother":""
				}
			},
			"AdditionalInformationPerson":{
				"nationality":"",
				"previousFamilyName":"",
				"previousForename":""
			}
		},
		"ReplyRequestForEstimatedCostsMedicalEvidence":{
			"ReplyRequestForEstimatedCostsMedicalEvidence":{
				"replyForEstimatedCostsForMedicalEvidenceExamination":"",
				"currency":""
			}
		},
		"ReplyRequestForMedicalExaminationReport":{
			"ReplyRequestForMedicalExaminationReport":{
				"inReplyRequestConcerningMedicalExaminationInformIt":"",
				"reasonForNotCarryingOutMedicalExamination":"",
				"FillInIfReasonForNotCarryingOut":{
					"otherReason":""
				}
			}
		},
		"ReplyRequestForMedicalEvidence":{
			"ReplyRequestForMedicalEvidence":{
				"replyAttachedRequestedMedicalEvidenceIndicator":"",
				"reasonsForNotSendingRequestedMedicalEvidence":""
			}
		},
		"NotificationMedicalInformation":{
			"NotificationMedicalInformation":{
				"pleaseFindAttached":"",
				"otherMedicalInformation":""
			}
		},
		"AdditionalInformation":{
			"additionalInformation":""
		}
	}
};
		
			$scope.META_MODEL = {
					"H121":{
							"$$name" : "H121",
							"$$heading":"",
							"$$mandatory":true, 
							"$$repetition":false, 
							"$$type":"sed",
							"$$uuid":"H121",
							"$$hasData":false,
							"Person":{
								"$$name":"Person",
								"$$heading":"1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"PersonIdentification":{
								"$$name":"PersonIdentification",
								"$$heading":"1.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"familyName":{
								"$$name":"familyName",
								"$$heading":"1.1.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.1",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"forename":{
								"$$name":"forename",
								"$$heading":"1.1.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "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",
								"$$heading":"1.1.3",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.3",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"date",
								"$$uuid":0,
								"$$hasData":false
							},
							"sex":{
								"$$name":"sex",
								"$$heading":"1.1.4",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.4",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"familyNameAtBirth":{
								"$$name":"familyNameAtBirth",
								"$$heading":"1.1.5",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.5",
								"$$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":"1.1.6",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.6",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"PINPersonInEachInstitution":{
								"$$name":"PINPersonInEachInstitution",
								"$$heading":"1.1.7",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.7",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"PersonalIdentificationNumber":[{
								"$$name":"PersonalIdentificationNumber",
								"$$heading":"1.1.7.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.7.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":true,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"country":{
								"$$name":"country",
								"$$heading":"1.1.7.1.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.7.1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"personalIdentificationNumber":{
								"$$name":"personalIdentificationNumber",
								"$$heading":"1.1.7.1.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.7.1.2",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"65" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"sector":{
								"$$name":"sector",
								"$$heading":"1.1.7.1.3",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.7.1.3",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"Institution":{
								"$$name":"Institution",
								"$$heading":"1.1.7.1.4",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.7.1.4",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"institutionID":{
								"$$name":"institutionID",
								"$$heading":"1.1.7.1.4.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.7.1.4.1",
								"$$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":"1.1.7.1.4.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.7.1.4.2",
								"$$mandatory":true,
								"$$draftCritical":true,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							}]
							},
							"IfPINNotProvidedForEveryInstitutionPleaseProvide":{
								"$$name":"IfPINNotProvidedForEveryInstitutionPleaseProvide",
								"$$heading":"1.1.8",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"PlaceBirth":{
								"$$name":"PlaceBirth",
								"$$heading":"1.1.8.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"town":{
								"$$name":"town",
								"$$heading":"1.1.8.1.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8.1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"65" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"region":{
								"$$name":"region",
								"$$heading":"1.1.8.1.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8.1.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"65" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"country":{
								"$$name":"country",
								"$$heading":"1.1.8.1.3",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8.1.3",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							}
							},
							"fatherFamilyNameAtBirth":{
								"$$name":"fatherFamilyNameAtBirth",
								"$$heading":"1.1.8.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"forenameFather":{
								"$$name":"forenameFather",
								"$$heading":"1.1.8.3",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8.3",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"motherFamilyNameAtBirth":{
								"$$name":"motherFamilyNameAtBirth",
								"$$heading":"1.1.8.4",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8.4",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"forenameMother":{
								"$$name":"forenameMother",
								"$$heading":"1.1.8.5",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.1.8.5",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							},
							"AdditionalInformationPerson":{
								"$$name":"AdditionalInformationPerson",
								"$$heading":"1.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"nationality":{
								"$$name":"nationality",
								"$$heading":"1.2.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.2.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"previousFamilyName":{
								"$$name":"previousFamilyName",
								"$$heading":"1.2.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.2.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							},
							"previousForename":{
								"$$name":"previousForename",
								"$$heading":"1.2.3",
								"$$headingIndex": "0",
								"$$headingIndexed": "1.2.3",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"155" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							},
							"ReplyRequestForEstimatedCostsMedicalEvidence":{
								"$$name":"ReplyRequestForEstimatedCostsMedicalEvidence",
								"$$heading":"2",
								"$$headingIndex": "0",
								"$$headingIndexed": "2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false, 
								"$$choice":1,
								"$$choiceIndex":0,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"ReplyRequestForEstimatedCostsMedicalEvidence":{
								"$$name":"ReplyRequestForEstimatedCostsMedicalEvidence",
								"$$heading":"2.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "2.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"replyForEstimatedCostsForMedicalEvidenceExamination":{
								"$$name":"replyForEstimatedCostsForMedicalEvidenceExamination",
								"$$heading":"2.1.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "2.1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"double",
								"$$uuid":0,
								"$$hasData":false
							},
							"currency":{
								"$$name":"currency",
								"$$heading":"2.1.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "2.1.2",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							},
							"ReplyRequestForMedicalExaminationReport":{
								"$$name":"ReplyRequestForMedicalExaminationReport",
								"$$heading":"3",
								"$$headingIndex": "0",
								"$$headingIndexed": "3",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false, 
								"$$choice":1,
								"$$choiceIndex":1,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"ReplyRequestForMedicalExaminationReport":{
								"$$name":"ReplyRequestForMedicalExaminationReport",
								"$$heading":"3.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "3.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"inReplyRequestConcerningMedicalExaminationInformIt":{
								"$$name":"inReplyRequestConcerningMedicalExaminationInformIt",
								"$$heading":"3.1.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "3.1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"reasonForNotCarryingOutMedicalExamination":{
								"$$name":"reasonForNotCarryingOutMedicalExamination",
								"$$heading":"3.1.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "3.1.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"FillInIfReasonForNotCarryingOut":{
								"$$name":"FillInIfReasonForNotCarryingOut",
								"$$heading":"3.1.3",
								"$$headingIndex": "0",
								"$$headingIndexed": "3.1.3",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"otherReason":{
								"$$name":"otherReason",
								"$$heading":"3.1.3.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "3.1.3.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"500" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							}
							},
							"ReplyRequestForMedicalEvidence":{
								"$$name":"ReplyRequestForMedicalEvidence",
								"$$heading":"4",
								"$$headingIndex": "0",
								"$$headingIndexed": "4",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false, 
								"$$choice":1,
								"$$choiceIndex":2,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"ReplyRequestForMedicalEvidence":{
								"$$name":"ReplyRequestForMedicalEvidence",
								"$$heading":"4.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "4.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"replyAttachedRequestedMedicalEvidenceIndicator":{
								"$$name":"replyAttachedRequestedMedicalEvidenceIndicator",
								"$$heading":"4.1.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "4.1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"reasonsForNotSendingRequestedMedicalEvidence":{
								"$$name":"reasonsForNotSendingRequestedMedicalEvidence",
								"$$heading":"4.1.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "4.1.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"500" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							},
							"NotificationMedicalInformation":{
								"$$name":"NotificationMedicalInformation",
								"$$heading":"5",
								"$$headingIndex": "0",
								"$$headingIndexed": "5",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false, 
								"$$choice":1,
								"$$choiceIndex":3,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"NotificationMedicalInformation":{
								"$$name":"NotificationMedicalInformation",
								"$$heading":"5.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "5.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"pleaseFindAttached":{
								"$$name":"pleaseFindAttached",
								"$$heading":"5.1.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "5.1.1",
								"$$mandatory":true,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"enum",
								"$$uuid":0,
								"$$hasData":false
							},
							"otherMedicalInformation":{
								"$$name":"otherMedicalInformation",
								"$$heading":"5.1.2",
								"$$headingIndex": "0",
								"$$headingIndexed": "5.1.2",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"500" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
							},
							"AdditionalInformation":{
								"$$name":"AdditionalInformation",
								"$$heading":"6",
								"$$headingIndex": "0",
								"$$headingIndexed": "6",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$type":"section",
								"$$uuid":0,
								"$$hasData":false,
							"additionalInformation":{
								"$$name":"additionalInformation",
								"$$heading":"6.1",
								"$$headingIndex": "0",
								"$$headingIndexed": "6.1",
								"$$mandatory":false,
								"$$draftCritical":false,
								"$$repetition":false,
								"$$isHidden":false,
								"$$hasRestrictions":true,
								"$$restrictions": { "minLength":"1", "maxLength":"500" },
								"$$type":"string",
								"$$uuid":0,
								"$$hasData":false
							}
							}
				}
			};
		}
		
		/* Without flags */
		var INPUT = 
		{
			"EESSISexType":
			 [
						{name: "["+"01"+"]  Mężczyzna ", value: "01$", ticked: false},
						{name: "["+"02"+"]  Kobieta ", value: "02$", ticked: false},
						{name: "["+"98"+"]  Nieznany ", value: "98$", ticked: false}
			 ],
			"EESSIEUEFTACountryType":
			 [
						{name: "["+"AT"+"]  Austria ", value: "AT$", ticked: false},
						{name: "["+"BE"+"]  Belgia ", value: "BE$", ticked: false},
						{name: "["+"BG"+"]  Bułgaria ", value: "BG$", ticked: false},
						{name: "["+"HR"+"]  Chorwacja ", value: "HR$", ticked: false},
						{name: "["+"CY"+"]  Cypr ", value: "CY$", ticked: false},
						{name: "["+"CZ"+"]  Czechy ", value: "CZ$", ticked: false},
						{name: "["+"DK"+"]  Dania ", value: "DK$", ticked: false},
						{name: "["+"EE"+"]  Estonia ", value: "EE$", ticked: false},
						{name: "["+"FI"+"]  Finlandia ", value: "FI$", ticked: false},
						{name: "["+"FR"+"]  Francja ", value: "FR$", ticked: false},
						{name: "["+"DE"+"]  Niemcy ", value: "DE$", ticked: false},
						{name: "["+"EL"+"]  Grecja ", value: "EL$", ticked: false},
						{name: "["+"HU"+"]  Węgry ", value: "HU$", ticked: false},
						{name: "["+"IS"+"]  Islandia ", value: "IS$", ticked: false},
						{name: "["+"IE"+"]  Irlandia ", value: "IE$", ticked: false},
						{name: "["+"IT"+"]  Włochy ", value: "IT$", ticked: false},
						{name: "["+"LV"+"]  Łotwa ", value: "LV$", ticked: false},
						{name: "["+"LI"+"]  Liechtenstein ", value: "LI$", ticked: false},
						{name: "["+"LT"+"]  Litwa ", value: "LT$", ticked: false},
						{name: "["+"LU"+"]  Luksemburg ", value: "LU$", ticked: false},
						{name: "["+"MT"+"]  Malta ", value: "MT$", ticked: false},
						{name: "["+"NL"+"]  Niderlandy ", value: "NL$", ticked: false},
						{name: "["+"NO"+"]  Norwegia ", value: "NO$", ticked: false},
						{name: "["+"PL"+"]  Polska ", value: "PL$", ticked: false},
						{name: "["+"PT"+"]  Portugalia ", value: "PT$", ticked: false},
						{name: "["+"RO"+"]  Rumunia ", value: "RO$", ticked: false},
						{name: "["+"SK"+"]  Słowacja ", value: "SK$", ticked: false},
						{name: "["+"SI"+"]  Słowenia ", value: "SI$", ticked: false},
						{name: "["+"ES"+"]  Hiszpania ", value: "ES$", ticked: false},
						{name: "["+"SE"+"]  Szwecja ", value: "SE$", ticked: false},
						{name: "["+"CH"+"]  Szwajcaria ", value: "CH$", ticked: false},
						{name: "["+"UK"+"]  Zjednoczone Królestwo ", value: "UK$", ticked: false}
			 ],
			"EESSISectorsType":
			 [
						{name: "["+"01"+"]  Wypadki przy pracy i choroby zawodowe ", value: "01$", ticked: false},
						{name: "["+"02"+"]  Świadczenia rodzinne ", value: "02$", ticked: false},
						{name: "["+"03"+"]  Wszystkie ", value: "03$", ticked: false},
						{name: "["+"04"+"]  Świadczenia emerytalne i rentowe ", value: "04$", ticked: false},
						{name: "["+"05"+"]  Windykacja należności ", value: "05$", ticked: false},
						{name: "["+"06"+"]  Okres choroby ", value: "06$", ticked: false},
						{name: "["+"07"+"]  Zasiłek dla bezrobotnych ", value: "07$", ticked: false}
			 ],
			"EESSIWorldCountryHistoricType":
			 [
						{name: "["+"AT"+"]  Austria ", value: "AT$", ticked: false},
						{name: "["+"BE"+"]  Belgia ", value: "BE$", ticked: false},
						{name: "["+"BG"+"]  Bułgaria ", value: "BG$", ticked: false},
						{name: "["+"HR"+"]  Chorwacja ", value: "HR$", ticked: false},
						{name: "["+"CY"+"]  Cypr ", value: "CY$", ticked: false},
						{name: "["+"CZ"+"]  Republika Czeska ", value: "CZ$", ticked: false},
						{name: "["+"DK"+"]  Dania ", value: "DK$", ticked: false},
						{name: "["+"EE"+"]  Estonia ", value: "EE$", ticked: false},
						{name: "["+"FI"+"]  Finlandia ", value: "FI$", ticked: false},
						{name: "["+"FR"+"]  Francja ", value: "FR$", ticked: false},
						{name: "["+"DE"+"]  Niemcy ", value: "DE$", ticked: false},
						{name: "["+"EL"+"]  Grecja ", value: "EL$", ticked: false},
						{name: "["+"HU"+"]  Węgry ", value: "HU$", ticked: false},
						{name: "["+"IS"+"]  Islandia ", value: "IS$", ticked: false},
						{name: "["+"IE"+"]  Irlandia ", value: "IE$", ticked: false},
						{name: "["+"IT"+"]  Włochy ", value: "IT$", ticked: false},
						{name: "["+"LV"+"]  Łotwa ", value: "LV$", ticked: false},
						{name: "["+"LI"+"]  Liechtenstein ", value: "LI$", ticked: false},
						{name: "["+"LT"+"]  Litwa ", value: "LT$", ticked: false},
						{name: "["+"LU"+"]  Luksemburg ", value: "LU$", ticked: false},
						{name: "["+"MT"+"]  Malta ", value: "MT$", ticked: false},
						{name: "["+"NL"+"]  Niderlandy ", value: "NL$", ticked: false},
						{name: "["+"NO"+"]  Norwegia ", value: "NO$", ticked: false},
						{name: "["+"PL"+"]  Polska ", value: "PL$", ticked: false},
						{name: "["+"PT"+"]  Portugalia ", value: "PT$", ticked: false},
						{name: "["+"RO"+"]  Rumunia ", value: "RO$", ticked: false},
						{name: "["+"SK"+"]  Słowacja ", value: "SK$", ticked: false},
						{name: "["+"SI"+"]  Słowenia ", value: "SI$", ticked: false},
						{name: "["+"ES"+"]  Hiszpania ", value: "ES$", ticked: false},
						{name: "["+"SE"+"]  Szwecja ", value: "SE$", ticked: false},
						{name: "["+"CH"+"]  Szwajcaria ", value: "CH$", ticked: false},
						{name: "["+"UK"+"]  Zjednoczone Królestwo ", value: "UK$", ticked: false},
						{name: "["+"AF"+"]  Afganistan ", value: "AF$", ticked: false},
						{name: "["+"AX"+"]  Wyspy Alandzkie ", value: "AX$", ticked: false},
						{name: "["+"AL"+"]  Albania ", value: "AL$", ticked: false},
						{name: "["+"DZ"+"]  Algieria ", value: "DZ$", ticked: false},
						{name: "["+"AS"+"]  Samoa Amerykańskie ", value: "AS$", ticked: false},
						{name: "["+"AD"+"]  Andora ", value: "AD$", ticked: false},
						{name: "["+"AO"+"]  Angola ", value: "AO$", ticked: false},
						{name: "["+"AI"+"]  Anguilla ", value: "AI$", ticked: false},
						{name: "["+"AQ"+"]  Antarktyda ", value: "AQ$", ticked: false},
						{name: "["+"AG"+"]  Antigua i Barbuda ", value: "AG$", ticked: false},
						{name: "["+"AR"+"]  Argentyna ", value: "AR$", ticked: false},
						{name: "["+"AM"+"]  Armenia ", value: "AM$", ticked: false},
						{name: "["+"AW"+"]  Aruba ", value: "AW$", ticked: false},
						{name: "["+"AU"+"]  Australia ", value: "AU$", ticked: false},
						{name: "["+"AZ"+"]  Azerbejdżan ", value: "AZ$", ticked: false},
						{name: "["+"BS"+"]  Bahamy ", value: "BS$", ticked: false},
						{name: "["+"BH"+"]  Bahrajn ", value: "BH$", ticked: false},
						{name: "["+"BD"+"]  Bangladesz ", value: "BD$", ticked: false},
						{name: "["+"BB"+"]  Barbados ", value: "BB$", ticked: false},
						{name: "["+"BY"+"]  Białoruś ", value: "BY$", ticked: false},
						{name: "["+"BZ"+"]  Belize ", value: "BZ$", ticked: false},
						{name: "["+"BJ"+"]  Benin ", value: "BJ$", ticked: false},
						{name: "["+"BM"+"]  Bermudy ", value: "BM$", ticked: false},
						{name: "["+"BT"+"]  Bhutan ", value: "BT$", ticked: false},
						{name: "["+"BO"+"]  Wielonarodowe Państwo Boliwia ", value: "BO$", ticked: false},
						{name: "["+"BQ"+"]  Bonaire, Sint Eustatius i Saba ", value: "BQ$", ticked: false},
						{name: "["+"BA"+"]  Bośnia i Hercegowina ", value: "BA$", ticked: false},
						{name: "["+"BW"+"]  Botswana ", value: "BW$", ticked: false},
						{name: "["+"BV"+"]  Wyspa Bouveta ", value: "BV$", ticked: false},
						{name: "["+"BR"+"]  Brazylia ", value: "BR$", ticked: false},
						{name: "["+"IO"+"]  Brytyjskie Terytorium Oceanu Indyjskiego ", value: "IO$", ticked: false},
						{name: "["+"BN"+"]  Państwo Brunei Darussalam ", value: "BN$", ticked: false},
						{name: "["+"BF"+"]  Burkina Faso ", value: "BF$", ticked: false},
						{name: "["+"BI"+"]  Burundi ", value: "BI$", ticked: false},
						{name: "["+"CV"+"]  Republika Zielonego Przylądka ", value: "CV$", ticked: false},
						{name: "["+"KH"+"]  Kambodża ", value: "KH$", ticked: false},
						{name: "["+"CM"+"]  Kamerun ", value: "CM$", ticked: false},
						{name: "["+"CA"+"]  Kanada ", value: "CA$", ticked: false},
						{name: "["+"KY"+"]  Kajmany ", value: "KY$", ticked: false},
						{name: "["+"CF"+"]  Republika Środkowoafrykańska ", value: "CF$", ticked: false},
						{name: "["+"TD"+"]  Czad ", value: "TD$", ticked: false},
						{name: "["+"CL"+"]  Chile ", value: "CL$", ticked: false},
						{name: "["+"CN"+"]  Chiny ", value: "CN$", ticked: false},
						{name: "["+"CX"+"]  Wyspa Bożego Narodzenia ", value: "CX$", ticked: false},
						{name: "["+"CC"+"]  Terytorium Wysp Kokosowych (Keelinga) ", value: "CC$", ticked: false},
						{name: "["+"CO"+"]  Kolumbia ", value: "CO$", ticked: false},
						{name: "["+"KM"+"]  Komory ", value: "KM$", ticked: false},
						{name: "["+"CG"+"]  Konga ", value: "CG$", ticked: false},
						{name: "["+"CD"+"]  Demokratyczna Republika Konga ", value: "CD$", ticked: false},
						{name: "["+"CK"+"]  Wyspy Cooka ", value: "CK$", ticked: false},
						{name: "["+"CR"+"]  Kostaryka ", value: "CR$", ticked: false},
						{name: "["+"CI"+"]  Wybrzeże Kości Słoniowej ", value: "CI$", ticked: false},
						{name: "["+"CU"+"]  Kuba ", value: "CU$", ticked: false},
						{name: "["+"CW"+"]  Curaçao ", value: "CW$", ticked: false},
						{name: "["+"DJ"+"]  Dżibuti ", value: "DJ$", ticked: false},
						{name: "["+"DM"+"]  Dominika ", value: "DM$", ticked: false},
						{name: "["+"DO"+"]  Republika Dominikańska ", value: "DO$", ticked: false},
						{name: "["+"EC"+"]  Ekwador ", value: "EC$", ticked: false},
						{name: "["+"EG"+"]  Egipt ", value: "EG$", ticked: false},
						{name: "["+"SV"+"]  Salwador ", value: "SV$", ticked: false},
						{name: "["+"GQ"+"]  Gwinea Równikowa ", value: "GQ$", ticked: false},
						{name: "["+"ER"+"]  Erytrea ", value: "ER$", ticked: false},
						{name: "["+"ET"+"]  Etiopia ", value: "ET$", ticked: false},
						{name: "["+"FK"+"]  Falklandy ", value: "FK$", ticked: false},
						{name: "["+"FO"+"]  Wyspy Owcze ", value: "FO$", ticked: false},
						{name: "["+"FJ"+"]  Fidżi ", value: "FJ$", ticked: false},
						{name: "["+"GF"+"]  Gujana Francuska ", value: "GF$", ticked: false},
						{name: "["+"PF"+"]  Polinezja Francuska ", value: "PF$", ticked: false},
						{name: "["+"TF"+"]  Francuskie Terytoria Południowe i Antarktyczne ", value: "TF$", ticked: false},
						{name: "["+"GA"+"]  Gabon ", value: "GA$", ticked: false},
						{name: "["+"GM"+"]  Gambia ", value: "GM$", ticked: false},
						{name: "["+"GE"+"]  Gruzja ", value: "GE$", ticked: false},
						{name: "["+"GH"+"]  Ghana ", value: "GH$", ticked: false},
						{name: "["+"GI"+"]  Gibraltar ", value: "GI$", ticked: false},
						{name: "["+"GL"+"]  Grenlandia ", value: "GL$", ticked: false},
						{name: "["+"GD"+"]  Grenada ", value: "GD$", ticked: false},
						{name: "["+"GP"+"]  Gwadelupa ", value: "GP$", ticked: false},
						{name: "["+"GU"+"]  Guam ", value: "GU$", ticked: false},
						{name: "["+"GT"+"]  Gwatemala ", value: "GT$", ticked: false},
						{name: "["+"GG"+"]  Guernsey ", value: "GG$", ticked: false},
						{name: "["+"GN"+"]  Gwinea ", value: "GN$", ticked: false},
						{name: "["+"GW"+"]  Gwinea Bissau ", value: "GW$", ticked: false},
						{name: "["+"GY"+"]  Gujana ", value: "GY$", ticked: false},
						{name: "["+"HT"+"]  Haiti ", value: "HT$", ticked: false},
						{name: "["+"HM"+"]  Wyspy Heard i McDonalda ", value: "HM$", ticked: false},
						{name: "["+"VA"+"]  Stolica Apostolska ", value: "VA$", ticked: false},
						{name: "["+"HN"+"]  Honduras ", value: "HN$", ticked: false},
						{name: "["+"HK"+"]  Hongkong ", value: "HK$", ticked: false},
						{name: "["+"IN"+"]  Indie ", value: "IN$", ticked: false},
						{name: "["+"ID"+"]  Indonezja ", value: "ID$", ticked: false},
						{name: "["+"IR"+"]  Islamska Republika Iranu ", value: "IR$", ticked: false},
						{name: "["+"IQ"+"]  Irak ", value: "IQ$", ticked: false},
						{name: "["+"IM"+"]  Wyspa Man ", value: "IM$", ticked: false},
						{name: "["+"IL"+"]  Izrael ", value: "IL$", ticked: false},
						{name: "["+"JM"+"]  Jamajka ", value: "JM$", ticked: false},
						{name: "["+"JP"+"]  Japonia ", value: "JP$", ticked: false},
						{name: "["+"JE"+"]  Jersey ", value: "JE$", ticked: false},
						{name: "["+"JO"+"]  Jordania ", value: "JO$", ticked: false},
						{name: "["+"KZ"+"]  Kazachstan ", value: "KZ$", ticked: false},
						{name: "["+"KE"+"]  Kenia ", value: "KE$", ticked: false},
						{name: "["+"KI"+"]  Kiribati ", value: "KI$", ticked: false},
						{name: "["+"KP"+"]  Koreańska Republika Ludowo-Demokratyczna ", value: "KP$", ticked: false},
						{name: "["+"KR"+"]  Republika Korei ", value: "KR$", ticked: false},
						{name: "["+"KW"+"]  Kuwejt ", value: "KW$", ticked: false},
						{name: "["+"KG"+"]  Kirgistan ", value: "KG$", ticked: false},
						{name: "["+"LA"+"]  Laotańska Republika Ludowo-Demokratyczna ", value: "LA$", ticked: false},
						{name: "["+"LB"+"]  Liban ", value: "LB$", ticked: false},
						{name: "["+"LS"+"]  Lesotho ", value: "LS$", ticked: false},
						{name: "["+"LR"+"]  Liberia ", value: "LR$", ticked: false},
						{name: "["+"LY"+"]  Libia ", value: "LY$", ticked: false},
						{name: "["+"MO"+"]  Makau ", value: "MO$", ticked: false},
						{name: "["+"MK"+"]  była jugosłowiańska republika Macedonii ", value: "MK$", ticked: false},
						{name: "["+"MG"+"]  Madagaskar ", value: "MG$", ticked: false},
						{name: "["+"MW"+"]  Malawi ", value: "MW$", ticked: false},
						{name: "["+"MY"+"]  Malezja ", value: "MY$", ticked: false},
						{name: "["+"MV"+"]  Malediwy ", value: "MV$", ticked: false},
						{name: "["+"ML"+"]  Mali ", value: "ML$", ticked: false},
						{name: "["+"MH"+"]  Wyspy Marshalla ", value: "MH$", ticked: false},
						{name: "["+"MQ"+"]  Martynika ", value: "MQ$", ticked: false},
						{name: "["+"MR"+"]  Mauretania ", value: "MR$", ticked: false},
						{name: "["+"MU"+"]  Mauritius ", value: "MU$", ticked: false},
						{name: "["+"YT"+"]  Majotta ", value: "YT$", ticked: false},
						{name: "["+"MX"+"]  Meksyk ", value: "MX$", ticked: false},
						{name: "["+"FM"+"]  Sfederowane Stany Mikronezji ", value: "FM$", ticked: false},
						{name: "["+"MD"+"]  Republika Mołdawii ", value: "MD$", ticked: false},
						{name: "["+"MC"+"]  Monako ", value: "MC$", ticked: false},
						{name: "["+"MN"+"]  Mongolia ", value: "MN$", ticked: false},
						{name: "["+"ME"+"]  Czarnogóra ", value: "ME$", ticked: false},
						{name: "["+"MS"+"]  Montserrat ", value: "MS$", ticked: false},
						{name: "["+"MA"+"]  Maroko ", value: "MA$", ticked: false},
						{name: "["+"MZ"+"]  Mozambik ", value: "MZ$", ticked: false},
						{name: "["+"MM"+"]  Mjanma/Birma ", value: "MM$", ticked: false},
						{name: "["+"NA"+"]  Namibia ", value: "NA$", ticked: false},
						{name: "["+"NR"+"]  Nauru ", value: "NR$", ticked: false},
						{name: "["+"NP"+"]  Nepal ", value: "NP$", ticked: false},
						{name: "["+"NC"+"]  Nowa Kaledonia ", value: "NC$", ticked: false},
						{name: "["+"NZ"+"]  Nowa Zelandia ", value: "NZ$", ticked: false},
						{name: "["+"NI"+"]  Nikaragua ", value: "NI$", ticked: false},
						{name: "["+"NE"+"]  Niger ", value: "NE$", ticked: false},
						{name: "["+"NG"+"]  Nigeria ", value: "NG$", ticked: false},
						{name: "["+"NU"+"]  Niue ", value: "NU$", ticked: false},
						{name: "["+"NF"+"]  Norfolk ", value: "NF$", ticked: false},
						{name: "["+"MP"+"]  Mariany Północne ", value: "MP$", ticked: false},
						{name: "["+"OM"+"]  Oman ", value: "OM$", ticked: false},
						{name: "["+"PK"+"]  Pakistan ", value: "PK$", ticked: false},
						{name: "["+"PW"+"]  Palau ", value: "PW$", ticked: false},
						{name: "["+"PS"+"]  Państwo Palestyna ", value: "PS$", ticked: false},
						{name: "["+"PA"+"]  Panama ", value: "PA$", ticked: false},
						{name: "["+"PG"+"]  Papua-Nowa Gwinea ", value: "PG$", ticked: false},
						{name: "["+"PY"+"]  Paragwaj ", value: "PY$", ticked: false},
						{name: "["+"PE"+"]  Peru ", value: "PE$", ticked: false},
						{name: "["+"PH"+"]  Filipiny ", value: "PH$", ticked: false},
						{name: "["+"PN"+"]  Pitcairn ", value: "PN$", ticked: false},
						{name: "["+"PR"+"]  Portoryko ", value: "PR$", ticked: false},
						{name: "["+"QA"+"]  Katar ", value: "QA$", ticked: false},
						{name: "["+"RE"+"]  Reunion ", value: "RE$", ticked: false},
						{name: "["+"RU"+"]  Federacja Rosyjska ", value: "RU$", ticked: false},
						{name: "["+"RW"+"]  Rwanda ", value: "RW$", ticked: false},
						{name: "["+"BL"+"]  Saint-Barthélemy ", value: "BL$", ticked: false},
						{name: "["+"SH"+"]  Święta Helena, Wyspa Wniebowstąpienia i Tristan da Cunha ", value: "SH$", ticked: false},
						{name: "["+"KN"+"]  Saint Kitts i Nevis ", value: "KN$", ticked: false},
						{name: "["+"LC"+"]  Saint Lucia ", value: "LC$", ticked: false},
						{name: "["+"MF"+"]  Saint-Martin (część francuska) ", value: "MF$", ticked: false},
						{name: "["+"PM"+"]  Saint-Pierre i Miquelon ", value: "PM$", ticked: false},
						{name: "["+"VC"+"]  Saint Vincent i Grenadyny ", value: "VC$", ticked: false},
						{name: "["+"WS"+"]  Samoa ", value: "WS$", ticked: false},
						{name: "["+"SM"+"]  San Marino ", value: "SM$", ticked: false},
						{name: "["+"ST"+"]  Wyspy Świętego Tomasza i Książęca ", value: "ST$", ticked: false},
						{name: "["+"SA"+"]  Arabia Saudyjska ", value: "SA$", ticked: false},
						{name: "["+"SN"+"]  Senegal ", value: "SN$", ticked: false},
						{name: "["+"RS"+"]  Serbia ", value: "RS$", ticked: false},
						{name: "["+"SC"+"]  Seszele ", value: "SC$", ticked: false},
						{name: "["+"SL"+"]  Sierra Leone ", value: "SL$", ticked: false},
						{name: "["+"SG"+"]  Singapur ", value: "SG$", ticked: false},
						{name: "["+"SX"+"]  Sint Maarten (część niderlandzka) ", value: "SX$", ticked: false},
						{name: "["+"SB"+"]  Wyspy Salomona ", value: "SB$", ticked: false},
						{name: "["+"SO"+"]  Somalia ", value: "SO$", ticked: false},
						{name: "["+"ZA"+"]  Republika Południowej Afryki ", value: "ZA$", ticked: false},
						{name: "["+"GS"+"]  Georgia Południowa i Sandwich Południowy ", value: "GS$", ticked: false},
						{name: "["+"SS"+"]  Sudan Południowy ", value: "SS$", ticked: false},
						{name: "["+"LK"+"]  Sri Lanka ", value: "LK$", ticked: false},
						{name: "["+"SD"+"]  Sudan ", value: "SD$", ticked: false},
						{name: "["+"SR"+"]  Surinam ", value: "SR$", ticked: false},
						{name: "["+"SJ"+"]  Svalbard i Jan Mayen ", value: "SJ$", ticked: false},
						{name: "["+"SZ"+"]  Suazi ", value: "SZ$", ticked: false},
						{name: "["+"SY"+"]  Syryjska Republika Arabska ", value: "SY$", ticked: false},
						{name: "["+"TW"+"]  Tajwan ", value: "TW$", ticked: false},
						{name: "["+"TJ"+"]  Tadżykistan ", value: "TJ$", ticked: false},
						{name: "["+"TZ"+"]  Zjednoczona Republika Tanzanii ", value: "TZ$", ticked: false},
						{name: "["+"TH"+"]  Tajlandia ", value: "TH$", ticked: false},
						{name: "["+"TL"+"]  Timor Wschodni ", value: "TL$", ticked: false},
						{name: "["+"TG"+"]  Togo ", value: "TG$", ticked: false},
						{name: "["+"TK"+"]  Tokelau ", value: "TK$", ticked: false},
						{name: "["+"TO"+"]  Tonga ", value: "TO$", ticked: false},
						{name: "["+"TT"+"]  Trynidad i Tobago ", value: "TT$", ticked: false},
						{name: "["+"TN"+"]  Tunezja ", value: "TN$", ticked: false},
						{name: "["+"TR"+"]  Turcja ", value: "TR$", ticked: false},
						{name: "["+"TM"+"]  Turkmenistan ", value: "TM$", ticked: false},
						{name: "["+"TC"+"]  Turks i Caicos ", value: "TC$", ticked: false},
						{name: "["+"TV"+"]  Tuvalu ", value: "TV$", ticked: false},
						{name: "["+"UG"+"]  Uganda ", value: "UG$", ticked: false},
						{name: "["+"UA"+"]  Ukraina ", value: "UA$", ticked: false},
						{name: "["+"AE"+"]  Zjednoczone Emiraty Arabskie ", value: "AE$", ticked: false},
						{name: "["+"UM"+"]  Małe Oddalone Wyspy Stanów Zjednoczonych ", value: "UM$", ticked: false},
						{name: "["+"US"+"]  Stany Zjednoczone Ameryki ", value: "US$", ticked: false},
						{name: "["+"UY"+"]  Urugwaj ", value: "UY$", ticked: false},
						{name: "["+"UZ"+"]  Uzbekistan ", value: "UZ$", ticked: false},
						{name: "["+"VU"+"]  Vanuatu ", value: "VU$", ticked: false},
						{name: "["+"VE"+"]  Boliwariańska Republika Wenezueli ", value: "VE$", ticked: false},
						{name: "["+"VN"+"]  Wietnam ", value: "VN$", ticked: false},
						{name: "["+"VG"+"]  Wyspy Dziewicze Stanów Zjednoczonych ", value: "VG$", ticked: false},
						{name: "["+"VI"+"]  Wyspy Dziewicze Stanów Zjednoczonych ", value: "VI$", ticked: false},
						{name: "["+"WF"+"]  Wallis i Futuna ", value: "WF$", ticked: false},
						{name: "["+"EH"+"]  Sahara Zachodnia ", value: "EH$", ticked: false},
						{name: "["+"YE"+"]  Jemen ", value: "YE$", ticked: false},
						{name: "["+"ZM"+"]  Zambia ", value: "ZM$", ticked: false},
						{name: "["+"ZW"+"]  Zimbabwe ", value: "ZW$", ticked: false},
						{name: "["+"BQAQ"+"]  Brytyjskie Terytorium Antarktyczne ", value: "BQAQ$", ticked: false},
						{name: "["+"BUMM"+"]  Birma ", value: "BUMM$", ticked: false},
						{name: "["+"BYAA"+"]  Białoruska SRR ", value: "BYAA$", ticked: false},
						{name: "["+"CTKI"+"]  Wyspy Kanton i Enderbury ", value: "CTKI$", ticked: false},
						{name: "["+"CSHH"+"]  Czechosłowacja ", value: "CSHH$", ticked: false},
						{name: "["+"DYBJ"+"]  Dahomej ", value: "DYBJ$", ticked: false},
						{name: "["+"NQAQ"+"]  Ziemia Królowej Maud ", value: "NQAQ$", ticked: false},
						{name: "["+"TPTL"+"]  Timor Wschodni ", value: "TPTL$", ticked: false},
						{name: "["+"FXFR"+"]  Francja (metropolitalna) ", value: "FXFR$", ticked: false},
						{name: "["+"AIDJ"+"]  Francuskie Terytorium Afarów i Issów ", value: "AIDJ$", ticked: false},
						{name: "["+"FQHH"+"]  Francuskie Terytoria Południowe i Antarktyczne ", value: "FQHH$", ticked: false},
						{name: "["+"DDDE"+"]  Niemiecka Republika Demokratyczna ", value: "DDDE$", ticked: false},
						{name: "["+"GEHH"+"]  Wyspy Gilberta i Lagunowe ", value: "GEHH$", ticked: false},
						{name: "["+"JTUM"+"]  Johnston ", value: "JTUM$", ticked: false},
						{name: "["+"MIUM"+"]  Midway ", value: "MIUM$", ticked: false},
						{name: "["+"ANHH"+"]  Antyle Holenderskie ", value: "ANHH$", ticked: false},
						{name: "["+"NTHH"+"]  Strefa neutralna ", value: "NTHH$", ticked: false},
						{name: "["+"NHVU"+"]  Nowe Hebrydy ", value: "NHVU$", ticked: false},
						{name: "["+"PCHH"+"]  Powiernicze Terytorium Wysp Pacyfiku ", value: "PCHH$", ticked: false},
						{name: "["+"PZPA"+"]  Strefa Kanału Panamskiego ", value: "PZPA$", ticked: false},
						{name: "["+"CSXX"+"]  Serbia i Czarnogóra ", value: "CSXX$", ticked: false},
						{name: "["+"SKIN"+"]  Sikkim ", value: "SKIN$", ticked: false},
						{name: "["+"RHZW"+"]  Rodezja Południowa ", value: "RHZW$", ticked: false},
						{name: "["+"HVBF"+"]  Górna Wolta ", value: "HVBF$", ticked: false},
						{name: "["+"PUUM"+"]  Różne Wyspy Pacyfiku Stanów Zjednoczonych ", value: "PUUM$", ticked: false},
						{name: "["+"SUHH"+"]  ZSRR ", value: "SUHH$", ticked: false},
						{name: "["+"VDVN"+"]  Demokratyczna Republika Wietnamu ", value: "VDVN$", ticked: false},
						{name: "["+"WKUM"+"]  Wake ", value: "WKUM$", ticked: false},
						{name: "["+"YDYE"+"]  Republika Jemeńska ", value: "YDYE$", ticked: false},
						{name: "["+"YUCS"+"]  Jugosławia ", value: "YUCS$", ticked: false},
						{name: "["+"ZRCD"+"]  Zair ", value: "ZRCD$", ticked: false}
			 ],
			"EESSINationalityMultipleType":
			 [
						{name: "["+"AT"+"]  Austria ", value: "AT$", ticked: false},
						{name: "["+"BE"+"]  Belgia ", value: "BE$", ticked: false},
						{name: "["+"BG"+"]  Bułgaria ", value: "BG$", ticked: false},
						{name: "["+"HR"+"]  Chorwacja ", value: "HR$", ticked: false},
						{name: "["+"CY"+"]  Cypr ", value: "CY$", ticked: false},
						{name: "["+"CZ"+"]  Czechy ", value: "CZ$", ticked: false},
						{name: "["+"DK"+"]  Dania ", value: "DK$", ticked: false},
						{name: "["+"EE"+"]  Estonia ", value: "EE$", ticked: false},
						{name: "["+"FI"+"]  Finlandia ", value: "FI$", ticked: false},
						{name: "["+"FR"+"]  Francja ", value: "FR$", ticked: false},
						{name: "["+"DE"+"]  Niemcy ", value: "DE$", ticked: false},
						{name: "["+"EL"+"]  Grecja ", value: "EL$", ticked: false},
						{name: "["+"HU"+"]  Węgry ", value: "HU$", ticked: false},
						{name: "["+"IS"+"]  Islandia ", value: "IS$", ticked: false},
						{name: "["+"IE"+"]  Irlandia ", value: "IE$", ticked: false},
						{name: "["+"IT"+"]  Włochy ", value: "IT$", ticked: false},
						{name: "["+"LV"+"]  Łotwa ", value: "LV$", ticked: false},
						{name: "["+"LI"+"]  Liechtenstein ", value: "LI$", ticked: false},
						{name: "["+"LT"+"]  Litwa ", value: "LT$", ticked: false},
						{name: "["+"LU"+"]  Luksemburg ", value: "LU$", ticked: false},
						{name: "["+"MT"+"]  Malta ", value: "MT$", ticked: false},
						{name: "["+"NL"+"]  Niderlandy ", value: "NL$", ticked: false},
						{name: "["+"NO"+"]  Norwegia ", value: "NO$", ticked: false},
						{name: "["+"PL"+"]  Polska ", value: "PL$", ticked: false},
						{name: "["+"PT"+"]  Portugalia ", value: "PT$", ticked: false},
						{name: "["+"RO"+"]  Rumunia ", value: "RO$", ticked: false},
						{name: "["+"SK"+"]  Słowacja ", value: "SK$", ticked: false},
						{name: "["+"SI"+"]  Słowenia ", value: "SI$", ticked: false},
						{name: "["+"ES"+"]  Hiszpania ", value: "ES$", ticked: false},
						{name: "["+"SE"+"]  Szwecja ", value: "SE$", ticked: false},
						{name: "["+"CH"+"]  Szwajcaria ", value: "CH$", ticked: false},
						{name: "["+"UK"+"]  Zjednoczone Królestwo ", value: "UK$", ticked: false},
						{name: "["+"XR"+"]  Uchodźca ", value: "XR$", ticked: false},
						{name: "["+"XS"+"]  Bezpaństwowiec ", value: "XS$", ticked: false},
						{name: "["+"XU"+"]  Nieznany ", value: "XU$", ticked: false},
						{name: "["+"AF"+"]  Afganistan ", value: "AF$", ticked: false},
						{name: "["+"AL"+"]  Albania ", value: "AL$", ticked: false},
						{name: "["+"DZ"+"]  Algieria ", value: "DZ$", ticked: false},
						{name: "["+"AD"+"]  Andora ", value: "AD$", ticked: false},
						{name: "["+"AO"+"]  Angola ", value: "AO$", ticked: false},
						{name: "["+"AG"+"]  Antigua i Barbuda ", value: "AG$", ticked: false},
						{name: "["+"AR"+"]  Argentyna ", value: "AR$", ticked: false},
						{name: "["+"AM"+"]  Armenia ", value: "AM$", ticked: false},
						{name: "["+"AU"+"]  Australia ", value: "AU$", ticked: false},
						{name: "["+"AZ"+"]  Azerbejdżan ", value: "AZ$", ticked: false},
						{name: "["+"BS"+"]  Bahamy ", value: "BS$", ticked: false},
						{name: "["+"BH"+"]  Bahrajn ", value: "BH$", ticked: false},
						{name: "["+"BD"+"]  Bangladesz ", value: "BD$", ticked: false},
						{name: "["+"BB"+"]  Barbados ", value: "BB$", ticked: false},
						{name: "["+"BY"+"]  Białoruś ", value: "BY$", ticked: false},
						{name: "["+"BZ"+"]  Belize ", value: "BZ$", ticked: false},
						{name: "["+"BJ"+"]  Benin ", value: "BJ$", ticked: false},
						{name: "["+"BT"+"]  Bhutan ", value: "BT$", ticked: false},
						{name: "["+"BO"+"]  Boliwia (Wielonarodowe Państwo Boliwia) ", value: "BO$", ticked: false},
						{name: "["+"BA"+"]  Bośnia i Hercegowina ", value: "BA$", ticked: false},
						{name: "["+"BW"+"]  Botswana ", value: "BW$", ticked: false},
						{name: "["+"BR"+"]  Brazylia ", value: "BR$", ticked: false},
						{name: "["+"BN"+"]  Państwo Brunei Darussalam ", value: "BN$", ticked: false},
						{name: "["+"BF"+"]  Burkina Faso ", value: "BF$", ticked: false},
						{name: "["+"BI"+"]  Burundi ", value: "BI$", ticked: false},
						{name: "["+"KH"+"]  Kambodża ", value: "KH$", ticked: false},
						{name: "["+"CM"+"]  Kamerun ", value: "CM$", ticked: false},
						{name: "["+"CA"+"]  Kanada ", value: "CA$", ticked: false},
						{name: "["+"CV"+"]  Republika Zielonego Przylądka ", value: "CV$", ticked: false},
						{name: "["+"CF"+"]  Republika Środkowoafrykańska ", value: "CF$", ticked: false},
						{name: "["+"TD"+"]  Czad ", value: "TD$", ticked: false},
						{name: "["+"CL"+"]  Chile ", value: "CL$", ticked: false},
						{name: "["+"CN"+"]  Chiny ", value: "CN$", ticked: false},
						{name: "["+"CO"+"]  Kolumbia ", value: "CO$", ticked: false},
						{name: "["+"KM"+"]  Komory ", value: "KM$", ticked: false},
						{name: "["+"CG"+"]  Konga ", value: "CG$", ticked: false},
						{name: "["+"CD"+"]  Demokratyczna Republika Konga ", value: "CD$", ticked: false},
						{name: "["+"CR"+"]  Kostaryka ", value: "CR$", ticked: false},
						{name: "["+"CI"+"]  Wybrzeże Kości Słoniowej ", value: "CI$", ticked: false},
						{name: "["+"CU"+"]  Kuba ", value: "CU$", ticked: false},
						{name: "["+"DJ"+"]  Dżibuti ", value: "DJ$", ticked: false},
						{name: "["+"DM"+"]  Dominika ", value: "DM$", ticked: false},
						{name: "["+"DO"+"]  Republika Dominikańska ", value: "DO$", ticked: false},
						{name: "["+"EC"+"]  Ekwador ", value: "EC$", ticked: false},
						{name: "["+"EG"+"]  Egipt ", value: "EG$", ticked: false},
						{name: "["+"SV"+"]  Salwador ", value: "SV$", ticked: false},
						{name: "["+"GQ"+"]  Gwinea Równikowa ", value: "GQ$", ticked: false},
						{name: "["+"ER"+"]  Erytrea ", value: "ER$", ticked: false},
						{name: "["+"ET"+"]  Etiopia ", value: "ET$", ticked: false},
						{name: "["+"FJ"+"]  Fidżi ", value: "FJ$", ticked: false},
						{name: "["+"GA"+"]  Gabon ", value: "GA$", ticked: false},
						{name: "["+"GM"+"]  Gambia ", value: "GM$", ticked: false},
						{name: "["+"GE"+"]  Gruzja ", value: "GE$", ticked: false},
						{name: "["+"GH"+"]  Ghana ", value: "GH$", ticked: false},
						{name: "["+"GD"+"]  Grenada ", value: "GD$", ticked: false},
						{name: "["+"GT"+"]  Gwatemala ", value: "GT$", ticked: false},
						{name: "["+"GN"+"]  Gwinea ", value: "GN$", ticked: false},
						{name: "["+"GW"+"]  Gwinea Bissau ", value: "GW$", ticked: false},
						{name: "["+"GY"+"]  Gujana ", value: "GY$", ticked: false},
						{name: "["+"HT"+"]  Haiti ", value: "HT$", ticked: false},
						{name: "["+"VA"+"]  Stolica Apostolska ", value: "VA$", ticked: false},
						{name: "["+"HN"+"]  Honduras ", value: "HN$", ticked: false},
						{name: "["+"IN"+"]  Indie ", value: "IN$", ticked: false},
						{name: "["+"ID"+"]  Indonezja ", value: "ID$", ticked: false},
						{name: "["+"IR"+"]  Iran (Islamska Republika Iranu) ", value: "IR$", ticked: false},
						{name: "["+"IQ"+"]  Irak ", value: "IQ$", ticked: false},
						{name: "["+"IL"+"]  Izrael ", value: "IL$", ticked: false},
						{name: "["+"JM"+"]  Jamajka ", value: "JM$", ticked: false},
						{name: "["+"JP"+"]  Japonia ", value: "JP$", ticked: false},
						{name: "["+"JO"+"]  Jordania ", value: "JO$", ticked: false},
						{name: "["+"KZ"+"]  Kazachstan ", value: "KZ$", ticked: false},
						{name: "["+"KE"+"]  Kenia ", value: "KE$", ticked: false},
						{name: "["+"KI"+"]  Kiribati ", value: "KI$", ticked: false},
						{name: "["+"KP"+"]  Koreańska Republika Ludowo-Demokratyczna ", value: "KP$", ticked: false},
						{name: "["+"KR"+"]  Republika Korei ", value: "KR$", ticked: false},
						{name: "["+"KW"+"]  Kuwejt ", value: "KW$", ticked: false},
						{name: "["+"KG"+"]  Kirgistan ", value: "KG$", ticked: false},
						{name: "["+"LA"+"]  Laotańska Republika Ludowo-Demokratyczna ", value: "LA$", ticked: false},
						{name: "["+"LB"+"]  Liban ", value: "LB$", ticked: false},
						{name: "["+"LS"+"]  Lesotho ", value: "LS$", ticked: false},
						{name: "["+"LR"+"]  Liberia ", value: "LR$", ticked: false},
						{name: "["+"LY"+"]  Libia ", value: "LY$", ticked: false},
						{name: "["+"MK"+"]  Macedonia (była jugosłowiańska republika Macedonii) ", value: "MK$", ticked: false},
						{name: "["+"MG"+"]  Madagaskar ", value: "MG$", ticked: false},
						{name: "["+"MW"+"]  Malawi ", value: "MW$", ticked: false},
						{name: "["+"MY"+"]  Malezja ", value: "MY$", ticked: false},
						{name: "["+"MV"+"]  Malediwy ", value: "MV$", ticked: false},
						{name: "["+"ML"+"]  Mali ", value: "ML$", ticked: false},
						{name: "["+"MH"+"]  Wyspy Marshalla ", value: "MH$", ticked: false},
						{name: "["+"MR"+"]  Mauretania ", value: "MR$", ticked: false},
						{name: "["+"MU"+"]  Mauritius ", value: "MU$", ticked: false},
						{name: "["+"MX"+"]  Meksyk ", value: "MX$", ticked: false},
						{name: "["+"FM"+"]  Mikronezja (Sfederowane Stany Mikronezji) ", value: "FM$", ticked: false},
						{name: "["+"MD"+"]  (Republika) Mołdawii ", value: "MD$", ticked: false},
						{name: "["+"MC"+"]  Monako ", value: "MC$", ticked: false},
						{name: "["+"MN"+"]  Mongolia ", value: "MN$", ticked: false},
						{name: "["+"ME"+"]  Czarnogóra ", value: "ME$", ticked: false},
						{name: "["+"MA"+"]  Maroko ", value: "MA$", ticked: false},
						{name: "["+"MZ"+"]  Mozambik ", value: "MZ$", ticked: false},
						{name: "["+"MM"+"]  Mjanma/Birma ", value: "MM$", ticked: false},
						{name: "["+"NA"+"]  Namibia ", value: "NA$", ticked: false},
						{name: "["+"NR"+"]  Nauru ", value: "NR$", ticked: false},
						{name: "["+"NP"+"]  Nepal ", value: "NP$", ticked: false},
						{name: "["+"NZ"+"]  Nowa Zelandia ", value: "NZ$", ticked: false},
						{name: "["+"NI"+"]  Nikaragua ", value: "NI$", ticked: false},
						{name: "["+"NE"+"]  Niger ", value: "NE$", ticked: false},
						{name: "["+"NG"+"]  Nigeria ", value: "NG$", ticked: false},
						{name: "["+"OM"+"]  Oman ", value: "OM$", ticked: false},
						{name: "["+"PK"+"]  Pakistan ", value: "PK$", ticked: false},
						{name: "["+"PW"+"]  Palau ", value: "PW$", ticked: false},
						{name: "["+"PS"+"]  Państwo Palestyna ", value: "PS$", ticked: false},
						{name: "["+"PA"+"]  Panama ", value: "PA$", ticked: false},
						{name: "["+"PG"+"]  Papua-Nowa Gwinea ", value: "PG$", ticked: false},
						{name: "["+"PY"+"]  Paragwaj ", value: "PY$", ticked: false},
						{name: "["+"PE"+"]  Peru ", value: "PE$", ticked: false},
						{name: "["+"PH"+"]  Filipiny ", value: "PH$", ticked: false},
						{name: "["+"QA"+"]  Katar ", value: "QA$", ticked: false},
						{name: "["+"RU"+"]  Federacja Rosyjska ", value: "RU$", ticked: false},
						{name: "["+"RW"+"]  Rwanda ", value: "RW$", ticked: false},
						{name: "["+"KN"+"]  Saint Kitts i Nevis ", value: "KN$", ticked: false},
						{name: "["+"LC"+"]  Saint Lucia ", value: "LC$", ticked: false},
						{name: "["+"VC"+"]  Saint Vincent i Grenadyny ", value: "VC$", ticked: false},
						{name: "["+"WS"+"]  Samoa ", value: "WS$", ticked: false},
						{name: "["+"SM"+"]  San Marino ", value: "SM$", ticked: false},
						{name: "["+"ST"+"]  Wyspy Świętego Tomasza i Książęca ", value: "ST$", ticked: false},
						{name: "["+"SA"+"]  Arabia Saudyjska ", value: "SA$", ticked: false},
						{name: "["+"SN"+"]  Senegal ", value: "SN$", ticked: false},
						{name: "["+"RS"+"]  Serbia ", value: "RS$", ticked: false},
						{name: "["+"SC"+"]  Seszele ", value: "SC$", ticked: false},
						{name: "["+"SL"+"]  Sierra Leone ", value: "SL$", ticked: false},
						{name: "["+"SG"+"]  Singapur ", value: "SG$", ticked: false},
						{name: "["+"SB"+"]  Wyspy Salomona ", value: "SB$", ticked: false},
						{name: "["+"SO"+"]  Somalia ", value: "SO$", ticked: false},
						{name: "["+"ZA"+"]  Republika Południowej Afryki ", value: "ZA$", ticked: false},
						{name: "["+"SS"+"]  Sudan Południowy ", value: "SS$", ticked: false},
						{name: "["+"LK"+"]  Sri Lanka ", value: "LK$", ticked: false},
						{name: "["+"SD"+"]  Sudan ", value: "SD$", ticked: false},
						{name: "["+"SR"+"]  Surinam ", value: "SR$", ticked: false},
						{name: "["+"SZ"+"]  Suazi ", value: "SZ$", ticked: false},
						{name: "["+"SY"+"]  Syryjska Republika Arabska ", value: "SY$", ticked: false},
						{name: "["+"TJ"+"]  Tadżykistan ", value: "TJ$", ticked: false},
						{name: "["+"TZ"+"]  Zjednoczona Republika Tanzanii ", value: "TZ$", ticked: false},
						{name: "["+"TH"+"]  Tajlandia ", value: "TH$", ticked: false},
						{name: "["+"TL"+"]  Timor Wschodni ", value: "TL$", ticked: false},
						{name: "["+"TG"+"]  Togo ", value: "TG$", ticked: false},
						{name: "["+"TO"+"]  Tonga ", value: "TO$", ticked: false},
						{name: "["+"TT"+"]  Trynidad i Tobago ", value: "TT$", ticked: false},
						{name: "["+"TN"+"]  Tunezja ", value: "TN$", ticked: false},
						{name: "["+"TR"+"]  Turcja ", value: "TR$", ticked: false},
						{name: "["+"TM"+"]  Turkmenistan ", value: "TM$", ticked: false},
						{name: "["+"TV"+"]  Tuvalu ", value: "TV$", ticked: false},
						{name: "["+"UG"+"]  Uganda ", value: "UG$", ticked: false},
						{name: "["+"UA"+"]  Ukraina ", value: "UA$", ticked: false},
						{name: "["+"AE"+"]  Zjednoczone Emiraty Arabskie ", value: "AE$", ticked: false},
						{name: "["+"US"+"]  Stany Zjednoczone Ameryki ", value: "US$", ticked: false},
						{name: "["+"UY"+"]  Urugwaj ", value: "UY$", ticked: false},
						{name: "["+"UZ"+"]  Uzbekistan ", value: "UZ$", ticked: false},
						{name: "["+"VU"+"]  Vanuatu ", value: "VU$", ticked: false},
						{name: "["+"VE"+"]  Wenezuela (Boliwariańska Republika Wenezueli) ", value: "VE$", ticked: false},
						{name: "["+"VN"+"]  Wietnam ", value: "VN$", ticked: false},
						{name: "["+"YE"+"]  Jemen ", value: "YE$", ticked: false},
						{name: "["+"ZM"+"]  Zambia ", value: "ZM$", ticked: false},
						{name: "["+"ZW"+"]  Zimbabwe ", value: "ZW$", ticked: false},
						{name: "["+"BQAQ"+"]  Brytyjskie Terytorium Antarktyczne ", value: "BQAQ$", ticked: false},
						{name: "["+"BUMM"+"]  Birma ", value: "BUMM$", ticked: false},
						{name: "["+"BYAA"+"]  Białoruska SRR ", value: "BYAA$", ticked: false},
						{name: "["+"CTKI"+"]  Wyspy Kanton i Enderbury ", value: "CTKI$", ticked: false},
						{name: "["+"CSHH"+"]  Czechosłowacja ", value: "CSHH$", ticked: false},
						{name: "["+"DYBJ"+"]  Dahomej ", value: "DYBJ$", ticked: false},
						{name: "["+"NQAQ"+"]  Ziemia Królowej Maud ", value: "NQAQ$", ticked: false},
						{name: "["+"TPTL"+"]  Timor Wschodni ", value: "TPTL$", ticked: false},
						{name: "["+"FXFR"+"]  Francja (metropolitalna) ", value: "FXFR$", ticked: false},
						{name: "["+"AIDJ"+"]  Francuskie Terytorium Afarów i Issów ", value: "AIDJ$", ticked: false},
						{name: "["+"FQHH"+"]  Francuskie Terytoria Południowe i Antarktyczne ", value: "FQHH$", ticked: false},
						{name: "["+"DDDE"+"]  Niemiecka Republika Demokratyczna ", value: "DDDE$", ticked: false},
						{name: "["+"GEHH"+"]  Wyspy Gilberta i Lagunowe ", value: "GEHH$", ticked: false},
						{name: "["+"JTUM"+"]  Johnston ", value: "JTUM$", ticked: false},
						{name: "["+"MIUM"+"]  Midway ", value: "MIUM$", ticked: false},
						{name: "["+"ANHH"+"]  Antyle Holenderskie ", value: "ANHH$", ticked: false},
						{name: "["+"NTHH"+"]  Strefa neutralna ", value: "NTHH$", ticked: false},
						{name: "["+"NHVU"+"]  Nowe Hebrydy ", value: "NHVU$", ticked: false},
						{name: "["+"PCHH"+"]  Powiernicze Terytorium Wysp Pacyfiku ", value: "PCHH$", ticked: false},
						{name: "["+"PZPA"+"]  Strefa Kanału Panamskiego ", value: "PZPA$", ticked: false},
						{name: "["+"CSXX"+"]  Serbia i Czarnogóra ", value: "CSXX$", ticked: false},
						{name: "["+"SKIN"+"]  Sikkim ", value: "SKIN$", ticked: false},
						{name: "["+"RHZW"+"]  Rodezja Południowa ", value: "RHZW$", ticked: false},
						{name: "["+"HVBF"+"]  Górna Wolta ", value: "HVBF$", ticked: false},
						{name: "["+"PUUM"+"]  Różne Wyspy Pacyfiku Stanów Zjednoczonych ", value: "PUUM$", ticked: false},
						{name: "["+"SUHH"+"]  ZSRR ", value: "SUHH$", ticked: false},
						{name: "["+"VDVN"+"]  Demokratyczna Republika Wietnamu ", value: "VDVN$", ticked: false},
						{name: "["+"WKUM"+"]  Wake ", value: "WKUM$", ticked: false},
						{name: "["+"YDYE"+"]  Republika Jemeńska ", value: "YDYE$", ticked: false},
						{name: "["+"YUCS"+"]  Jugosławia ", value: "YUCS$", ticked: false},
						{name: "["+"ZRCD"+"]  Zair ", value: "ZRCD$", ticked: false}
			 ],
			"EESSIEUEFTACurrencyType":
			 [
						{name: "["+"EUR"+"]  Euro ", value: "EUR$", ticked: false},
						{name: "["+"BGN"+"]  Lew bułgarski ", value: "BGN$", ticked: false},
						{name: "["+"CZK"+"]  Korona czeska ", value: "CZK$", ticked: false},
						{name: "["+"DKK"+"]  Korona duńska ", value: "DKK$", ticked: false},
						{name: "["+"GBP"+"]  Funt brytyjski ", value: "GBP$", ticked: false},
						{name: "["+"HRK"+"]  Kuna chorwacka ", value: "HRK$", ticked: false},
						{name: "["+"HUF"+"]  Forint węgierski ", value: "HUF$", ticked: false},
						{name: "["+"PLN"+"]  Polski złoty ", value: "PLN$", ticked: false},
						{name: "["+"RON"+"]  Nowy lej rumuński ", value: "RON$", ticked: false},
						{name: "["+"SEK"+"]  Korona szwedzka ", value: "SEK$", ticked: false},
						{name: "["+"CHF"+"]  Frank szwajcarski ", value: "CHF$", ticked: false},
						{name: "["+"ISK"+"]  Korona islandzka ", value: "ISK$", ticked: false},
						{name: "["+"NOK"+"]  Korona norweska ", value: "NOK$", ticked: false},
						{name: "["+"LTL"+"]  Litewskie lity ", value: "LTL$", ticked: false},
						{name: "["+"LVL"+"]  Łotewske łaty ", value: "LVL$", ticked: false}
			 ],
			"MedicalExaminationCarriedOutOrNotReasonIncludedType":
			 [
						{name: "["+"01"+"]  Zostało przeprowadzone, załączamy wymagany raport ", value: "01$", ticked: false},
						{name: "["+"02"+"]  Nie została przeprowadzona z następującego powodu ", value: "02$", ticked: false}
			 ],
			"ReasonExaminationNotPerformedType":
			 [
						{name: "["+"01"+"]  Osoba nie stawiła się na badanie ", value: "01$", ticked: false},
						{name: "["+"02"+"]  Osoba nie chciała współpracować ", value: "02$", ticked: false},
						{name: "["+"03"+"]  Osoba przeprowadziła się, a jej nowy adres jest nieznany ", value: "03$", ticked: false},
						{name: "["+"04"+"]  Osoba zmarła ", value: "04$", ticked: false},
						{name: "["+"99"+"]  Inne ", value: "99$", ticked: false}
			 ],
			"EESSIYesNoType":
			 [
						{name: "["+"1"+"]  Tak ", value: "1$", ticked: false},
						{name: "["+"0"+"]  Nie ", value: "0$", ticked: false}
			 ],
			"MedicalInformationType":
			 [
						{name: "["+"01"+"]  Badanie/orzeczenie lekarskie ", value: "01$", ticked: false},
						{name: "["+"02"+"]  Dokumentacja medyczna ", value: "02$", ticked: false},
						{name: "["+"03"+"]  Inne informacje medyczne ", value: "03$", ticked: false}
			 ],
			"structureEnd": {}
		};
		
		var ERROR_MESSAGES =
		{
			"section": " punktu ",
			"field": " pole ",
			"error": " Błąd ",
			"warning": " Warning ",
			"requiresdata": " wnioskuje o przekazanie danych ",
			"invalidformat": " posiada źle sformatowane dane ",
			"norestriction": " nie spełnia ograniczenia "
		};
		
		var LOCALE =
		{
			"Add": " Dodaj ",
			"Translate": " Przetłumacz ",
			"Noneselected": " nic nie wybrano ",
			"Reset": " Zresetuj ",
			"Search": " Search ",
			"Selectnone": " Nie zaznaczaj niczego ",
			"Selectall": " Zaznacz wszystko ",
		};
		
		</script>	
	</div>

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