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<?xml-stylesheet href="CDA_PL_IG_1.3.1.xsl" type="text/xsl"?>
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	<!-- Dokument recepty farmaceutycznej-->
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            <qualifier>
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                <value code="G" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Lek gotowy" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/>
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            <qualifier>
                <name code="TWREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wystawienia recepty"/>
                <value code="F" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Farmaceutyczna" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/>
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            <qualifier>
                <name code="TRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb realizacji recepty"/>
                <value code="Z" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/>
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    </code>
    <title>Recepta</title>
    <effectiveTime value="20150301"/>
    <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
    <languageCode code="pl-PL"/>
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            <id extension="12345" root="2.16.840.1.113883.3.4424.2.7.99999.17.1" displayable="false"/>
            <id extension="62091599999" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/>
            <addr>
                <city>Warszawa</city>
                <postalCode>01-134</postalCode>
                <streetName>Odkryta</streetName>
                <houseNumber>41</houseNumber>
                <unitID>12</unitID>
            </addr>
            <patient>
                <name>
                    <given>Jan</given>
                    <given>Franciszek</given>
                    <family>Kowalski</family>
                </name>
				<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
                <birthTime value="19620915"/>
            </patient>
        </patientRole>
    </recordTarget>
    <author>
    	<templateId root="2.16.840.1.113883.3.4424.13.10.2.81"/>
        <functionCode code="FARM" codeSystem="2.16.840.1.113883.3.4424.11.3.18" codeSystemName="ZAWODY_MED" displayName="Farmaceuta"/>
		<time value="20150301122300"/>
        <assignedAuthor>
            <id extension="545632" root="2.16.840.1.113883.3.4424.1.6.1" displayable="true"/>
            <assignedPerson>
                <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/>
                <name>
                    <prefix>mgr farm.</prefix>
                    <given>Artur</given>
                    <family>Zwoliński</family>
                </name>
            </assignedPerson>
           <representedOrganization>
           		<templateId root="2.16.840.1.113883.3.4424.13.10.2.31"/>
                <id extension="123456789" root="2.16.840.1.113883.3.4424.2.2.1" displayable="true"/>
                <id extension="1111007" root="2.16.840.1.113883.3.4424.2.6" displayable="true"/>
                <name>Apteka 24h</name>
                <telecom use="PUB" value="tel:22-2345123"/>
                <telecom use="PUB" value="fax:22-2345100"/>
                <addr>
                    <postalCode>00-950</postalCode>
                    <city>Warszawa</city>
                    <streetName>Dąbrowszczaków</streetName>
                    <houseNumber>34</houseNumber>
                </addr>
            </representedOrganization>
		</assignedAuthor>
    </author>
    <custodian>
    	<templateId root="2.16.840.1.113883.3.4424.13.10.2.20"/>
        <assignedCustodian>
            <representedCustodianOrganization>
                <id root="2.16.840.1.113883.3.4424" assigningAuthorityName="CSIOZ" displayable="false"/>
            </representedCustodianOrganization>
        </assignedCustodian>
    </custodian>
    <legalAuthenticator>
    	<templateId root="2.16.840.1.113883.3.4424.13.10.2.6"/>
        <time value="20150301122300"/>
        <signatureCode code="S"/>
        <assignedEntity>
            <id extension="545632" root="2.16.840.1.113883.3.4424.1.6.1" displayable="false"/>
        </assignedEntity>
    </legalAuthenticator>
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            <component>
				<section>
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                    <title>Rp (Cito)</title>
					<text>
						<paragraph ID="SBADM_1">
							<content ID="p1_nazwaLeku" styleCode="xPLbig">Enarenal 5mg
								tabletki</content>
							<content ID="p1_edytuj_mocLeku"></content>
							<content ID="p1_edytuj_postacLeku"></content>
						</paragraph>
						<paragraph>
							<content ID="p1_iloscLeku">1</content>
							<content ID="p1_krotnosc_opis">op. po</content>
							<content ID="p1_wielkoscOpakowania">60 szt.</content>
						</paragraph>
						<paragraph ID="DS_1">
							<content ID="p1_stosowanie_opis_1">D.S.</content>
							<content ID="p1_edytuj_stosowanie_wartosc_1"
								styleCode="Bold">2 x 1 tabl.</content>
						</paragraph>
					</text>
                    <entry>
                        <substanceAdministration classCode="SBADM" moodCode="INT">
							<templateId root="1.3.6.1.4.1.19376.1.9.1.3.2"/>
							<templateId root="2.16.840.1.113883.10.20.1.24"/>
							<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7"/>
                            <templateId root="1.3.6.1.4.1.19376.1.9.1.3.6"/>
							<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>
							<templateId root="2.16.840.1.113883.3.4424.13.10.4.3"/>
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                            <text>
                                <reference value="#SBADM_1"/>
                            </text>
							<statusCode code="completed"/>
							<repeatNumber value="0"/>
                            <consumable>
                                <manufacturedProduct>
                                    <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.2"/>
                                    <templateId root="2.16.840.1.113883.10.20.1.53"/>
                                    <manufacturedMaterial>
										<templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/>
										<templateId root="2.16.840.1.113883.3.4424.13.10.4.54"/>
                                        <code code="4321" codeSystem="2.16.840.1.113883.3.4424.6.1" displayName="Enarenal 5mg tabl."/>
                                    	<name>Enarenal 5mg tabletki</name>
										<pharm:asContent classCode="CONT">
											<pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">
												<pharm:code code="5909990014958" codeSystem="1.3.160" codeSystemName="GS1"/>
												<pharm:name>Enarenal 5mg (60 tabl.)</pharm:name>
											    <!-- <pharm:formCode code="30066000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Tablet container"/> -->
												<pharm:capacityQuantity value="60"/>
											</pharm:containerPackagedMedicine>
										</pharm:asContent>
                                    </manufacturedMaterial>
                                </manufacturedProduct>
                            </consumable>
                            <entryRelationship typeCode="COMP">
                                <supply classCode="SPLY" moodCode="RQO">
									<templateId root="1.3.6.1.4.1.19376.1.9.1.3.8"/>
                                    <templateId root="2.16.840.1.113883.3.4424.13.10.4.55"/>
                                    <effectiveTime value="20150301"/>
                                    <priorityCode code="UR" codeSystem="2.16.840.1.113883.5.7"/>
                                    <independentInd value="false"/>
									<quantity value="1"/>
                                </supply>
                            </entryRelationship>
                            <!-- informacja o stosowaniu leku podana w bloku narracyjnym -->
                            <entryRelationship typeCode='SUBJ' inversionInd='true'>
								<act classCode='ACT' moodCode='INT'>
									<templateId root='2.16.840.1.113883.3.4424.13.10.4.74'/>
									<templateId root='2.16.840.1.113883.10.20.1.49'/>
									<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.3'/>
									<code code='PINSTRUCT' codeSystem='1.3.6.1.4.1.19376.1.5.3.2' codeSystemName='IHEActCode' />
									<text>
										<reference value='#DS_1'/>
									</text>
									<statusCode code='completed' />
								</act>
							</entryRelationship>
                        </substanceAdministration>
                    </entry>
				</section>
            </component>
			<component>
                <section>
                    <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/>
                    <text>
						<paragraph>
							<caption>Powód wydania leku</caption>Zagrożenie życia
						</paragraph>
					</text>
                </section>
            </component>
        </structuredBody>
    </component>
</ClinicalDocument>
