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<!-- Anulowanie recepty na Enarenal -->
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<title>Dokument anulujący</title>
<effectiveTime value="20130420"/>
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<languageCode code="pl-PL"/>
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<addr>
<city>Warszawa</city>
<postalCode>01-134</postalCode>
<streetName>Odkryta</streetName>
<houseNumber>41</houseNumber>
<unitID>12</unitID>
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<patient>
<name>
<given>Jan</given>
<given>Franciszek</given>
<family>Kowalski</family>
</name>
<birthTime value="19620915"/>
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<given>Piotr</given>
<family>Nowak</family>
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<name>Poradnia POZ</name>
<telecom use="PUB" value="tel:22-1111123"/>
<telecom use="PUB" value="fax:22-1111100"/>
<addr>
<postalCode>00-950</postalCode>
<city>Warszawa</city>
<streetName>Marszałkowska</streetName>
<houseNumber>320</houseNumber>
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<name>NZOZ „POL-MED”</name>
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<name>POL-MED Sp. z o.o.</name>
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<participant typeCode="IND">
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<associatedEntity classCode="UNDWRT">
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<relatedDocument typeCode="RPLC">
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<structuredBody>
<component>
<section>
<templateId root="2.16.840.1.113883.3.4424.13.10.3.27"/>
<title>Dane dokumentu anulowanego</title>
<text>
<paragraph>Proszę o anulowanie dokumentu:</paragraph>
<paragraph>
<caption>Tytuł:</caption>
Recepta </paragraph>
<paragraph>
<caption>Data wystawienia:</caption>
12.04.2013 </paragraph>
<paragraph>
<caption>Identyfikator:</caption>
2345678 </paragraph> </text> </section> </component> </structuredBody> </component> </ClinicalDocument>
