+
$(l10n therapy_prescription)
+
${mpx[insurance]}
+
${mpx[date]}
+
+
-
+ ${mpx[prescno]:+
$(l10n presc${mpx[prescno]})}
+ ${mpx[grouptherapy]:+
$(l10n grouptherapy)}
+ ${mpx[housecall]:+
$(l10n housecall)}
+ ${mpx[report]:+
$(l10n report)}
+
+
+ ${mpx[remidy]:+ - ${mpx[quantity]} ${mpx[remidy]} ${mpx[quantity_weekly]:+($mpx[quantity_weekly] $(l10n weekly))}
}
+ ${mpx[remidy1]:+- ${mpx[quantity1]} ${mpx[remidy1]} ${mpx[quantity_weekly1]:+($mpx[quantity_weekly1] $(l10n weekly))}
}
+
+
+ ${mpx[indicator]:+
${mpx[indicator]}}
+ ${mpx[icd10]:+
${mpx[icd10]}}
+
+ ${mpx[addcontrib]:+
+
+ }
+
+
+