2a1278936b
Voegt de discovery- en besluitvormingsronde van 18-19 juli toe (besluitenlog, begrippenlijst, feitenmodel-instroom met scenariotoetsen, terminologie- en leveranciersonderzoek) en synchroniseert feitenmodel-instroom.md met de screening=acceptatie-beslissing (§5). Herstructureert docs/datamodel/ naar submappen per documentsoort (besluiten/sessielogs/feitenmodellen/deelmodellen/ onderzoek/entiteitenkaarten) zodat toekomstige besluitenlogs en feitenrondes per deelgebied een vaste plek krijgen.
819 lines
23 KiB
HTML
819 lines
23 KiB
HTML
<!doctype html>
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<html lang="nl">
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<head>
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<meta charset="utf-8">
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<meta name="viewport" content="width=device-width, initial-scale=1">
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<meta name="color-scheme" content="light dark">
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<title>Engelstalige EHR-termen voor GGZ-instroom</title>
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<style>
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:root {
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--bg: #f5f7f6;
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--danger-soft: #fce8e8;
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.callout h2,
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display: inline-block;
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font-weight: 700;
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padding-bottom: 0.65rem;
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.panel {
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padding: 1.25rem;
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border: 1px solid var(--line);
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}
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.panel h3 {
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margin-bottom: 0.65rem;
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}
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.panel p {
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margin: 0 0 0.8rem;
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}
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display: grid;
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footer {
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margin-top: 4rem;
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padding-top: 1.25rem;
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font-size: 0.8rem;
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@media (max-width: 840px) {
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.concept-grid,
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grid-template-columns: 1fr;
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}
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.model-flow {
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grid-template-columns: 1fr;
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}
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top: auto;
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right: 50%;
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bottom: -0.72rem;
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transform: translateX(50%) rotate(90deg);
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}
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@media (max-width: 620px) {
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.page {
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width: min(100% - 1.25rem, 1180px);
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padding-top: 1rem;
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}
|
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.toolbar {
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||
align-items: flex-start;
|
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flex-direction: column;
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margin-bottom: 2rem;
|
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}
|
||
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.source-grid {
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||
grid-template-columns: 1fr;
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}
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}
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@media print {
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:root {
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--bg: #ffffff;
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--surface: #ffffff;
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--surface-subtle: #f3f5f4;
|
||
--text: #111111;
|
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--muted: #444444;
|
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--line: #cccccc;
|
||
--accent: #0f766e;
|
||
--accent-strong: #0b5c56;
|
||
--accent-soft: #edf7f5;
|
||
--success: #166534;
|
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--success-soft: #eef8f0;
|
||
--warning: #814005;
|
||
--warning-soft: #fff6e8;
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--danger: #8a2424;
|
||
--danger-soft: #fff0f0;
|
||
--code-bg: #eeeeee;
|
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}
|
||
|
||
.toolbar-actions {
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display: none;
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}
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||
|
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.page {
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width: 100%;
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padding: 0;
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}
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|
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section,
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.concept-card,
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.panel,
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||
.callout {
|
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break-inside: avoid;
|
||
}
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}
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</style>
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</head>
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<body>
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<main class="page">
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<nav class="toolbar" aria-label="Documentacties">
|
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<span>Lokaal onderzoeksartefact · 18 juli 2026</span>
|
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<div class="toolbar-actions">
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<a href="onderzoek-engelstalige-epd-terminologie.md">Onderzoeksrapport</a>
|
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<button class="button" id="theme-toggle" type="button" aria-label="Wissel licht en donker thema">
|
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Licht/donker
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</button>
|
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</div>
|
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</nav>
|
||
|
||
<header>
|
||
<p class="eyebrow">EHR terminology review</p>
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<h1>Engelstalige EHR-termen voor GGZ-instroom</h1>
|
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<p class="subtitle">
|
||
Vergelijking van Epic, Oracle Health, athenahealth, Netsmart, NextGen,
|
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HL7 FHIR, ONC/360X en NHS, aangescherpt voor een primair ambulante GGZ-context.
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</p>
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</header>
|
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|
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<aside class="callout">
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<h2>Aanbevolen richting</h2>
|
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<p>
|
||
Gebruik <code>referral</code> als eersteklas lifecycle-object voor het beheerde
|
||
aanmeldingstraject en <code>referral_submission</code> voor iedere afzonderlijke
|
||
ontvangst of aanvulling. Een mogelijk <code>referral_request</code> blijft een
|
||
apart te valideren concept voor het inhoudelijke verzoek of de formele verwijzing.
|
||
</p>
|
||
</aside>
|
||
|
||
<section aria-labelledby="core-model-title">
|
||
<h2 id="core-model-title">Voorgesteld kernmodel</h2>
|
||
<div class="concept-grid">
|
||
<article class="concept-card">
|
||
<div class="concept-header">
|
||
<h3>Referral Request</h3>
|
||
<span class="pill">verzoek · open</span>
|
||
</div>
|
||
<div class="concept-body">
|
||
<p><code>referral_request</code></p>
|
||
<p>
|
||
Het inhoudelijke verzoek om zorg of beoordeling, geïnitieerd door een
|
||
professional, organisatie, cliënt of vertegenwoordiger.
|
||
</p>
|
||
<p class="note">
|
||
Mogelijke Engelse tegenhanger van de formele VERWIJZING. Eerst bepalen
|
||
of dit een eigen identiteit nodig heeft.
|
||
</p>
|
||
</div>
|
||
</article>
|
||
|
||
<article class="concept-card">
|
||
<div class="concept-header">
|
||
<h3>Referral Submission</h3>
|
||
<span class="pill">ontvangst</span>
|
||
</div>
|
||
<div class="concept-body">
|
||
<p><code>referral_submission</code></p>
|
||
<p>
|
||
Eén ontvangen indiening of aanvulling, met eigen kanaal, bron, tijdstip,
|
||
documenten en oorspronkelijke inhoud.
|
||
</p>
|
||
<p class="note">
|
||
Voorkeursnaam voor AANMELDSIGNAAL. Een lokale technische term, geen
|
||
universele EHR-standaard.
|
||
</p>
|
||
</div>
|
||
</article>
|
||
|
||
<article class="concept-card">
|
||
<div class="concept-header">
|
||
<h3>Referral</h3>
|
||
<span class="pill">workflow</span>
|
||
</div>
|
||
<div class="concept-body">
|
||
<p><code>referral</code></p>
|
||
<p>
|
||
Het beheerde instroomobject dat submissions en eventuele requests
|
||
beoordeelt, aanvult, trieert en afsluit.
|
||
</p>
|
||
<p class="note">
|
||
Voorkeursnaam voor AANMELDINGSTRAJECT. Sluit aan op Epic, Oracle en
|
||
behavioral-healthleverancier Netsmart.
|
||
</p>
|
||
</div>
|
||
</article>
|
||
</div>
|
||
|
||
<div class="model-flow" aria-label="Voorgestelde instroomketen">
|
||
<div class="flow-step">referral_submission</div>
|
||
<div class="flow-step">referral</div>
|
||
<div class="flow-step">acceptance_decision</div>
|
||
<div class="flow-step">clinical_care_episode</div>
|
||
<div class="flow-step">clinical_intake</div>
|
||
</div>
|
||
<p class="caption">
|
||
De zorgsetting is een afzonderlijk tijdgebonden kenmerk. De keten heet dus
|
||
niet admission of pre-admission; de meeste GGZ-behandeling is ambulant.
|
||
</p>
|
||
</section>
|
||
|
||
<section aria-labelledby="options-title">
|
||
<h2 id="options-title">Beoordeling van naamparen</h2>
|
||
<div class="table-shell">
|
||
<table>
|
||
<thead>
|
||
<tr>
|
||
<th>Naamparen</th>
|
||
<th>Oordeel</th>
|
||
<th>Sterk punt</th>
|
||
<th>Belangrijk risico</th>
|
||
</tr>
|
||
</thead>
|
||
<tbody>
|
||
<tr>
|
||
<td>Referral Submission / Referral</td>
|
||
<td><span class="rating strong">Voorkeur</span></td>
|
||
<td>Idiomatic in referral management en behavioral health</td>
|
||
<td>Referral moet expliciet als ontvangende lifecycle worden gedefinieerd</td>
|
||
</tr>
|
||
<tr>
|
||
<td>Referral Submission / Referral Case</td>
|
||
<td><span class="rating moderate">Sterk</span></td>
|
||
<td>Scheidt ontvangst en workflow zeer expliciet</td>
|
||
<td>Case kan elders juridisch, financieel of klinisch iets anders betekenen</td>
|
||
</tr>
|
||
<tr>
|
||
<td>Care Access Submission / Care Access Case</td>
|
||
<td><span class="rating moderate">Redelijk</span></td>
|
||
<td>Inclusief voor zelfaanmelding en niet-formele bronnen</td>
|
||
<td>Access kan als dossier-, systeem- of autorisatietoegang worden gelezen</td>
|
||
</tr>
|
||
<tr>
|
||
<td>Referral Submission / Referral Intake Case</td>
|
||
<td><span class="rating weak">Zwak</span></td>
|
||
<td>Sluit aan op behavioral-healthtaal als referral intake</td>
|
||
<td>Botst met Triqura's afzonderlijke klinische intake</td>
|
||
</tr>
|
||
<tr>
|
||
<td>Inbound Care Submission / Access Assessment Case</td>
|
||
<td><span class="rating reject">Afwijzen</span></td>
|
||
<td>Domeinneutraal</td>
|
||
<td>Abstract en niet herkenbaar in onderzochte EHR-documentatie</td>
|
||
</tr>
|
||
</tbody>
|
||
</table>
|
||
</div>
|
||
</section>
|
||
|
||
<section aria-labelledby="evidence-title">
|
||
<h2 id="evidence-title">Wat markt en standaarden feitelijk gebruiken</h2>
|
||
<div class="table-shell">
|
||
<table>
|
||
<thead>
|
||
<tr>
|
||
<th>Bron</th>
|
||
<th>Gepubliceerde term</th>
|
||
<th>Betekenis</th>
|
||
<th>Gevolg voor Triqura</th>
|
||
</tr>
|
||
</thead>
|
||
<tbody>
|
||
<tr>
|
||
<td>Epic</td>
|
||
<td>Referral</td>
|
||
<td>Lifecycle-object met incoming/outgoing class, status, triage en historie</td>
|
||
<td>Ondersteunt <code>referral</code> als beheerd instroomobject</td>
|
||
</tr>
|
||
<tr>
|
||
<td>Oracle Health</td>
|
||
<td>Referral / Referral Order</td>
|
||
<td>Order is verzoek; Referral Management beheert status, bijlagen en tijdlijn</td>
|
||
<td>Scheidt request en beheerde referral</td>
|
||
</tr>
|
||
<tr>
|
||
<td>Netsmart</td>
|
||
<td>Incoming Referral / Referral Manager / Referral Packet</td>
|
||
<td>Behavioral-healthinstroom uit meerdere kanalen; acceptatie naar pre-admit</td>
|
||
<td>Referraltaal past bij de GGZ, maar pre-admit niet als generieke kernterm</td>
|
||
</tr>
|
||
<tr>
|
||
<td>HL7 FHIR</td>
|
||
<td>ServiceRequest / Task / EpisodeOfCare / Encounter</td>
|
||
<td>Verzoek, workflowtaak, verantwoordelijkheid en contact zijn aparte concepten</td>
|
||
<td>Lokale objecten niet naar één FHIR-resource forceren</td>
|
||
</tr>
|
||
<tr>
|
||
<td>ONC/360X</td>
|
||
<td>Referral Request / Referral Order / Referral Identifier</td>
|
||
<td>Closed-loop workflow met persistente identifier tot afsluiting</td>
|
||
<td>Request en workflow moeten herkenbaar maar niet samengevouwen zijn</td>
|
||
</tr>
|
||
<tr>
|
||
<td>NHS</td>
|
||
<td>Referral Request / Patient Pathway</td>
|
||
<td>Referral Request omvat self-referral; Patient Pathway is veel breder</td>
|
||
<td>Ondersteunt een apart request, maar niet Patient Pathway voor deze fase</td>
|
||
</tr>
|
||
</tbody>
|
||
</table>
|
||
</div>
|
||
</section>
|
||
|
||
<section class="two-column" aria-label="Terminologierisico's en modelcorrectie">
|
||
<div>
|
||
<h2>Termen om te vermijden</h2>
|
||
<ul class="avoid-list">
|
||
<li><code>signal</code> — klinkt als alert of klinisch vroegsignaal.</li>
|
||
<li><code>admission</code> — suggereert opname of reeds verleende toegang.</li>
|
||
<li><code>pre_admission</code> — is opnamegericht en niet passend als ambulante standaard.</li>
|
||
<li><code>encounter</code> — is een feitelijk contact, geen instroomworkflow.</li>
|
||
<li><code>episode_of_care</code> — impliceert organisatorische verantwoordelijkheid.</li>
|
||
<li><code>patient_pathway</code> — is breder en langduriger dan beoordeling vóór acceptatie.</li>
|
||
<li><code>referral_intake_case</code> — botst met de afzonderlijke klinische intake.</li>
|
||
</ul>
|
||
</div>
|
||
|
||
<article class="panel">
|
||
<h3>Belangrijkste modelcorrectie</h3>
|
||
<p>
|
||
Het huidige AANMELDSIGNAAL bevat zowel een transportfeit als inhoud van
|
||
een zorgverzoek. Engelstalige EHR-terminologie maakt zichtbaar dat dit
|
||
twee betekenissen kunnen zijn.
|
||
</p>
|
||
<p>
|
||
Een huisartsbrief, later ontvangen diagnostiek en een telefoontje kunnen
|
||
drie submissions binnen één referral zijn, zonder dat drie nieuwe
|
||
zorgverzoeken of trajecten ontstaan.
|
||
</p>
|
||
<p>
|
||
Of het inhoudelijke verzoek daarom een eigen <code>referral_request</code>
|
||
nodig heeft, wordt in de FCO-IM-feitenronde bepaald.
|
||
</p>
|
||
</article>
|
||
</section>
|
||
|
||
<section aria-labelledby="sources-title">
|
||
<h2 id="sources-title">Primaire bronnen</h2>
|
||
<ul class="source-grid">
|
||
<li><a href="https://open.epic.com/EHITables/GetTable/REFERRAL.htm">Epic REFERRAL</a></li>
|
||
<li><a href="https://open.epic.com/EHITables/GetTable/REFERRAL_2.htm">Epic referral triage</a></li>
|
||
<li><a href="https://docs.oracle.com/en/industries/health/oracle-health-ehr/ehrfg/referrals.html">Oracle Health Referrals</a></li>
|
||
<li><a href="https://www.ntst.com/carefabric/population-health-management/referral-management">Netsmart Referral Manager</a></li>
|
||
<li><a href="https://hl7.org/fhir/R5/servicerequest.html">HL7 FHIR ServiceRequest</a></li>
|
||
<li><a href="https://hl7.org/fhir/R5/episodeofcare.html">HL7 FHIR EpisodeOfCare</a></li>
|
||
<li><a href="https://oncprojectracking.healthit.gov/wiki/spaces/TechLab360X/pages/18776120/360X+Home">ONC 360X</a></li>
|
||
<li><a href="https://www.datadictionary.nhs.uk/classes/patient_pathway.html">NHS Patient Pathway</a></li>
|
||
</ul>
|
||
</section>
|
||
|
||
<aside class="callout warning">
|
||
<h2>Nog één open begrippenvraag</h2>
|
||
<p>
|
||
<code>referral_submission</code> en <code>referral</code> zijn de huidige
|
||
voorkeursrichting. De bestaande begrippenlijst is nog niet aangepast omdat
|
||
eerst moet worden vastgesteld of de Nederlandse VERWIJZING volledig
|
||
samenvalt met een zelfstandig <code>referral_request</code>.
|
||
</p>
|
||
</aside>
|
||
|
||
<footer>
|
||
Zelfstandig HTML-artefact. Geen externe scripts, fonts of stylesheets.
|
||
Bronlinks vereisen internet; alle onderzoeksinhoud is lokaal beschikbaar.
|
||
</footer>
|
||
</main>
|
||
|
||
<script>
|
||
(() => {
|
||
const root = document.documentElement;
|
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const toggle = document.getElementById("theme-toggle");
|
||
const storedTheme = localStorage.getItem("ehr-referral-theme");
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if (storedTheme === "light" || storedTheme === "dark") {
|
||
root.dataset.theme = storedTheme;
|
||
}
|
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const systemDark = window.matchMedia("(prefers-color-scheme: dark)").matches;
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const current = root.dataset.theme || (systemDark ? "dark" : "light");
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|
||
root.dataset.theme = next;
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|
||
</html>
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