Implantologie aanvraag<\/title>\n<style>\nbody { font-family: Arial, sans-serif; margin: 20px; background: #f5f5f5; }\nh2 { margin-top: 0; }\nsection { background: #fff; padding: 15px 20px; margin-bottom: 20px; border-radius: 10px; box-shadow: 0 2px 6px rgba(0,0,0,0.1); }\n.sub-option { margin-left: 20px; display: none; background: #f0f8ff; padding: 10px; border-radius: 8px; margin-top: 5px; }\nlabel { display: block; margin-top: 8px; }\ninput[type=text], select { width: 360px; padding: 4px; }\n#q13 { width: 500px; } \ntextarea { width: 100%; height: 250px; padding: 8px; font-family: monospace; }\nbutton { margin-top: 10px; padding: 8px 16px; border: none; background: #4CAF50; color: #fff; border-radius: 6px; cursor: pointer; }\nbutton:hover { background: #45a049; }\n.melding { color: green; display: none; margin-top: 5px; }\n.inline { display: inline-block; margin-right: 15px; }\n<\/style>\n<\/head>\n<body>\n\n<section>\n<h2>Algemene gegevens<\/h2>\n<label>Sociale status:\n<select id=\"q1\">\n<option value=\"\"><\/option>\n<option>Single<\/option>\n<option>Getrouwd<\/option>\n<option>Gescheiden<\/option>\n<option>Weduwe\/Weduwnaar<\/option>\n<\/select><\/label>\n\n<label>Beroep:\n<input type=\"text\" id=\"q2\">\n<\/label>\n\n<label>ASA-klasse:\n<select id=\"q3\">\n<option value=\"\"><\/option>\n<option>ASA I<\/option>\n<option>ASA II<\/option>\n<option>ASA III<\/option>\n<\/select>\n<\/label>\n\n<label><input type=\"checkbox\" id=\"hasAllergie\" onchange=\"toggleAllergie()\"> Heeft allergie\u00ebn?<\/label>\n<div id=\"allergieOptions\" class=\"sub-option\">\n<label><input type=\"checkbox\" class=\"chk\" value=\"Allergie\u00ebn: Amoxicilline\"> Amoxicilline<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Allergie\u00ebn: Hooikoorts\"> Hooikoorts<\/label>\n<label>Overige allergie\u00ebn:\n<input type=\"text\" id=\"qAllergieOverig\">\n<\/label>\n<\/div>\n\n<label><input type=\"checkbox\" id=\"isRoker\" onchange=\"toggleRoker()\"> Roker<\/label>\n<div id=\"rokerOptions\" class=\"sub-option\">\n<label>Type roken:\n<select id=\"qRokerType\">\n<option value=\"\"><\/option>\n<option>Vape<\/option>\n<option>Shag<\/option>\n<option>Sigaretten<\/option>\n<option>Sigaren<\/option>\n<option>Pijp<\/option>\n<option>Cannabis<\/option>\n<\/select><\/label>\n<label>Aantal per dag:\n<input type=\"text\" id=\"qRokerAantal\">\n<\/label>\n<\/div>\n\n<label>Drugsgebruik (soort):\n<input type=\"text\" id=\"q7\">\n<\/label>\n\n<label>Medicatie:\n<select id=\"q8\" onchange=\"toggleMedicatie()\">\n<option value=\"\"><\/option>\n<option>n.v.t.<\/option>\n<option>Via huisarts<\/option>\n<option>Via specialist<\/option>\n<option>Via huisarts en specialist<\/option>\n<\/select>\n<\/label>\n\n<div id=\"medicatieOptions\" class=\"sub-option\">\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Trombocytenaggregatieremmer\"> Trombocytenaggregatieremmer<\/label>\n\n<label><input type=\"checkbox\" class=\"chk\" id=\"anticoag\" value=\"Medicatie: Anticoagulantia\"> Anticoagulantia<\/label>\n<div id=\"anticoagDetails\" class=\"sub-option\">\n<label>Type:\n<select id=\"qAnticoagType\">\n<option value=\"\"><\/option>\n<option>Enkel<\/option>\n<option>Dubbel<\/option>\n<\/select>\n<\/label>\n<label><input type=\"checkbox\" id=\"ptTrombosedienst\" value=\"PT onder controle trombosedienst\"> PT onder controle van trombosedienst<\/label>\n<label><input type=\"checkbox\" id=\"ptZelfINR\" value=\"PT bepaalt zelf INR\"> PT bepaalt zelf INR<\/label>\n<\/div>\n\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: SSRI\/SNRI\"> SSRI \/ SNRI<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Antihypertensiva\"> Antihypertensiva<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Cytostatica\"> Cytostatica \/ Chemotherapie<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Immunosuppressiva\"> Immunosuppressiva<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Bisfosfonaten\"> Bisfosfonaten<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Anti-diabetica\"> Anti-diabetica<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: NSAID's\"> NSAID\u2019s<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Anti-epileptica\"> Anti-epileptica<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Anti-thyro\u00efd medicatie\"> Anti-thyro\u00efd medicatie<\/label>\n<label>Overige medicatie:\n<input type=\"text\" id=\"qMedicatieOverig\">\n<\/label>\n<\/div>\n\n<label>OPT beschikbaar:\n<select id=\"q9\">\n<option selected>Ja<\/option>\n<option>Nee<\/option>\n<\/select><\/label>\n\n<label>RSP beschikbaar:\n<select id=\"q10\">\n<option>Ja<\/option>\n<option selected>Nee<\/option>\n<\/select><\/label>\n\n<label>Lichtfoto\u2019s gemaakt:\n<select id=\"q11\">\n<option selected>Ja<\/option>\n<option>Nee<\/option>\n<\/select><\/label>\n<\/section>\n\n<section>\n<h2>2. Complicerende factoren<\/h2>\n<label>\n<select id=\"q12\" onchange=\"toggleComplicaties()\">\n<option selected>Geen<\/option>\n<option>Ja<\/option>\n<\/select>\n<\/label>\n<label id=\"complicatiesDetails\" class=\"sub-option\">\nDetails complicerende factoren:\n<input type=\"text\" id=\"q12a\">\n<\/label>\n<\/section>\n\n<section>\n<h2>7. Onderkaak<\/h2>\n<label>Situatie onderkaak:\n<select id=\"q13\">\n<option>Volledig edentaat met immediaatprothese<\/option>\n<option>Gedeeltelijk betand zonder parti\u00eble prothese\/frame<\/option>\n<option>Gedeeltelijk betand met parti\u00eble prothese\/frame<\/option>\n<option selected>Volledig edentaat met conventionele prothese<\/option>\n<\/select>\n<\/label>\n<label>Aantal jaren\/maanden volledig edentaat:\n<input type=\"text\" id=\"q14\">\n<\/label>\n<label>PPS-score onderkaak:\n<input type=\"text\" id=\"q15\">\n<\/label>\n<label>Pocketstatus (bij PPS = 3):\n<select id=\"q16\">\n<option value=\"\"><\/option>\n<option>Parodontiumstatus afwezig en stabiel<\/option>\n<option>Parodontiumstatus aanwezig en stabiel<\/option>\n<option>Parodontiumstatus aanwezig met ontstoken parodontium<\/option>\n<\/select><\/label>\n<label>Zorgplan restdentitie:\n<select id=\"q17\">\n<option value=\"\"><\/option>\n<option>Opbouwen<\/option>\n<option>Stabiliseren en behouden<\/option>\n<option>Afbouwen<\/option>\n<\/select>\n<\/section>\n\n<section>\n<h2>10. Indicatie \/ Redenen voor implanteren<\/h2>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Zeer ernstige resorptie\"> Zeer ernstige resorptie<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Kokhalsneiging\"> Kokhalsneiging<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Hoge spieraanhechting \/ vlakke omslagplooi\"> Hoge spieraanhechting \/ vlakke omslagplooi<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Puilende mondbodem\"> Puilende mondbodem<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Zeer strakke musculatuur onderlip\"> Zeer strakke musculatuur onderlip<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Zeer dikke tong\"> Zeer dikke tong<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Flabby ridge\"> Flabby ridge<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Pijn nervus mentalis\"> Pijn nervus mentalis<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Knife-edge kaak\"> Knife-edge kaak<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Laterale delen langer edentaat\"> Laterale delen langer edentaat<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Afwijkende kaakrelatie\"> Afwijkende kaakrelatie<\/label>\n<label>Anders, toelichting:\n<input type=\"text\" id=\"q18\">\n<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Moeilijk eten\"> Moeilijk eten<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Komt los bij spreken\"> Komt los bij spreken<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Komt los bij lachen\"> Komt los bij lachen<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Komt los tijdens intieme handelingen\"> Komt los tijdens intieme handelingen<\/label>\n<\/section>\n\n<section>\n<h2>14. Risicofactoren<\/h2>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Rookt\"> Rookt<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: E-sigaret\"> E-sigaretten<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Parodontitis-verleden\"> Parodontitis-verleden<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Eerder implantaat verlies\"> Eerder implantaat verlies<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Bisfosfonaten gebruik\"> Bisfosfonaten gebruik<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Diabetes Mellitus\"> Diabetes Mellitus<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Immuun gecompromitteerd\"> Immuunsysteem gecompromitteerd<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Occlusale overbelasting-verleden\"> Occlusale overbelasting-verleden<\/label>\n<\/section>\n\n<section>\n<h2>15. Behandelstrategie \u2013 Past u 2 fasen chirurgie toe?<\/h2>\n<label><input type=\"radio\" name=\"q21\" value=\"Nee\"> Nee<\/label>\n<label><input type=\"radio\" name=\"q21\" value=\"Ja, vanwege botopbouw\"> Ja, vanwege botopbouw<\/label>\n<label><input type=\"radio\" name=\"q21\" value=\"Ja, anders\"> Ja, anders<\/label>\n<label>Toelichting (indien anders):\n<input type=\"text\" id=\"q19\">\n<\/label>\n<\/section>\n\n<section>\n<h2>Samenvatting (verzekeraar)<\/h2>\n<textarea id=\"samenvatting\" readonly><\/textarea>\n<br>\n<button type=\"button\" onclick=\"kopieer()\">\ud83d\udccb Kopieer samenvatting<\/button>\n<div id=\"melding\" class=\"melding\">\u2714 Samenvatting gekopieerd<\/div>\n<\/section>\n\n<script>\n\/\/ Alle toggle functies en samenvatting logica zoals eerder...\nfunction toggleAllergie(){\n const checked = document.getElementById(\"hasAllergie\").checked;\n document.getElementById(\"allergieOptions\").style.display = checked ? \"block\":\"none\";\n if(!checked){\n document.querySelectorAll(\"#allergieOptions input\").forEach(i=>{\n if(i.type===\"checkbox\") i.checked=false;\n else i.value=\"\";\n });\n }\n}\nfunction toggleRoker() {\n const checked = document.getElementById(\"isRoker\").checked;\n document.getElementById(\"rokerOptions\").style.display = checked ? \"block\" : \"none\";\n if(!checked){\n document.getElementById(\"qRokerType\").value = \"\";\n document.getElementById(\"qRokerAantal\").value = \"\";\n }\n}\nfunction toggleComplicaties(){\n const val = document.getElementById(\"q12\").value;\n document.getElementById(\"complicatiesDetails\").style.display = val===\"Ja\" ? \"block\":\"none\";\n if(val!==\"Ja\") document.getElementById(\"q12a\").value=\"\";\n}\nfunction toggleMedicatie(){\n const val = document.getElementById(\"q8\").value;\n const show = (val===\"Via huisarts\" || val===\"Via specialist\" || val===\"Via huisarts en specialist\");\n document.getElementById(\"medicatieOptions\").style.display = show ? \"block\":\"none\";\n if(!show){\n document.querySelectorAll(\"#medicatieOptions input\").forEach(i=>{\n if(i.type===\"checkbox\") i.checked=false;\n else i.value=\"\";\n });\n document.getElementById(\"qAnticoagType\").value=\"\";\n document.getElementById(\"ptTrombosedienst\").checked=false;\n document.getElementById(\"ptZelfINR\").checked=false;\n }\n}\ndocument.getElementById(\"anticoag\").addEventListener(\"change\", function(){\n document.getElementById(\"anticoagDetails\").style.display = this.checked ? \"block\":\"none\";\n if(!this.checked){\n document.getElementById(\"qAnticoagType\").value=\"\";\n document.getElementById(\"ptTrombosedienst\").checked=false;\n document.getElementById(\"ptZelfINR\").checked=false;\n }\n});\nfunction update(){\n let regels = [];\n document.querySelectorAll(\"select,input[type=text]\").forEach(el=>{\n const label = el.closest(\"label\")?.innerText.split(\"\\n\")[0];\n if(el.value && el.value!==\"\") regels.push(label + \": \" + el.value);\n });\n document.querySelectorAll(\".chk:checked\").forEach(cb=>regels.push(cb.value));\n const r = document.querySelector(\"input[name='q21']:checked\");\n if(r) regels.push(\"Behandelstrategie \u2013 Past u 2 fasen chirurgie toe?: \"+r.value);\n document.getElementById(\"samenvatting\").value = regels.join(\"\\n\");\n}\ndocument.addEventListener(\"input\",update);\ndocument.addEventListener(\"change\",update);\nfunction kopieer(){\n const t=document.getElementById(\"samenvatting\");\n t.select();\n navigator.clipboard.writeText(t.value).then(()=>{\n const m=document.getElementById(\"melding\");\n m.style.display=\"block\";\n setTimeout(()=>m.style.display=\"none\",2000);\n });\n}\n<\/script>\n\n<\/body>\n<\/html>\n\n\n\n\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-15525_493614-cd\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><hr class=\"kt-divider\"\/><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Invul formulier tbv aanvraag overkappingsprothese Implantologie aanvraag Algemene gegevens Sociale status: SingleGetrouwdGescheidenWeduwe\/Weduwnaar Beroep: ASA-klasse: ASA IASA IIASA III Heeft allergie\u00ebn? Amoxicilline Hooikoorts Overige allergie\u00ebn: Roker Type roken: VapeShagSigarettenSigarenPijpCannabis Aantal per dag: Drugsgebruik (soort): Medicatie: n.v.t.Via huisartsVia specialistVia huisarts en specialist Trombocytenaggregatieremmer Anticoagulantia Type: EnkelDubbel PT onder controle van trombosedienst PT bepaalt zelf INR SSRI \/ […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15525","page","type-page","status-publish","hentry"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/pages\/15525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/comments?post=15525"}],"version-history":[{"count":0,"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/pages\/15525\/revisions"}],"wp:attachment":[{"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/media?parent=15525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

{"id":15525,"date":"2025-12-30T17:06:18","date_gmt":"2025-12-30T16:06:18","guid":{"rendered":"https:\/\/detandheelkundehoek.nl\/?page_id=15525"},"modified":"2025-12-30T17:06:18","modified_gmt":"2025-12-30T16:06:18","slug":"j01-invul-formulier-tbv-aanvraag","status":"publish","type":"page","link":"https:\/\/utest4us4.nl\/index.php\/j01-invul-formulier-tbv-aanvraag\/","title":{"rendered":"#J01edentaat"},"content":{"rendered":"\n

Invul formulier tbv aanvraag overkappingsprothese<\/p>\n\n\n\n\n\n\n\nImplantologie aanvraag<\/title>\n<style>\nbody { font-family: Arial, sans-serif; margin: 20px; background: #f5f5f5; }\nh2 { margin-top: 0; }\nsection { background: #fff; padding: 15px 20px; margin-bottom: 20px; border-radius: 10px; box-shadow: 0 2px 6px rgba(0,0,0,0.1); }\n.sub-option { margin-left: 20px; display: none; background: #f0f8ff; padding: 10px; border-radius: 8px; margin-top: 5px; }\nlabel { display: block; margin-top: 8px; }\ninput[type=text], select { width: 360px; padding: 4px; }\n#q13 { width: 500px; } \ntextarea { width: 100%; height: 250px; padding: 8px; font-family: monospace; }\nbutton { margin-top: 10px; padding: 8px 16px; border: none; background: #4CAF50; color: #fff; border-radius: 6px; cursor: pointer; }\nbutton:hover { background: #45a049; }\n.melding { color: green; display: none; margin-top: 5px; }\n.inline { display: inline-block; margin-right: 15px; }\n<\/style>\n<\/head>\n<body>\n\n<section>\n<h2>Algemene gegevens<\/h2>\n<label>Sociale status:\n<select id=\"q1\">\n<option value=\"\"><\/option>\n<option>Single<\/option>\n<option>Getrouwd<\/option>\n<option>Gescheiden<\/option>\n<option>Weduwe\/Weduwnaar<\/option>\n<\/select><\/label>\n\n<label>Beroep:\n<input type=\"text\" id=\"q2\">\n<\/label>\n\n<label>ASA-klasse:\n<select id=\"q3\">\n<option value=\"\"><\/option>\n<option>ASA I<\/option>\n<option>ASA II<\/option>\n<option>ASA III<\/option>\n<\/select>\n<\/label>\n\n<label><input type=\"checkbox\" id=\"hasAllergie\" onchange=\"toggleAllergie()\"> Heeft allergie\u00ebn?<\/label>\n<div id=\"allergieOptions\" class=\"sub-option\">\n<label><input type=\"checkbox\" class=\"chk\" value=\"Allergie\u00ebn: Amoxicilline\"> Amoxicilline<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Allergie\u00ebn: Hooikoorts\"> Hooikoorts<\/label>\n<label>Overige allergie\u00ebn:\n<input type=\"text\" id=\"qAllergieOverig\">\n<\/label>\n<\/div>\n\n<label><input type=\"checkbox\" id=\"isRoker\" onchange=\"toggleRoker()\"> Roker<\/label>\n<div id=\"rokerOptions\" class=\"sub-option\">\n<label>Type roken:\n<select id=\"qRokerType\">\n<option value=\"\"><\/option>\n<option>Vape<\/option>\n<option>Shag<\/option>\n<option>Sigaretten<\/option>\n<option>Sigaren<\/option>\n<option>Pijp<\/option>\n<option>Cannabis<\/option>\n<\/select><\/label>\n<label>Aantal per dag:\n<input type=\"text\" id=\"qRokerAantal\">\n<\/label>\n<\/div>\n\n<label>Drugsgebruik (soort):\n<input type=\"text\" id=\"q7\">\n<\/label>\n\n<label>Medicatie:\n<select id=\"q8\" onchange=\"toggleMedicatie()\">\n<option value=\"\"><\/option>\n<option>n.v.t.<\/option>\n<option>Via huisarts<\/option>\n<option>Via specialist<\/option>\n<option>Via huisarts en specialist<\/option>\n<\/select>\n<\/label>\n\n<div id=\"medicatieOptions\" class=\"sub-option\">\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Trombocytenaggregatieremmer\"> Trombocytenaggregatieremmer<\/label>\n\n<label><input type=\"checkbox\" class=\"chk\" id=\"anticoag\" value=\"Medicatie: Anticoagulantia\"> Anticoagulantia<\/label>\n<div id=\"anticoagDetails\" class=\"sub-option\">\n<label>Type:\n<select id=\"qAnticoagType\">\n<option value=\"\"><\/option>\n<option>Enkel<\/option>\n<option>Dubbel<\/option>\n<\/select>\n<\/label>\n<label><input type=\"checkbox\" id=\"ptTrombosedienst\" value=\"PT onder controle trombosedienst\"> PT onder controle van trombosedienst<\/label>\n<label><input type=\"checkbox\" id=\"ptZelfINR\" value=\"PT bepaalt zelf INR\"> PT bepaalt zelf INR<\/label>\n<\/div>\n\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: SSRI\/SNRI\"> SSRI \/ SNRI<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Antihypertensiva\"> Antihypertensiva<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Cytostatica\"> Cytostatica \/ Chemotherapie<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Immunosuppressiva\"> Immunosuppressiva<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Bisfosfonaten\"> Bisfosfonaten<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Anti-diabetica\"> Anti-diabetica<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: NSAID's\"> NSAID\u2019s<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Anti-epileptica\"> Anti-epileptica<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Medicatie: Anti-thyro\u00efd medicatie\"> Anti-thyro\u00efd medicatie<\/label>\n<label>Overige medicatie:\n<input type=\"text\" id=\"qMedicatieOverig\">\n<\/label>\n<\/div>\n\n<label>OPT beschikbaar:\n<select id=\"q9\">\n<option selected>Ja<\/option>\n<option>Nee<\/option>\n<\/select><\/label>\n\n<label>RSP beschikbaar:\n<select id=\"q10\">\n<option>Ja<\/option>\n<option selected>Nee<\/option>\n<\/select><\/label>\n\n<label>Lichtfoto\u2019s gemaakt:\n<select id=\"q11\">\n<option selected>Ja<\/option>\n<option>Nee<\/option>\n<\/select><\/label>\n<\/section>\n\n<section>\n<h2>2. Complicerende factoren<\/h2>\n<label>\n<select id=\"q12\" onchange=\"toggleComplicaties()\">\n<option selected>Geen<\/option>\n<option>Ja<\/option>\n<\/select>\n<\/label>\n<label id=\"complicatiesDetails\" class=\"sub-option\">\nDetails complicerende factoren:\n<input type=\"text\" id=\"q12a\">\n<\/label>\n<\/section>\n\n<section>\n<h2>7. Onderkaak<\/h2>\n<label>Situatie onderkaak:\n<select id=\"q13\">\n<option>Volledig edentaat met immediaatprothese<\/option>\n<option>Gedeeltelijk betand zonder parti\u00eble prothese\/frame<\/option>\n<option>Gedeeltelijk betand met parti\u00eble prothese\/frame<\/option>\n<option selected>Volledig edentaat met conventionele prothese<\/option>\n<\/select>\n<\/label>\n<label>Aantal jaren\/maanden volledig edentaat:\n<input type=\"text\" id=\"q14\">\n<\/label>\n<label>PPS-score onderkaak:\n<input type=\"text\" id=\"q15\">\n<\/label>\n<label>Pocketstatus (bij PPS = 3):\n<select id=\"q16\">\n<option value=\"\"><\/option>\n<option>Parodontiumstatus afwezig en stabiel<\/option>\n<option>Parodontiumstatus aanwezig en stabiel<\/option>\n<option>Parodontiumstatus aanwezig met ontstoken parodontium<\/option>\n<\/select><\/label>\n<label>Zorgplan restdentitie:\n<select id=\"q17\">\n<option value=\"\"><\/option>\n<option>Opbouwen<\/option>\n<option>Stabiliseren en behouden<\/option>\n<option>Afbouwen<\/option>\n<\/select>\n<\/section>\n\n<section>\n<h2>10. Indicatie \/ Redenen voor implanteren<\/h2>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Zeer ernstige resorptie\"> Zeer ernstige resorptie<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Kokhalsneiging\"> Kokhalsneiging<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Hoge spieraanhechting \/ vlakke omslagplooi\"> Hoge spieraanhechting \/ vlakke omslagplooi<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Puilende mondbodem\"> Puilende mondbodem<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Zeer strakke musculatuur onderlip\"> Zeer strakke musculatuur onderlip<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Zeer dikke tong\"> Zeer dikke tong<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Flabby ridge\"> Flabby ridge<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Pijn nervus mentalis\"> Pijn nervus mentalis<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Knife-edge kaak\"> Knife-edge kaak<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Laterale delen langer edentaat\"> Laterale delen langer edentaat<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Afwijkende kaakrelatie\"> Afwijkende kaakrelatie<\/label>\n<label>Anders, toelichting:\n<input type=\"text\" id=\"q18\">\n<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Moeilijk eten\"> Moeilijk eten<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Komt los bij spreken\"> Komt los bij spreken<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Komt los bij lachen\"> Komt los bij lachen<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Indicatie: Komt los tijdens intieme handelingen\"> Komt los tijdens intieme handelingen<\/label>\n<\/section>\n\n<section>\n<h2>14. Risicofactoren<\/h2>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Rookt\"> Rookt<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: E-sigaret\"> E-sigaretten<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Parodontitis-verleden\"> Parodontitis-verleden<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Eerder implantaat verlies\"> Eerder implantaat verlies<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Bisfosfonaten gebruik\"> Bisfosfonaten gebruik<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Diabetes Mellitus\"> Diabetes Mellitus<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Immuun gecompromitteerd\"> Immuunsysteem gecompromitteerd<\/label>\n<label><input type=\"checkbox\" class=\"chk\" value=\"Risico: Occlusale overbelasting-verleden\"> Occlusale overbelasting-verleden<\/label>\n<\/section>\n\n<section>\n<h2>15. Behandelstrategie \u2013 Past u 2 fasen chirurgie toe?<\/h2>\n<label><input type=\"radio\" name=\"q21\" value=\"Nee\"> Nee<\/label>\n<label><input type=\"radio\" name=\"q21\" value=\"Ja, vanwege botopbouw\"> Ja, vanwege botopbouw<\/label>\n<label><input type=\"radio\" name=\"q21\" value=\"Ja, anders\"> Ja, anders<\/label>\n<label>Toelichting (indien anders):\n<input type=\"text\" id=\"q19\">\n<\/label>\n<\/section>\n\n<section>\n<h2>Samenvatting (verzekeraar)<\/h2>\n<textarea id=\"samenvatting\" readonly><\/textarea>\n<br>\n<button type=\"button\" onclick=\"kopieer()\">\ud83d\udccb Kopieer samenvatting<\/button>\n<div id=\"melding\" class=\"melding\">\u2714 Samenvatting gekopieerd<\/div>\n<\/section>\n\n<script>\n\/\/ Alle toggle functies en samenvatting logica zoals eerder...\nfunction toggleAllergie(){\n const checked = document.getElementById(\"hasAllergie\").checked;\n document.getElementById(\"allergieOptions\").style.display = checked ? \"block\":\"none\";\n if(!checked){\n document.querySelectorAll(\"#allergieOptions input\").forEach(i=>{\n if(i.type===\"checkbox\") i.checked=false;\n else i.value=\"\";\n });\n }\n}\nfunction toggleRoker() {\n const checked = document.getElementById(\"isRoker\").checked;\n document.getElementById(\"rokerOptions\").style.display = checked ? \"block\" : \"none\";\n if(!checked){\n document.getElementById(\"qRokerType\").value = \"\";\n document.getElementById(\"qRokerAantal\").value = \"\";\n }\n}\nfunction toggleComplicaties(){\n const val = document.getElementById(\"q12\").value;\n document.getElementById(\"complicatiesDetails\").style.display = val===\"Ja\" ? \"block\":\"none\";\n if(val!==\"Ja\") document.getElementById(\"q12a\").value=\"\";\n}\nfunction toggleMedicatie(){\n const val = document.getElementById(\"q8\").value;\n const show = (val===\"Via huisarts\" || val===\"Via specialist\" || val===\"Via huisarts en specialist\");\n document.getElementById(\"medicatieOptions\").style.display = show ? \"block\":\"none\";\n if(!show){\n document.querySelectorAll(\"#medicatieOptions input\").forEach(i=>{\n if(i.type===\"checkbox\") i.checked=false;\n else i.value=\"\";\n });\n document.getElementById(\"qAnticoagType\").value=\"\";\n document.getElementById(\"ptTrombosedienst\").checked=false;\n document.getElementById(\"ptZelfINR\").checked=false;\n }\n}\ndocument.getElementById(\"anticoag\").addEventListener(\"change\", function(){\n document.getElementById(\"anticoagDetails\").style.display = this.checked ? \"block\":\"none\";\n if(!this.checked){\n document.getElementById(\"qAnticoagType\").value=\"\";\n document.getElementById(\"ptTrombosedienst\").checked=false;\n document.getElementById(\"ptZelfINR\").checked=false;\n }\n});\nfunction update(){\n let regels = [];\n document.querySelectorAll(\"select,input[type=text]\").forEach(el=>{\n const label = el.closest(\"label\")?.innerText.split(\"\\n\")[0];\n if(el.value && el.value!==\"\") regels.push(label + \": \" + el.value);\n });\n document.querySelectorAll(\".chk:checked\").forEach(cb=>regels.push(cb.value));\n const r = document.querySelector(\"input[name='q21']:checked\");\n if(r) regels.push(\"Behandelstrategie \u2013 Past u 2 fasen chirurgie toe?: \"+r.value);\n document.getElementById(\"samenvatting\").value = regels.join(\"\\n\");\n}\ndocument.addEventListener(\"input\",update);\ndocument.addEventListener(\"change\",update);\nfunction kopieer(){\n const t=document.getElementById(\"samenvatting\");\n t.select();\n navigator.clipboard.writeText(t.value).then(()=>{\n const m=document.getElementById(\"melding\");\n m.style.display=\"block\";\n setTimeout(()=>m.style.display=\"none\",2000);\n });\n}\n<\/script>\n\n<\/body>\n<\/html>\n\n\n\n\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-15525_493614-cd\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><hr class=\"kt-divider\"\/><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Invul formulier tbv aanvraag overkappingsprothese Implantologie aanvraag Algemene gegevens Sociale status: SingleGetrouwdGescheidenWeduwe\/Weduwnaar Beroep: ASA-klasse: ASA IASA IIASA III Heeft allergie\u00ebn? Amoxicilline Hooikoorts Overige allergie\u00ebn: Roker Type roken: VapeShagSigarettenSigarenPijpCannabis Aantal per dag: Drugsgebruik (soort): Medicatie: n.v.t.Via huisartsVia specialistVia huisarts en specialist Trombocytenaggregatieremmer Anticoagulantia Type: EnkelDubbel PT onder controle van trombosedienst PT bepaalt zelf INR SSRI \/ […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15525","page","type-page","status-publish","hentry"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/pages\/15525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/comments?post=15525"}],"version-history":[{"count":0,"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/pages\/15525\/revisions"}],"wp:attachment":[{"href":"https:\/\/utest4us4.nl\/index.php\/wp-json\/wp\/v2\/media?parent=15525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}