{"id":3388,"date":"2022-04-12T07:45:29","date_gmt":"2022-04-12T05:45:29","guid":{"rendered":"https:\/\/support.mrdm.com\/?post_type=sign-up&#038;p=3388"},"modified":"2023-08-31T08:19:14","modified_gmt":"2023-08-31T06:19:14","slug":"aanmeldformulier","status":"publish","type":"sign-up","link":"https:\/\/support.mrdm.com\/nl\/aanmelden\/aanmelden\/aanmeldformulier\/","title":{"rendered":"Aanmeldformulier"},"content":{"rendered":"\n<div class=\"acf-conditional-content\">\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3391-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"3391\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/nl\/wp-json\/wp\/v2\/sign-up\/3388#wpcf7-f3391-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3391\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3391-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:3391,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;requestor-is-not-contact&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;contactpersoon&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ik ben geen contactpersoon&quot;}]},{&quot;then_field&quot;:&quot;requestor-is-contact&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;contactpersoon&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ik ben contactpersoon&quot;}]},{&quot;then_field&quot;:&quot;klinisch&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Klinisch&quot;}]},{&quot;then_field&quot;:&quot;klinisch&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Klinisch &amp; PROMs&quot;}]},{&quot;then_field&quot;:&quot;proms&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;PROMs&quot;}]},{&quot;then_field&quot;:&quot;proms&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Klinisch &amp; PROMs&quot;}]},{&quot;then_field&quot;:&quot;pocop-included&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;registratie&quot;,&quot;operator&quot;:&quot;equals (regex)&quot;,&quot;if_value&quot;:&quot;duca&quot;}]},{&quot;then_field&quot;:&quot;pocop-excluded&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;registratie&quot;,&quot;operator&quot;:&quot;not equals (regex)&quot;,&quot;if_value&quot;:&quot;duca&quot;}]},{&quot;then_field&quot;:&quot;diz&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;registratie&quot;,&quot;operator&quot;:&quot;equals (regex)&quot;,&quot;if_value&quot;:&quot;dasa&quot;}]},{&quot;then_field&quot;:&quot;hide-if-proms-only&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;registratie&quot;,&quot;operator&quot;:&quot;not equals (regex)&quot;,&quot;if_value&quot;:&quot;lulu&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;no&quot;,&quot;animation_intime&quot;:&quot;200&quot;,&quot;animation_outtime&quot;:&quot;200&quot;,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:&quot;&quot;,&quot;notice_dismissed_rollback-cf7-5.5.6&quot;:true,&quot;notice_dismissed_rollback-cf7-5.6&quot;:true,&quot;notice_dismissed_rollback-cf7-5.6.4&quot;:true,&quot;notice_dismissed_rollback-cf7-5.7.4&quot;:true,&quot;notice_dismissed_rollback-cf7-5.8.6&quot;:true,&quot;notice_dismissed_rollback-cf7-5.9.7&quot;:true}}\" \/>\n<\/fieldset>\n<div class=\"block\">\n<div class=\"inner\">\n\n  <h4>Registratie<\/h4>\n  <div class=\"field dropdown\">\n    <label>Voor welke registratie wilt u zich aanmelden?<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"registratie\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"registratie\"><option value=\"\">Selecteer een registratie<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,codman,integrations,amsm,swab\">AMSM (Antimicrobial stewardship)<\/option><option value=\"sign-up,account,downloads,batch,born,vsbn\">BORN (Brandwonden)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,data-verification,medical-questions,daci,dica\">DACI (halsslagader interventies)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,codman,medical-questions,dasa,dica\">DASA (beroertezorg)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,proms,data-verification,medical-questions,dato,dica\">DATO (obesitas)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,codman,data-verification,dbir,dica\">DBIR (borstimplantaten)<\/option><option value=\"sign-up,account,downloads,batch,data-verification,dbir-suppliers,dica\">DBIR-Suppliers<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,proms,data-verification,medical-questions,dcra,dica\">DCRA (darmkanker)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,integrations,data-verification,medical-questions,dcra-r,dica\">DCRA-R<\/option><option value=\"sign-up,account,downloads,codman,self-service-portal,integrations,dgda,dica\">DGDA (galsteenlijden)<\/option><option value=\"sign-up,account,downloads,batch,codman,integrations,data-verification,medical-questions,dgea,dica\">DGEA (kijkonderzoek maag\/darm\/lever)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,codman,proms,data-verification,medical-questions,integrations,dgoa,dica\">DGOA (gynaecologische oncologie)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,data-verification,medical-questions,dgoa-r,dica\">DGOA-R<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,data-verification,dhba,dica\">DHBA (lever- en galwegen)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,proms,data-verification,medical-questions,dhfa,dica\">DHFA (heupfractuur)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,codman,proms,data-verification,medical-questions,integrations,dhna,dica\">DHNA (hoofd-hals oncologie)<\/option><option value=\"sign-up,account,downloads,integrations,diha,dica\">DIHA (liesbreuk)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,codman,data-verification,medical-questions,integrations,dlca-l,dica\">DLCA-L<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,data-verification,medical-questions,dlca-r,dica\">DLCA-R<\/option><option value=\"sign-up,account,downloads,dataentry,batch,transparency,codman,data-verification,self-service-portal,integrations,dlca-s,dica\">DLCA-S<\/option><option value=\"sign-up,account,codman,batch,integrations,medical-questions,dma,dica\">DMA (geneesmiddelen)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,codman,proms,data-verification,medical-questions,integrations,dmtr,dica\">DMTR (melanoom)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,codman,proms,data-verification,medical-questions,integrations,dnma,dica\">DNMA (neuromodulatie)<\/option><option value=\"sign-up,account,downloads,dataentry,batch,integrations,dpa,dica\">DPA (prostaatkanker)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,data-verification,integrations,dpaa,dica\">DPAA (perioperatieve anesthesiologie)<\/option><option value=\"sign-up,account,self-service-portal,downloads,batch,transparency,codman,integrations,data-verification,medical-questions,dpard,dica\">DPARD (diabetes)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,codman,data-verification,medical-questions,integrations,dpca,dica\">DPCA (alvleesklierkanker)<\/option><option value=\"sign-up,account,self-service-portal,downloads,batch,codman,proms,data-verification,integrations,dppa,dica\">DPPA (pijn en palliatieve zorg)<\/option><option value=\"sign-up,account,self-service-portal,downloads,batch,codman,draim,niv\">DRAIM (Acute interne geneeskunde)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,codman,data-verification,drce,dica\">DRCE (complicaties kijkonderzoek)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,data-verification,medical-questions,dsaa,dica\">DSAA (aorta interventies)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,proms,data-verification,medical-questions,duca,dica\">DUCA (maag- en slokdarmkanker)<\/option><option value=\"sign-up,self-service-portal,downloads,dataentry,medical-questions,ehr,sein\">EHR (European Hypersomnolence Registry)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,codman,data-verification,epsa,dica\">EPSA (kinderchirurgie)<\/option><option value=\"sign-up,account,downloads,dataentry,batch,hemoned\">HemoNED (Hemofilie)<\/option><option value=\"sign-up,account,self-service-portal,downloads,dataentry,batch,transparency,integrations,codman,proms,data-verification,medical-questions,nbca,dica\">NBCA (borstkanker)<\/option><option value=\"sign-up,account,self-service-portal,downloads,codman,dataentry,batch,integrations,data-verification,medical-questions,data-exports,nbca-r,dica\">NBCA-R<\/option><option value=\"sign-up,account,self-service-portal,downloads,batch,dataentry,nbr-r3,vsbn\">NBR-R3 (Brandwonden)<\/option><option value=\"sign-up,account,self-service-portal,batch,downloads,dataentry,codman,pice\">PICE (Pediatrische Intensive Care)<\/option><\/select><\/span>\n  <\/div>\n\n<div data-id=\"hide-if-proms-only\" data-orig_data_id=\"hide-if-proms-only\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"field radio horizontal conditional set-has-proms\">\n  <label>Type uitkomsten<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"type\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"type\" value=\"Klinisch\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Klinisch<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"type\" value=\"PROMs\" \/><span class=\"wpcf7-list-item-label\">PROMs<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"type\" value=\"Klinisch &amp; PROMs\" \/><span class=\"wpcf7-list-item-label\">Klinisch &amp; PROMs<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n<\/div>\n\n<div data-id=\"diz\" data-orig_data_id=\"diz\"  class=\"\" data-class=\"wpcf7cf_group\"><p>Wanneer u zich aanmeld voor de DASA registratie meldt u zich ook automatisch aan voor DIZ \"DICA Informatie op Ziekenhuisniveau\", hier moeten een aantal vragen worden beantwoord op ziekenhuisniveau gerelateerd aan de DASA registratie.<\/p><\/div>\n<\/div>\n<\/div>\n\n<!-- Aanvrager -->\n<div class=\"block\">\n<div class=\"inner\">\n\n  <h4>Uw gegevens<\/h4>\n\n  <div class=\"field\">\n    <label>Uw naam<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"aanvrager-naam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Naam\" value=\"\" type=\"text\" name=\"aanvrager-naam\" \/><\/span>\n  <\/div>\n\n  <div class=\"field\">\n    <label>Uw e-mailadres<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"aanvrager-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email light\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mailadres\" value=\"\" type=\"email\" name=\"aanvrager-email\" \/><\/span>\n  <\/div>\n\n  <div class=\"field\">\n    <label>Functietitel<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"aanvrager-functietitel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Functietitel\" value=\"\" type=\"text\" name=\"aanvrager-functietitel\" \/><\/span>\n  <\/div>\n\n<\/div>\n<\/div>\n<!-- Aanvrager -->\n\n\n<!-- Contactpersoon -->\n<div class=\"block\">\n<div class=\"inner\">\n\n  <h4>Contactpersoon<\/h4>\n  <p>Voor elke registratie heeft een organisatie een contactpersoon nodig. De contactpersoon kan accounts aanvragen voor andere gebruikers. Als u niet de contactpersoon bent, moet u iemand anders opgeven die deze rol gaat vervullen.<\/p>\n\n<div class=\"field radio horizontal\">\n    <label>Contactpersoon<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"contactpersoon\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"contactpersoon\" value=\"Ik ben contactpersoon\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ik ben contactpersoon<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"contactpersoon\" value=\"Ik ben geen contactpersoon\" \/><span class=\"wpcf7-list-item-label\">Ik ben geen contactpersoon<\/span><\/label><\/span><\/span><\/span>\n  <\/div>\n\n<div data-id=\"requestor-is-not-contact\" data-orig_data_id=\"requestor-is-not-contact\"  class=\"\" data-class=\"wpcf7cf_group\">\n  <div class=\"field\">\n    <label>Naam contactpersoon *<\/label>\n    <label>Uw naam *<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"contactpersoon-naam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Naam\" value=\"\" type=\"text\" name=\"contactpersoon-naam\" \/><\/span>\n  <\/div>\n\n  <div class=\"field\">\n    <label>E-mailadres contactpersoon *<\/label>\n    <label>Uw e-mailadres *<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"contactpersoon-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email light\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mailadres\" value=\"\" type=\"email\" name=\"contactpersoon-email\" \/><\/span>\n  <\/div>\n<\/div>\n<div data-id=\"requestor-is-contact\" data-orig_data_id=\"requestor-is-contact\"  class=\"\" data-class=\"wpcf7cf_group\"><\/div>\n<\/div>\n<\/div>\n<!-- Contactpersoon -->\n\n\n<!-- Organisatie -->\n<div class=\"block\">\n<div class=\"inner\">\n\n  <h4>Organisatie<\/h4>\n\n  <div class=\"field\">\n  <label>Uw instelling *<\/label>\n  <p>Indien er meerdere locaties zijn, graag erbij vermelden voor welke locatie<\/p>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"instelling\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw instelling\" value=\"\" type=\"text\" name=\"instelling\" \/><\/span>\n  <\/div>\n\n  <div class=\"field col-2\">\n  <label>Straatnaam<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"straatnaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"off\" aria-invalid=\"false\" placeholder=\"Straatnaam\" value=\"\" type=\"text\" name=\"straatnaam\" \/><\/span>\n  <\/div>\n\n  <div class=\"field col-2 last\">\n  <label>Nummer<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"nummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"off\" aria-invalid=\"false\" placeholder=\"Nummer\" value=\"\" type=\"text\" name=\"nummer\" \/><\/span>\n  <\/div>\n\n  <div class=\"field col-2\">\n  <label>Postcode<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"off\" aria-invalid=\"false\" placeholder=\"Postcode\" value=\"\" type=\"text\" name=\"postcode\" \/><\/span>\n  <\/div>\n\n  <div class=\"field col-2 last\">\n  <label>Plaats<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"plaats\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"off\" aria-invalid=\"false\" placeholder=\"Plaatsnaam\" value=\"\" type=\"text\" name=\"plaats\" \/><\/span>\n  <\/div>\n\n  <div class=\"field\">\n  <label>AGB-code<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"agb-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"off\" aria-invalid=\"false\" placeholder=\"AGB-code\" value=\"\" type=\"text\" name=\"agb-code\" \/><\/span>\n  <\/div>\n\n<\/div>\n<\/div>\n<!-- Organisatie -->\n\n\n<!-- Data-aanlevering -->\n<div class=\"block\">\n<div class=\"inner\">\n\n<h4>Data-aanlevering<\/h4>\n<div data-id=\"klinisch\" data-orig_data_id=\"klinisch\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"field checkbox horizontal\">\n  <label>Klinisch<\/label>\n  <p>Hoe wilt u data gaan aanleveren voor deze registratie?<\/p>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"type-dataentry-klinisch\"><span class=\"wpcf7-form-control wpcf7-checkbox conditional set-has-dataentry\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"type-dataentry-klinisch[]\" value=\"Handmatige aanlevering (DataEntry)\" \/><span class=\"wpcf7-list-item-label\">Handmatige aanlevering (DataEntry)<\/span><\/label><\/span><\/span><\/span>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"type-batch-klinisch\"><span class=\"wpcf7-form-control wpcf7-checkbox conditional set-has-batch\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"type-batch-klinisch[]\" value=\"Batch-aanlevering (DataConnect)\" \/><span class=\"wpcf7-list-item-label\">Batch-aanlevering (DataConnect)<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n<\/div>\n\n<div data-id=\"proms\" data-orig_data_id=\"proms\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"field radio vertical conditional set-has-proms\">\n  <label>PROMs<\/label>\n  <p>Hoe wilt u data gaan aanleveren voor de PROMs?<\/p>\n\n  <div data-id=\"pocop-excluded\" data-orig_data_id=\"pocop-excluded\"  class=\"\" data-class=\"wpcf7cf_group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"type-proms\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"type-proms\" value=\"DICA basissysteem\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">DICA basissysteem<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"type-proms\" value=\"Batch-aanlevering (DataConnect)\" \/><span class=\"wpcf7-list-item-label\">Batch-aanlevering (DataConnect)<\/span><\/label><\/span><\/span><\/span>\n  <\/div>\n\n  <div data-id=\"pocop-included\" data-orig_data_id=\"pocop-included\"  class=\"\" data-class=\"wpcf7cf_group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"type-proms-pocop\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"type-proms-pocop\" value=\"DICA basissysteem\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">DICA basissysteem<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"type-proms-pocop\" value=\"Batch-aanlevering (DataConnect)\" \/><span class=\"wpcf7-list-item-label\">Batch-aanlevering (DataConnect)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"type-proms-pocop\" value=\"POCOP-aanlevering\" \/><span class=\"wpcf7-list-item-label\">POCOP-aanlevering<\/span><\/label><\/span><\/span><\/span>\n  <\/div>\n\n<\/div>\n<\/div>\n\n<\/div>\n<\/div>\n<!-- Organisatie -->\n\n<!-- Info -->\n<div class=\"block\">\n<div class=\"inner\">\n<ul>\n<li>Door het invullen van dit formulier geeft u toestemming voor het gebruik van deze gegevens door MRDM<span class=\"conditional set-has-dica\"> en DICA<\/span>.<\/li>\n<li>De doeleinde voor het gebruik van deze gegevens beperken zich tot communicatie rondom de deelname aan de registratie(s) waarvoor er een samenwerkingsverband is tussen uw organisatie en MRDM<span class=\"conditional set-has-dica\"> en DICA<\/span>.<\/li> \n<li>De via dit document bekende personen kunnen te allen tijde een verzoek indienen bij de Servicedesk voor rectificatie, verwijdering en opvraag van de bij ons bekende gegevens.<\/li>\n<li>De gegevens worden niet verder verspreid naar derden en worden opgeslagen bij MRDM voor zover er een samenwerkingsverband bestaat tussen uw organisatie en MRDM<span class=\"conditional set-has-dica\"> en DICA<\/span>.<\/li>\n<li>MRDM is ISO 27001:2013 en NEN 7510:2011 gecertificeerd en waarborgt daarmee de veilige verwerking van persoonsgegevens.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hcap-cf7\">\t\t<input\n\t\t\t\ttype=\"hidden\"\n\t\t\t\tclass=\"hcaptcha-widget-id\"\n\t\t\t\tname=\"hcaptcha-widget-id\"\n\t\t\t\tvalue=\"eyJzb3VyY2UiOlsiY29udGFjdC1mb3JtLTdcL3dwLWNvbnRhY3QtZm9ybS03LnBocCJdLCJmb3JtX2lkIjozMzkxfQ==-ecee92af781c920ab67acc552c1e8cd8\">\n\t\t\t\t<span id=\"hcap_cf7-69debb83a48cf7.90246692\" class=\"wpcf7-form-control h-captcha \"\n\t\t\tdata-sitekey=\"16310c4e-78ea-428a-97c4-0237baf70ce2\"\n\t\t\tdata-theme=\"light\"\n\t\t\tdata-size=\"normal\"\n\t\t\tdata-auto=\"false\"\n\t\t\tdata-ajax=\"false\"\n\t\t\tdata-force=\"false\">\n\t\t<\/span>\n\t\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"b25536b878\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/nl\/wp-json\/wp\/v2\/sign-up\/3388\" \/><\/span><input class=\"wpcf7-form-control wpcf7-submit has-spinner bg-color-primary bg-hover txt-color-white\" type=\"submit\" value=\"Verzenden\" \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n<\/div>\n\n\n\n\n\n","protected":false},"parent":1453,"menu_order":0,"template":"","class_list":["post-3388","sign-up","type-sign-up","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/support.mrdm.com\/nl\/wp-json\/wp\/v2\/sign-up\/3388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/support.mrdm.com\/nl\/wp-json\/wp\/v2\/sign-up"}],"about":[{"href":"https:\/\/support.mrdm.com\/nl\/wp-json\/wp\/v2\/types\/sign-up"}],"version-history":[{"count":12,"href":"https:\/\/support.mrdm.com\/nl\/wp-json\/wp\/v2\/sign-up\/3388\/revisions"}],"predecessor-version":[{"id":9451,"href":"https:\/\/support.mrdm.com\/nl\/wp-json\/wp\/v2\/sign-up\/3388\/revisions\/9451"}],"up":[{"embeddable":true,"href":"https:\/\/support.mrdm.com\/nl\/wp-json\/wp\/v2\/sign-up\/1453"}],"wp:attachment":[{"href":"https:\/\/support.mrdm.com\/nl\/wp-json\/wp\/v2\/media?parent=3388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}