{"id":118642,"date":"2025-12-23T13:13:27","date_gmt":"2025-12-23T12:13:27","guid":{"rendered":"https:\/\/doktershuisantverpia.com\/?page_id=118642"},"modified":"2026-01-15T11:01:22","modified_gmt":"2026-01-15T10:01:22","slug":"koloskopie-gastroskopie-termin","status":"publish","type":"page","link":"https:\/\/doktershuisantverpia.com\/de\/koloskopie-gastroskopie-termin\/","title":{"rendered":"Terminvereinbarung f\u00fcr eine Endoskopie (Formular)"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div data-parent=\"true\" class=\"vc_row style-color-873549-bg row-container\" id=\"row-unique-0\"><div class=\"row no-top-padding no-bottom-padding no-h-padding full-width row-parent\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-middle pos-center align_left column_parent col-lg-12 half-internal-gutter\"><div class=\"uncol style-light\"  ><div class=\"uncoltable\"><div class=\"uncell\" ><div class=\"uncont no-block-padding col-custom-width\" style=\" max-width:75%;\" ><div class=\"empty-space empty-double mobile-hidden\" ><span class=\"empty-space-inner\"><\/span><\/div>\n<div class=\"empty-space empty-single desktop-hidden tablet-hidden\" ><span class=\"empty-space-inner\"><\/span><\/div>\n<div class=\"vc_row row-internal row-container\"><div class=\"row row-child\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_center column_child col-lg-12 single-internal-gutter\"><div class=\"uncol style-light\" ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" ><div class=\"vc_custom_heading_wrap\"><div class=\"heading-text el-text alpha-anim animate_when_almost_visible\" ><h1 class=\"font-146656 fontsize-208892 text-color-227611-color\" ><span>Termin f\u00fcr die Endoskopie<\/span><\/h1><\/div><div class=\"clear\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row row-internal row-container tablet-hidden mobile-hidden\"><div class=\"row col-no-gutter row-child\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_center column_child col-lg-12 padding_contactpagina1 single-internal-gutter\"><div class=\"uncol style-light\" ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" ><div class=\"empty-space empty-single\" ><span class=\"empty-space-inner\"><\/span><\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><script id=\"script-row-unique-0\" data-row=\"script-row-unique-0\" type=\"text\/javascript\" class=\"vc_controls\">UNCODE.initRow(document.getElementById(\"row-unique-0\"));<\/script><\/div><\/div><\/div><div data-parent=\"true\" class=\"vc_row row-container\" id=\"row-unique-1\"><div class=\"row single-top-padding single-bottom-padding no-h-padding full-width row-parent\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_left column_parent col-lg-12 single-internal-gutter\"><div class=\"uncol style-light\"  ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" ><div class=\"vc_row row-internal row-container\"><div class=\"row col-half-gutter row-child\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_left column_child col-lg-6 tablet-hidden mobile-hidden col-md-33 single-internal-gutter\"><div class=\"uncol style-light sticky-element sticky-sidebar shift_x_neg_quad\" ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" ><div id=\"gallery-1990741\" class=\"un-media-gallery cssgrid-system cssgrid-general-light grid-general-light cssgrid-804958  height_media_gallery\">\n\t\t\t\t\t\n\t\n\t<div class=\"cssgrid-wrapper grid-wrapper cssgrid-single-gutter\" >\n\t\t\t\t\t\t\t\t\t<div class=\"cssgrid-container grid-container cssgrid-layout\" >\n<div class=\"tmb tmb-no-double-tap tmb-grid tmb-iso-h4 tmb-light tmb-overlay-text-anim tmb-overlay-middle tmb-overlay-text-left tmb-id-118570  tmb-img-ratio tmb-media-first tmb-media-last tmb-content-overlay tmb-no-bg\" ><div class=\"t-inside no-anim\" ><div class=\"t-entry-visual\"><div class=\"t-entry-visual-tc\"><div class=\"t-entry-visual-cont\"><div class=\"dummy\" style=\"padding-top: 133.3%;\"><\/div><a  class=\"inactive-link pushed\" data-lb-index=\"0\"><div class=\"t-entry-visual-overlay\"><div class=\"t-entry-visual-overlay-in style-dark-bg\" style=\"opacity: 0.5;\"><\/div><\/div><img decoding=\"async\" class=\"wp-image-118570\" src=\"https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA082025-120-uai-1024x1365.jpg\" width=\"1024\" height=\"1365\" alt=\"\" srcset=\"https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA082025-120-uai-1024x1365.jpg 1024w, https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA082025-120-8x12.jpg 8w, https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA082025-120-uai-720x960.jpg 720w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div><div class=\"tmb tmb-no-double-tap tmb-grid tmb-iso-h4 tmb-light tmb-overlay-text-anim tmb-overlay-middle tmb-overlay-text-left tmb-id-118573  tmb-img-ratio tmb-media-first tmb-media-last tmb-content-overlay tmb-no-bg\" ><div class=\"t-inside no-anim\" ><div class=\"t-entry-visual\"><div class=\"t-entry-visual-tc\"><div class=\"t-entry-visual-cont\"><div class=\"dummy\" style=\"padding-top: 133.3%;\"><\/div><a  class=\"inactive-link pushed\" data-lb-index=\"1\"><div class=\"t-entry-visual-overlay\"><div class=\"t-entry-visual-overlay-in style-dark-bg\" style=\"opacity: 0.5;\"><\/div><\/div><img decoding=\"async\" class=\"wp-image-118573\" src=\"https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA-43-1-scaled-uai-1365x1820.jpg\" width=\"1365\" height=\"1820\" alt=\"\" srcset=\"https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA-43-1-scaled-uai-1365x1820.jpg 1365w, https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA-43-1-8x12.jpg 8w, https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA-43-1-scaled-uai-720x960.jpg 720w, https:\/\/doktershuisantverpia.com\/wp-content\/uploads\/2025\/10\/DOKTERSHUISANTVERPIA-43-1-scaled-uai-1032x1376.jpg 1032w\" sizes=\"(max-width: 1365px) 100vw, 1365px\" \/><\/a><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div>\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\t\n\t\n<\/div>\n\n<\/div><\/div><\/div><\/div><\/div><div class=\"wpb_column pos-top pos-left align_left column_child col-lg-6 kolom_contact_form kolom_colosopie_form one-internal-gutter\"><div class=\"uncol style-light shift_x_neg_single\" ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" style=\" max-width:85%;\" ><div class=\"empty-space empty-half\" ><span class=\"empty-space-inner\"><\/span><\/div>\n<div class=\"vc_custom_heading_wrap\"><div class=\"heading-text el-text alpha-anim animate_when_almost_visible\"  id=\"mobiel_responsief1\"><p class=\"font-146656 fontsize-501377 font-weight-500 text-color-227611-color\" ><span>Bitte verwenden Sie dieses Formular, um einen Termin f\u00fcr eine Endoskopie zu vereinbaren. Wenn Sie die untenstehenden Fragen ausf\u00fcllen, k\u00f6nnen wir die Untersuchung sorgf\u00e4ltig und sicher vorbereiten.<\/span><\/p><\/div><div class=\"clear\"><\/div><\/div><div class=\"empty-space empty-single\" ><span class=\"empty-space-inner\"><\/span><\/div>\n<div class=\"uncode_text_column\" ><div class=\"forminator-ui forminator-custom-form forminator-custom-form-118646 forminator-design--basic  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-118646\" data-uid=\"6a3e8aa9a8fca\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-118646\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-118646 forminator-design--basic  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"118646\"\r\n\t\t\t\t\r\n\t\t\t\tdata-design=\"basic\"\r\n\t\t\t\tdata-color-option=\"theme\"\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\tdata-grid=\"open\"\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\tstyle=\"display: none;\"\r\n\t\t\t\t\r\n\t\t\t\tdata-uid=\"6a3e8aa9a8fca\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">1. Allgemeine Daten<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a3e8aa9a8fca\" id=\"forminator-field-name-1_6a3e8aa9a8fca-label\" class=\"forminator-label\">Vorname und Nachname <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Vorname und Nachname *\" id=\"forminator-field-name-1_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6a3e8aa9a8fca\" id=\"forminator-field-text-13_6a3e8aa9a8fca-label\" class=\"forminator-label\">Datum der Geburt <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"Geburtsdatum *\" id=\"forminator-field-text-13_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a3e8aa9a8fca\" id=\"forminator-field-text-1_6a3e8aa9a8fca-label\" class=\"forminator-label\">Nationale Registernummer<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Nationale Registernummer\" id=\"forminator-field-text-1_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a3e8aa9a8fca\" id=\"forminator-field-phone-1_6a3e8aa9a8fca-label\" class=\"forminator-label\">Rufnummer <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Rufnummer *\" id=\"forminator-field-phone-1_6a3e8aa9a8fca\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a3e8aa9a8fca\" id=\"forminator-field-email-1_6a3e8aa9a8fca-label\" class=\"forminator-label\">E-Mail Adresse <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E-Mail Adresse *\" id=\"forminator-field-email-1_6a3e8aa9a8fca\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a3e8aa9a8fca\" id=\"forminator-field-text-2_6a3e8aa9a8fca-label\" class=\"forminator-label\">GP<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"GP\" id=\"forminator-field-text-2_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" aria-describedby=\"forminator-field-text-2_6a3e8aa9a8fca-description\" \/><span id=\"forminator-field-text-2_6a3e8aa9a8fca-description\" class=\"forminator-description\">Name + Praxis<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a3e8aa9a8fca\" id=\"forminator-field-text-3_6a3e8aa9a8fca-label\" class=\"forminator-label\">\u00dcberweisender Spezialist<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\u00dcberweisender Spezialist (falls zutreffend)\" id=\"forminator-field-text-3_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">2. Gew\u00fcnschte Forschung<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12  form_vertical\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-1-6a3e8aa9a8fca-label\" class=\"forminator-label\">Welche Forschungsarbeiten wurden in Auftrag gegeben? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Gastroskopie (Magenspiegelung)\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Gastroskopie (Magenspiegelung)<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Koloskopie (Darmspiegelung)\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Koloskopie (Darmspiegelung)<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Kombinierte Gastroskopie &amp; Koloskopie\"><input type=\"radio\" name=\"radio-1\" value=\"Combinatie-gastroscopie-&amp;-coloscopie\" id=\"forminator-field-radio-1-3-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Kombinierte Gastroskopie &amp; Koloskopie<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12  form_vertical inline_form_radio\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-2-6a3e8aa9a8fca-label\" class=\"forminator-label\">Wurde diese Untersuchung von einem Arzt angeordnet? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a3e8aa9a8fca\" id=\"forminator-field-text-4_6a3e8aa9a8fca-label\" class=\"forminator-label\">Grund f\u00fcr die Untersuchung\/Beschwerde <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Grund f\u00fcr die Untersuchung\/Beschwerde\" id=\"forminator-field-text-4_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">3. Beanstandungen und medizinische Indikation<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12  form_vertical\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6a3e8aa9a8fca-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6a3e8aa9a8fca-label\" class=\"forminator-label\">Haben Sie derzeit eine oder mehrere der folgenden Beschwerden?<\/span><label id=\"forminator-field-checkbox-2-1-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-1-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Schmerzen im Unterleib\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"one\" id=\"forminator-field-checkbox-2-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-1-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Schmerzen im Unterleib<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-2-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Sodbrennen\/Reflux\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"two\" id=\"forminator-field-checkbox-2-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-2-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Sodbrennen\/Reflux<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-3-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"\u00dcbelkeit oder Erbrechen\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Misselijkheid-of-braken\" id=\"forminator-field-checkbox-2-3-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-3-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">\u00dcbelkeit oder Erbrechen<\/span><\/label><label id=\"forminator-field-checkbox-2-4-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-4-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Schluckbeschwerden\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Slikklachten\" id=\"forminator-field-checkbox-2-4-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-4-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Schluckbeschwerden<\/span><\/label><label id=\"forminator-field-checkbox-2-5-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-5-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Blut im Stuhlgang\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Bloed-bij-de-ontlasting\" id=\"forminator-field-checkbox-2-5-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-5-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Blut im Stuhlgang<\/span><\/label><label id=\"forminator-field-checkbox-2-6-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-6-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Schwarze Hocker\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Zwarte-ontlasting\" id=\"forminator-field-checkbox-2-6-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-6-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Schwarze Hocker<\/span><\/label><label id=\"forminator-field-checkbox-2-7-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-7-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Ver\u00e4nderung des Stuhls\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Verandering-in-ontlasting\" id=\"forminator-field-checkbox-2-7-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-7-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ver\u00e4nderung des Stuhls<\/span><\/label><label id=\"forminator-field-checkbox-2-8-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-8-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Ungekl\u00e4rter Gewichtsverlust\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Onverklaard-gewichtsverlies\" id=\"forminator-field-checkbox-2-8-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-8-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ungekl\u00e4rter Gewichtsverlust<\/span><\/label><label id=\"forminator-field-checkbox-2-9-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-9-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"An\u00e4mie\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Bloedarmoede\" id=\"forminator-field-checkbox-2-9-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-9-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">An\u00e4mie<\/span><\/label><label id=\"forminator-field-checkbox-2-10-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-10-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Diarrh\u00f6e\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Diarree\" id=\"forminator-field-checkbox-2-10-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-10-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Diarrh\u00f6e<\/span><\/label><label id=\"forminator-field-checkbox-2-11-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-11-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Obstipation\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Obstipatie\" id=\"forminator-field-checkbox-2-11-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-11-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Obstipation<\/span><\/label><label id=\"forminator-field-checkbox-2-12-6a3e8aa9a8fca-label\" for=\"forminator-field-checkbox-2-12-6a3e8aa9a8fca\" class=\"forminator-checkbox\" title=\"Andere, n\u00e4mlich:\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Anders,-namelijk\" id=\"forminator-field-checkbox-2-12-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-checkbox-2-12-6a3e8aa9a8fca-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Andere, n\u00e4mlich:<\/span><\/label><span id=\"forminator-field-checkbox-2-6a3e8aa9a8fca-description\" class=\"forminator-description\">Mehrere Antworten m\u00f6glich<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a3e8aa9a8fca\" id=\"forminator-field-text-7_6a3e8aa9a8fca-label\" class=\"forminator-label\">Andere Beschwerde<\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"Andere Beschwerde\" id=\"forminator-field-text-7_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">4. Fr\u00fchere Studien<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12  form_vertical\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-3-6a3e8aa9a8fca-label\" class=\"forminator-label\">Hatten Sie schon einmal eine Endoskopie? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja, Gastroskopie\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja, Gastroskopie<\/span><\/label><label id=\"forminator-field-radio-3-label-3\" for=\"forminator-field-radio-3-3-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja, Dickdarmspiegelung\"><input type=\"radio\" name=\"radio-3\" value=\"Ja,-coloscopie\" id=\"forminator-field-radio-3-3-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-3-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja, Dickdarmspiegelung<\/span><\/label><label id=\"forminator-field-radio-3-label-4\" for=\"forminator-field-radio-3-4-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja, Gastro- und Koloskopie\"><input type=\"radio\" name=\"radio-3\" value=\"Ja,-gastro--en-coloscopie\" id=\"forminator-field-radio-3-4-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-3-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja, Gastro- und Koloskopie<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a3e8aa9a8fca\" id=\"forminator-field-text-5_6a3e8aa9a8fca-label\" class=\"forminator-label\">Wenn ja, wann und wo?<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Wenn ja, wann und wo?\" id=\"forminator-field-text-5_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a3e8aa9a8fca\" id=\"forminator-field-text-6_6a3e8aa9a8fca-label\" class=\"forminator-label\">Gab es irgendwelche Besonderheiten oder Komplikationen?<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Gab es irgendwelche Besonderheiten oder Komplikationen?\" id=\"forminator-field-text-6_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">5. Medikation<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12  inline_form_radio\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-4-6a3e8aa9a8fca-label\" class=\"forminator-label\">Nehmen Sie derzeit Medikamente ein? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja, und zwar:\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja, und zwar:<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide namelijk_veld\"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6a3e8aa9a8fca\" id=\"forminator-field-text-8_6a3e8aa9a8fca-label\" class=\"forminator-label\">Medikamente:<\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"Medikamente:\" id=\"forminator-field-text-8_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12  inline_form_radio\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-5-6a3e8aa9a8fca-label\" class=\"forminator-label\">Nehmen Sie Blutverd\u00fcnner? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-5\" value=\"one\" id=\"forminator-field-radio-5-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja, und zwar:\"><input type=\"radio\" name=\"radio-5\" value=\"two\" id=\"forminator-field-radio-5-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja, und zwar:<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide namelijk_veld\"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6a3e8aa9a8fca\" id=\"forminator-field-text-9_6a3e8aa9a8fca-label\" class=\"forminator-label\">Blutverd\u00fcnner:<\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"Blutverd\u00fcnner:\" id=\"forminator-field-text-9_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12  inline_form_radio\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-6-6a3e8aa9a8fca-label\" class=\"forminator-label\">Nehmen Sie Diabetes-Medikamente oder Insulin ein? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-6\" value=\"one\" id=\"forminator-field-radio-6-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja\"><input type=\"radio\" name=\"radio-6\" value=\"two\" id=\"forminator-field-radio-6-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12  inline_form_radio\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">6. Allergien und \u00dcberempfindlichkeiten<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12  inline_form_radio\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-7-6a3e8aa9a8fca-label\" class=\"forminator-label\">Haben Sie irgendwelche Allergien oder \u00dcberempfindlichkeiten? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-7\" value=\"one\" id=\"forminator-field-radio-7-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja, und zwar:\"><input type=\"radio\" name=\"radio-7\" value=\"two\" id=\"forminator-field-radio-7-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja, und zwar:<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide namelijk_veld\"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6a3e8aa9a8fca\" id=\"forminator-field-text-10_6a3e8aa9a8fca-label\" class=\"forminator-label\">Allergien oder \u00dcberempfindlichkeiten:<\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"Allergien oder \u00dcberempfindlichkeiten:\" id=\"forminator-field-text-10_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-14\" class=\"forminator-field-radio forminator-col forminator-col-12  inline_form_radio\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-14-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-14-6a3e8aa9a8fca-label\" class=\"forminator-label\">Allergie gegen Medikamente oder An\u00e4sthesie\/Sedierung? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-14-label-1\" for=\"forminator-field-radio-14-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-14\" value=\"one\" id=\"forminator-field-radio-14-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-14-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><label id=\"forminator-field-radio-14-label-2\" for=\"forminator-field-radio-14-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja\"><input type=\"radio\" name=\"radio-14\" value=\"two\" id=\"forminator-field-radio-14-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-14-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">7. Sedierung (Berauschung)<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-8-6a3e8aa9a8fca-label\" class=\"forminator-label\">M\u00f6chten Sie, dass die Untersuchung unter Sedierung durchgef\u00fchrt wird? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja\"><input type=\"radio\" name=\"radio-8\" value=\"one\" id=\"forminator-field-radio-8-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-8\" value=\"two\" id=\"forminator-field-radio-8-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ich wei\u00df es noch nicht\"><input type=\"radio\" name=\"radio-8\" value=\"Weet-ik-nog-niet\" id=\"forminator-field-radio-8-3-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ich wei\u00df es noch nicht<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-9-6a3e8aa9a8fca-label\" class=\"forminator-label\">Wurden Sie schon einmal sediert? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-9\" value=\"one\" id=\"forminator-field-radio-9-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja, ohne jegliche Probleme\"><input type=\"radio\" name=\"radio-9\" value=\"two\" id=\"forminator-field-radio-9-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja, ohne jegliche Probleme<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja, mit Problemen (Erkl\u00e4rung)\"><input type=\"radio\" name=\"radio-9\" value=\"Ja,-met-problemen-(toelichting)\" id=\"forminator-field-radio-9-3-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja, mit Problemen (Erkl\u00e4rung)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6a3e8aa9a8fca\" id=\"forminator-field-text-11_6a3e8aa9a8fca-label\" class=\"forminator-label\">Anmerkungen:<\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"Anmerkungen:\" id=\"forminator-field-text-11_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">8. Medizinischer Hintergrund<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-10-6a3e8aa9a8fca-label\" class=\"forminator-label\">Leiden Sie an einer der folgenden Krankheiten? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Herzkrankheit\"><input type=\"radio\" name=\"radio-10\" value=\"one\" id=\"forminator-field-radio-10-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Herzkrankheit<\/span><\/label><label id=\"forminator-field-radio-10-label-2\" for=\"forminator-field-radio-10-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Lungenkrankheiten (Asthma\/COPD)\"><input type=\"radio\" name=\"radio-10\" value=\"two\" id=\"forminator-field-radio-10-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Lungenkrankheiten (Asthma\/COPD)<\/span><\/label><label id=\"forminator-field-radio-10-label-3\" for=\"forminator-field-radio-10-3-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Neurologische St\u00f6rung\"><input type=\"radio\" name=\"radio-10\" value=\"Neurologische-aandoening\" id=\"forminator-field-radio-10-3-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Neurologische St\u00f6rung<\/span><\/label><label id=\"forminator-field-radio-10-label-4\" for=\"forminator-field-radio-10-4-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Schlafapnoe\"><input type=\"radio\" name=\"radio-10\" value=\"Slaapapneu\" id=\"forminator-field-radio-10-4-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Schlafapnoe<\/span><\/label><label id=\"forminator-field-radio-10-label-5\" for=\"forminator-field-radio-10-5-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nierenerkrankung\"><input type=\"radio\" name=\"radio-10\" value=\"Nierziekte\" id=\"forminator-field-radio-10-5-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nierenerkrankung<\/span><\/label><label id=\"forminator-field-radio-10-label-6\" for=\"forminator-field-radio-10-6-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Lebererkrankung\"><input type=\"radio\" name=\"radio-10\" value=\"Leverziekte\" id=\"forminator-field-radio-10-6-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Lebererkrankung<\/span><\/label><label id=\"forminator-field-radio-10-label-7\" for=\"forminator-field-radio-10-7-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Gerinnungsst\u00f6rung\"><input type=\"radio\" name=\"radio-10\" value=\"Stollingsstoornis\" id=\"forminator-field-radio-10-7-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Gerinnungsst\u00f6rung<\/span><\/label><label id=\"forminator-field-radio-10-label-8\" for=\"forminator-field-radio-10-8-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Schwangerschaft\"><input type=\"radio\" name=\"radio-10\" value=\"Zwangerschap\" id=\"forminator-field-radio-10-8-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-8\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Schwangerschaft<\/span><\/label><label id=\"forminator-field-radio-10-label-9\" for=\"forminator-field-radio-10-9-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Keiner der oben genannten Punkte\"><input type=\"radio\" name=\"radio-10\" value=\"Geen-van-bovenstaande\" id=\"forminator-field-radio-10-9-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-10-label-9\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Keiner der oben genannten Punkte<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6a3e8aa9a8fca\" id=\"forminator-field-text-12_6a3e8aa9a8fca-label\" class=\"forminator-label\">In Behandlung bei einem Spezialisten?<\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"Befinden Sie sich in Behandlung bei einem Facharzt? Wenn ja, bei welchem?\" id=\"forminator-field-text-12_6a3e8aa9a8fca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-9\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">9. Praktische Fragen<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12  inline_form_radio\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-11-6a3e8aa9a8fca-label\" class=\"forminator-label\">Sind Sie mobil und unabh\u00e4ngig? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja\"><input type=\"radio\" name=\"radio-11\" value=\"one\" id=\"forminator-field-radio-11-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja<\/span><\/label><label id=\"forminator-field-radio-11-label-2\" for=\"forminator-field-radio-11-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-11\" value=\"two\" id=\"forminator-field-radio-11-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-11-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12  inline_form_radio\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-6a3e8aa9a8fca-label\"><span id=\"forminator-radiogroup-radio-12-6a3e8aa9a8fca-label\" class=\"forminator-label\">Sind Sie Mitglied des belgischen Gesundheitsdienstes auf Gegenseitigkeit? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Ja\"><input type=\"radio\" name=\"radio-12\" value=\"one\" id=\"forminator-field-radio-12-1-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-6a3e8aa9a8fca\" class=\"forminator-radio\" title=\"Nein\"><input type=\"radio\" name=\"radio-12\" value=\"two\" id=\"forminator-field-radio-12-2-6a3e8aa9a8fca\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nein<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-10\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">10. Zustimmung &amp; Einverst\u00e4ndnis<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12  label_hide\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6a3e8aa9a8fca\" id=\"forminator-field-consent-1_6a3e8aa9a8fca-label\" class=\"forminator-label\">Einverst\u00e4ndnis &amp; Zustimmung <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6a3e8aa9a8fca__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-1_6a3e8aa9a8fca-label\" aria-hidden=\"true\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6a3e8aa9a8fca\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6a3e8aa9a8fca-label\" aria-describedby=\"forminator-field-consent-1_6a3e8aa9a8fca__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6a3e8aa9a8fca__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Wichtige Information und Vereinbarung: Eine Endoskopie (Gastroskopie, Koloskopie oder Kombinationsuntersuchung) erfordert eine spezielle Vorbereitung.<br>Diese Vorbereitung ist wichtig, um die Untersuchung sicher und zuverl\u00e4ssig durchf\u00fchren zu k\u00f6nnen. Nach der Terminvereinbarung erhalten Sie per E-Mail detaillierte Anweisungen. Ohne eine ordnungsgem\u00e4\u00dfe Vorbereitung kann die Untersuchung nicht durchgef\u00fchrt werden und der Termin muss verschoben werden. Dies kann zu unn\u00f6tigen Wartezeiten und zus\u00e4tzlichen Kosten f\u00fchren.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-2\" class=\"forminator-field-consent forminator-col forminator-col-12  label_hide akkoord2_field\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-2_6a3e8aa9a8fca\" id=\"forminator-field-consent-2_6a3e8aa9a8fca-label\" class=\"forminator-label\">Akkord 2 <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-2_6a3e8aa9a8fca__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-2_6a3e8aa9a8fca-label\" aria-hidden=\"true\"><input type=\"checkbox\" name=\"consent-2\" id=\"forminator-field-consent-2_6a3e8aa9a8fca\" value=\"checked\" aria-labelledby=\"forminator-field-consent-2_6a3e8aa9a8fca-label\" aria-describedby=\"forminator-field-consent-2_6a3e8aa9a8fca__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-2_6a3e8aa9a8fca__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Ich erkl\u00e4re, dass ich die vorstehenden Angaben wahrheitsgem\u00e4\u00df gemacht habe.<\/p><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Einen Termin vereinbaren<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"da00f35f7c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/de\/wp-json\/wp\/v2\/pages\/118642\" \/><input type=\"hidden\" name=\"form_id\" value=\"118646\"><input type=\"hidden\" name=\"page_id\" value=\"118642\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/doktershuisantverpia.com\/de\/koloskopie-gastroskopie-termin\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"de\"\/><\/form>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><script id=\"script-row-unique-1\" data-row=\"script-row-unique-1\" type=\"text\/javascript\" class=\"vc_controls\">UNCODE.initRow(document.getElementById(\"row-unique-1\"));<\/script><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"APPOINTMENT Endoskopie Mit diesem Formular k\u00f6nnen Sie einen Termin f\u00fcr eine Endoskopie vereinbaren. Indem Sie die nachstehenden Fragen ausf\u00fcllen, [...]","protected":false},"author":17,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"wds_primary_page_category":0,"footnotes":""},"class_list":["post-118642","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/doktershuisantverpia.com\/de\/wp-json\/wp\/v2\/pages\/118642","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doktershuisantverpia.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/doktershuisantverpia.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/doktershuisantverpia.com\/de\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/doktershuisantverpia.com\/de\/wp-json\/wp\/v2\/comments?post=118642"}],"version-history":[{"count":4,"href":"https:\/\/doktershuisantverpia.com\/de\/wp-json\/wp\/v2\/pages\/118642\/revisions"}],"predecessor-version":[{"id":118974,"href":"https:\/\/doktershuisantverpia.com\/de\/wp-json\/wp\/v2\/pages\/118642\/revisions\/118974"}],"wp:attachment":[{"href":"https:\/\/doktershuisantverpia.com\/de\/wp-json\/wp\/v2\/media?parent=118642"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}