{"id":10823,"date":"2021-09-30T10:08:35","date_gmt":"2021-09-30T08:08:35","guid":{"rendered":"https:\/\/www.corona-tracking.info\/?page_id=10823"},"modified":"2021-10-22T05:42:52","modified_gmt":"2021-10-22T03:42:52","slug":"mockup-aanmaak-belgisch-dcc","status":"publish","type":"page","link":"https:\/\/www.corona-tracking.info\/algemene-info\/archief\/mockup-aanmaak-belgisch-dcc\/","title":{"rendered":"Mockup aanmaak Belgisch DCC"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-10822 forminator-design--flat  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-10822\" data-uid=\"64745d7101d50\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-10822\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-10822 forminator-design--flat  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"10822\"\n\t\t\t\t\n\t\t\t\tdata-design=\"flat\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"64745d7101d50\"\n\t\t\t><div class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_64745d7101d50\" class=\"forminator-label\">Voornaam van de gevaccineerde persoon <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"Bv. John\" id=\"forminator-field-first-name-1_64745d7101d50\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_64745d7101d50\" class=\"forminator-label\">Achternaam van de gevaccineerde persoon <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"Bv. Doe\" id=\"forminator-field-last-name-1_64745d7101d50\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_64745d7101d50\" class=\"forminator-label\">Geboortedatum van de gevaccineerde persoon <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><label for=\"forminator-field-date-1-picker_64745d7101d50\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Kies een datum\" id=\"forminator-field-date-1-picker_64745d7101d50\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1923\" data-end-year=\"2123\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" aria-describedby=\"forminator-field-date-1-picker_64745d7101d50-description\" \/><\/div><span id=\"forminator-field-date-1-picker_64745d7101d50-description\" class=\"forminator-description\">Geboortedatum op het vaccinatiecertificaat of op een geldig identiteitsbewijs met identificatienummer<\/span><\/div><\/div><div id=\"phone-1\" class=\"forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_64745d7101d50\" class=\"forminator-label\">GSM-nummer <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Bv. +31 20 1234567\" id=\"forminator-field-phone-1_64745d7101d50\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_64745d7101d50\" class=\"forminator-label\">E-mailadres <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Bv. john@doe.com\" id=\"forminator-field-email-1_64745d7101d50\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-10822__field--select-2_64745d7101d50-label\" class=\"forminator-label\">Land van uitgifte van het vaccinatiecertificaat <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-10822__field--select-2_64745d7101d50\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"Kies een land uit de lijst\" data-search=\"false\" aria-describedby=\"forminator-form-10822__field--select-2_64745d7101d50-description\"><option value=\"\">Kies een land uit de lijst<\/option><option value=\"one\"  data-calculation=\"0\">Optie 1<\/option><option value=\"two\"  data-calculation=\"0\">Optie 2<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-10822__field--select-1_64745d7101d50-label\" class=\"forminator-label\">Merk vaccin <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-10822__field--select-1_64745d7101d50\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Kies een vaccin uit de lijst\" data-search=\"false\" aria-describedby=\"forminator-form-10822__field--select-1_64745d7101d50-description\"><option value=\"\">Kies een vaccin uit de lijst<\/option><option value=\"comirnaty\"  data-calculation=\"0\">Comirnaty<\/option><option value=\"covid-19-vaccine-janssen\"  data-calculation=\"0\">Covid-19 Vaccine Janssen<\/option><option value=\"covishield\"  data-calculation=\"0\">Covishield<\/option><option value=\"spikevax\"  data-calculation=\"0\">Spikevax<\/option><option value=\"vaxzevria\"  data-calculation=\"0\">Vaxzevria<\/option><\/select><\/div><\/div><div id=\"date-2\" class=\"forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_64745d7101d50\" class=\"forminator-label\">Datum van een als volledig beschouwde vaccinatie <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><label for=\"forminator-field-date-2-picker_64745d7101d50\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Kies een datum\" id=\"forminator-field-date-2-picker_64745d7101d50\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"2022\" data-end-year=\"2023\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"2022-05-29\" data-end-date=\"2023-05-14\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" aria-describedby=\"forminator-field-date-2-picker_64745d7101d50-description\" \/><\/div><span id=\"forminator-field-date-2-picker_64745d7101d50-description\" class=\"forminator-description\">Lees zo nodig de handleiding om te beoordelen vanaf wanneer iemand als volledig gevaccineerd kan worden beschouwd<\/span><\/div><\/div><div id=\"radio-4\" class=\"forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-64745d7101d50-label\"><span id=\"forminator-radiogroup-64745d7101d50-label\" class=\"forminator-label\">Fabrikant of lotnummer ? <span class=\"forminator-required\">*<\/span><\/span><label for=\"forminator-field-radio-4-1-64745d7101d50\" class=\"forminator-radio forminator-radio-inline\" title=\"Fabrikant\"><input type=\"radio\" name=\"radio-4\" value=\"fabrikant\" id=\"forminator-field-radio-4-1-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-4-64745d7101d50-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Fabrikant<\/span><\/label><label for=\"forminator-field-radio-4-2-64745d7101d50\" class=\"forminator-radio forminator-radio-inline\" title=\"Lotnummer\"><input type=\"radio\" name=\"radio-4\" value=\"lotnummer\" id=\"forminator-field-radio-4-2-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-4-64745d7101d50-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Lotnummer<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-10822__field--select-3_64745d7101d50-label\" class=\"forminator-label\">Fabrikant <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-10822__field--select-3_64745d7101d50\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-placeholder=\"Kies een fabrikant uit de lijst\" data-search=\"false\" aria-describedby=\"forminator-form-10822__field--select-3_64745d7101d50-description\"><option value=\"\">Kies een fabrikant uit de lijst<\/option><option value=\"astrazeneca-oxford\"  data-calculation=\"0\">AstraZeneca\/Oxford<\/option><option value=\"biontech-pfizer\"  data-calculation=\"0\">BioNTech\/Pfizer<\/option><option value=\"johnson-johnson\"  data-calculation=\"0\">Johnson &amp; Johnson<\/option><option value=\"moderna\"  data-calculation=\"0\">Moderna<\/option><\/select><\/div><\/div><div id=\"textarea-1\" class=\"forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_64745d7101d50\" class=\"forminator-label\">Lotnummer <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"E.g. text placeholder\nYou can add new line\" id=\"forminator-field-textarea-1_64745d7101d50\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-64745d7101d50-label\"><span id=\"forminator-radiogroup-64745d7101d50-label\" class=\"forminator-label\">Taal van het vaccinatiecertificaat <span class=\"forminator-required\">*<\/span><\/span><label for=\"forminator-field-radio-1-1-64745d7101d50\" class=\"forminator-radio forminator-radio-inline\" title=\"Nederlands\"><input type=\"radio\" name=\"radio-1\" value=\"nederlands\" id=\"forminator-field-radio-1-1-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-1-64745d7101d50-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nederlands<\/span><\/label><label for=\"forminator-field-radio-1-2-64745d7101d50\" class=\"forminator-radio forminator-radio-inline\" title=\"Frans\"><input type=\"radio\" name=\"radio-1\" value=\"frans\" id=\"forminator-field-radio-1-2-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-1-64745d7101d50-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Frans<\/span><\/label><label for=\"forminator-field-radio-1-3-64745d7101d50\" class=\"forminator-radio forminator-radio-inline\" title=\"Duits\"><input type=\"radio\" name=\"radio-1\" value=\"duits\" id=\"forminator-field-radio-1-3-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-1-64745d7101d50-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Duits<\/span><\/label><label for=\"forminator-field-radio-1-4-64745d7101d50\" class=\"forminator-radio forminator-radio-inline\" title=\"Engels\"><input type=\"radio\" name=\"radio-1\" value=\"engels\" id=\"forminator-field-radio-1-4-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-1-64745d7101d50-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Engels<\/span><\/label><label for=\"forminator-field-radio-1-5-64745d7101d50\" class=\"forminator-radio forminator-radio-inline\" title=\"Andere taal in Latijns alfabet\"><input type=\"radio\" name=\"radio-1\" value=\"andere-taal-in-latijns-alfabet\" id=\"forminator-field-radio-1-5-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-1-64745d7101d50-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Andere taal in Latijns alfabet<\/span><\/label><label for=\"forminator-field-radio-1-6-64745d7101d50\" class=\"forminator-radio forminator-radio-inline\" title=\"Andere taal in niet-Latijns alfabet\"><input type=\"radio\" name=\"radio-1\" value=\"andere-taal-in-niet-latijns-alfabet\" id=\"forminator-field-radio-1-6-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-1-64745d7101d50-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Andere taal in niet-Latijns alfabet<\/span><\/label><\/div><\/div><div id=\"checkbox-2\" class=\"forminator-col forminator-col-4 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-64745d7101d50-label\"><h4 id=\"forminator-checkbox-group-64745d7101d50-label\" class=\"forminator-label\">Eenvoudige vertaling aanwezig in Nederlands, Frans, Duits of Engels <span class=\"forminator-required\">*<\/span><\/h4><label for=\"forminator-field-checkbox-2-1-64745d7101d50\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Ja\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"ja\" id=\"forminator-field-checkbox-2-1-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-2-64745d7101d50-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ja<\/span><\/label><span id=\"forminator-field-checkbox-2-64745d7101d50-description\" class=\"forminator-description\">Op het origineel vaccinatiecertificaat moet worden nagegaan of de verplichte minimale informatie aanwezig is<\/span><\/div><\/div><div id=\"checkbox-1\" class=\"forminator-col forminator-col-4 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-64745d7101d50-label\"><h4 id=\"forminator-checkbox-group-64745d7101d50-label\" class=\"forminator-label\">Gelegaliseerde, be\u00ebdigde vertaling van het vaccinatiecertificaat aanwezig in het Nederlands, Frans, Duits of Engels <span class=\"forminator-required\">*<\/span><\/h4><label for=\"forminator-field-checkbox-1-1-64745d7101d50\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Ja\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"ja\" id=\"forminator-field-checkbox-1-1-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-1-64745d7101d50-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ja<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-64745d7101d50-label\"><h4 id=\"forminator-checkbox-group-64745d7101d50-label\" class=\"forminator-label\">(Digitale) handtekening, (digitale) stempel of watermerk aanwezig op vaccinatiecertificaat <span class=\"forminator-required\">*<\/span><\/h4><label for=\"forminator-field-checkbox-3-1-64745d7101d50\" class=\"forminator-checkbox\" title=\"Ja\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"ja\" id=\"forminator-field-checkbox-3-1-64745d7101d50\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-3-64745d7101d50-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ja<\/span><\/label><\/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\">Belgisch DCC genereren<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"b8a49e1694\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/10823\" \/><input type=\"hidden\" name=\"form_id\" value=\"10822\"><input type=\"hidden\" name=\"page_id\" value=\"10823\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.corona-tracking.info\/algemene-info\/archief\/mockup-aanmaak-belgisch-dcc\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":4376,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/pages\/10823"}],"collection":[{"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/comments?post=10823"}],"version-history":[{"count":1,"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/pages\/10823\/revisions"}],"predecessor-version":[{"id":10824,"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/pages\/10823\/revisions\/10824"}],"up":[{"embeddable":true,"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/pages\/4376"}],"wp:attachment":[{"href":"https:\/\/www.corona-tracking.info\/wp-json\/wp\/v2\/media?parent=10823"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}