[
  {
    "id": "legal_coverage_vs_actual_reimbursement",
    "summary": "Legal/basic package coverage and actual reimbursement are not identical.",
    "rule": "For individual outcome, check insurer/policy.",
    "priority": "critical"
  },
  {
    "id": "huisarts_psychosocial_ggz_social_domain",
    "summary": "Boundary between huisartsenzorg, psychosocial help, insured ggz and social domain is complex.",
    "rule": "Separate klacht, stoornis, route, crisis, waiting list and alternatives.",
    "priority": "critical"
  },
  {
    "id": "wmo_vs_wlz",
    "summary": "Wmo is municipal support; Wlz is lasting permanent supervision or 24h nearby care, but can sometimes be delivered at home.",
    "rule": "Use municipality for Wmo; CIZ/zorgkantoor/CAK for Wlz.",
    "priority": "high"
  },
  {
    "id": "acute_care_routing",
    "summary": "Spoedrouting involves huisarts, huisartsenpost, SEH, ambulance, regional agreements and costs.",
    "rule": "112 for direct danger; huisarts/huisartsenpost for urgent but non-life-threatening routes.",
    "priority": "critical"
  },
  {
    "id": "waiting_time_data",
    "summary": "Waiting-time data can be incomplete and methodology changes in 2026.",
    "rule": "Always label source, date and limitations.",
    "priority": "high"
  },
  {
    "id": "medication_reimbursement_layers",
    "summary": "Apotheek.nl, Medicijnkosten.nl and Farmacotherapeutisch Kompas serve different purposes.",
    "rule": "Keep patient explanation, reimbursement and professional evidence separate.",
    "priority": "critical"
  }
]