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            <imsmd:lom xmlns:imsmd="http://www.imsglobal.org/xsd/imsmd_v1p2">
              <imsmd:general>
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                </imsmd:title>
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              </imsmd:general>
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                    <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                  </imsmd:value>
                </imsmd:intendedenduserrole>
                <imsmd:difficulty>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
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                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
              <imsmd:rights>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
                <imsmd:copyrightandotherrestrictions>
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                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
          </metadata>
        </item>
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          <title>Strottenhoofd</title>
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                <imsmd:title>
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                </imsmd:title>
                <imsmd:language>nl</imsmd:language>
              </imsmd:general>
              <imsmd:metametadata>
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              <imsmd:educational>
                <imsmd:intendedenduserrole>
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                  </imsmd:source>
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                  </imsmd:value>
                </imsmd:intendedenduserrole>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
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                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
              <imsmd:rights>
                <imsmd:cost>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
                <imsmd:copyrightandotherrestrictions>
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                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
          </metadata>
        </item>
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          <title>Opdracht 1.a &amp; 1.b</title>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
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                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
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                <imsmd:cost>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
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                  </imsmd:value>
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                  </imsmd:source>
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                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
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                </imsmd:copyrightandotherrestrictions>
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                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
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                <imsmd:title>
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                </imsmd:title>
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                  </imsmd:value>
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                  </imsmd:value>
                </imsmd:difficulty>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
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                  </imsmd:value>
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                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
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                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
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                <imsmd:language>nl</imsmd:language>
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              <imsmd:metametadata>
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                  </imsmd:value>
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                  </imsmd:source>
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                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
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                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
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        </item>
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                <imsmd:title>
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                </imsmd:title>
                <imsmd:language>nl</imsmd:language>
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              <imsmd:metametadata>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
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                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
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                <imsmd:cost>
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                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
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                  </imsmd:value>
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                  </imsmd:source>
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                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
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                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
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          <title>Bronchiën</title>
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                  </imsmd:value>
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                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
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                </imsmd:description>
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            </imsmd:lom>
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                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                </imsmd:value>
              </imsmd:copyrightandotherrestrictions>
              <imsmd:description>
                <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
              </imsmd:description>
            </imsmd:rights>
          </imsmd:lom>
        </metadata>
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          <title>Wat is longkanker?</title>
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            <imsmd:lom xmlns:imsmd="http://www.imsglobal.org/xsd/imsmd_v1p2">
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                <imsmd:title>
                  <imsmd:langstring xml:lang="nl">Wat is longkanker?</imsmd:langstring>
                </imsmd:title>
                <imsmd:language>nl</imsmd:language>
              </imsmd:general>
              <imsmd:metametadata>
                <imsmd:metadatascheme>LOMv1.0</imsmd:metadatascheme>
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              </imsmd:metametadata>
              <imsmd:educational>
                <imsmd:intendedenduserrole>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                  </imsmd:value>
                </imsmd:intendedenduserrole>
                <imsmd:difficulty>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
              <imsmd:rights>
                <imsmd:cost>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
                <imsmd:copyrightandotherrestrictions>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">http://purl.edustandaard.nl/copyrightsandotherrestrictions_nllom_20131202</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
          </metadata>
        </item>
        <item identifier="Itemdd17633818ffff14" identifierref="Resourcedd17633818ffff14">
          <title>Oorzaken van longkanker</title>
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            <imsmd:lom xmlns:imsmd="http://www.imsglobal.org/xsd/imsmd_v1p2">
              <imsmd:general>
                <imsmd:title>
                  <imsmd:langstring xml:lang="nl">Oorzaken van longkanker</imsmd:langstring>
                </imsmd:title>
                <imsmd:language>nl</imsmd:language>
              </imsmd:general>
              <imsmd:metametadata>
                <imsmd:metadatascheme>LOMv1.0</imsmd:metadatascheme>
                <imsmd:metadatascheme>nl_lom_v1p0</imsmd:metadatascheme>
              </imsmd:metametadata>
              <imsmd:educational>
                <imsmd:intendedenduserrole>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                  </imsmd:value>
                </imsmd:intendedenduserrole>
                <imsmd:difficulty>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
              <imsmd:rights>
                <imsmd:cost>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
                <imsmd:copyrightandotherrestrictions>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">http://purl.edustandaard.nl/copyrightsandotherrestrictions_nllom_20131202</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
          </metadata>
        </item>
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          <title>Symptomen bij longkanker</title>
          <metadata>
            <imsmd:lom xmlns:imsmd="http://www.imsglobal.org/xsd/imsmd_v1p2">
              <imsmd:general>
                <imsmd:title>
                  <imsmd:langstring xml:lang="nl">Symptomen bij longkanker</imsmd:langstring>
                </imsmd:title>
                <imsmd:language>nl</imsmd:language>
              </imsmd:general>
              <imsmd:metametadata>
                <imsmd:metadatascheme>LOMv1.0</imsmd:metadatascheme>
                <imsmd:metadatascheme>nl_lom_v1p0</imsmd:metadatascheme>
              </imsmd:metametadata>
              <imsmd:educational>
                <imsmd:intendedenduserrole>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                  </imsmd:value>
                </imsmd:intendedenduserrole>
                <imsmd:difficulty>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
              <imsmd:rights>
                <imsmd:cost>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
                <imsmd:copyrightandotherrestrictions>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">http://purl.edustandaard.nl/copyrightsandotherrestrictions_nllom_20131202</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
          </metadata>
        </item>
        <item identifier="Itemf843f256f9c17f0f" identifierref="Resourcef843f256f9c17f0f">
          <title>Diagnose bij longkanker</title>
          <metadata>
            <imsmd:lom xmlns:imsmd="http://www.imsglobal.org/xsd/imsmd_v1p2">
              <imsmd:general>
                <imsmd:title>
                  <imsmd:langstring xml:lang="nl">Diagnose bij longkanker</imsmd:langstring>
                </imsmd:title>
                <imsmd:language>nl</imsmd:language>
              </imsmd:general>
              <imsmd:metametadata>
                <imsmd:metadatascheme>LOMv1.0</imsmd:metadatascheme>
                <imsmd:metadatascheme>nl_lom_v1p0</imsmd:metadatascheme>
              </imsmd:metametadata>
              <imsmd:educational>
                <imsmd:intendedenduserrole>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                  </imsmd:value>
                </imsmd:intendedenduserrole>
                <imsmd:difficulty>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
              <imsmd:rights>
                <imsmd:cost>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
                <imsmd:copyrightandotherrestrictions>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">http://purl.edustandaard.nl/copyrightsandotherrestrictions_nllom_20131202</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
          </metadata>
        </item>
        <item identifier="Itemdd6d82016423ea4c" identifierref="Resourcedd6d82016423ea4c">
          <title>Behandeling van longkanker</title>
          <metadata>
            <imsmd:lom xmlns:imsmd="http://www.imsglobal.org/xsd/imsmd_v1p2">
              <imsmd:general>
                <imsmd:title>
                  <imsmd:langstring xml:lang="nl">Behandeling van longkanker</imsmd:langstring>
                </imsmd:title>
                <imsmd:language>nl</imsmd:language>
              </imsmd:general>
              <imsmd:metametadata>
                <imsmd:metadatascheme>LOMv1.0</imsmd:metadatascheme>
                <imsmd:metadatascheme>nl_lom_v1p0</imsmd:metadatascheme>
              </imsmd:metametadata>
              <imsmd:educational>
                <imsmd:intendedenduserrole>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                  </imsmd:value>
                </imsmd:intendedenduserrole>
                <imsmd:difficulty>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
              <imsmd:rights>
                <imsmd:cost>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
                <imsmd:copyrightandotherrestrictions>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">http://purl.edustandaard.nl/copyrightsandotherrestrictions_nllom_20131202</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
          </metadata>
        </item>
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          <title>Kennisvragen </title>
          <metadata>
            <imsmd:lom xmlns:imsmd="http://www.imsglobal.org/xsd/imsmd_v1p2">
              <imsmd:general>
                <imsmd:title>
                  <imsmd:langstring xml:lang="nl">Kennisvragen </imsmd:langstring>
                </imsmd:title>
                <imsmd:language>nl</imsmd:language>
              </imsmd:general>
              <imsmd:metametadata>
                <imsmd:metadatascheme>LOMv1.0</imsmd:metadatascheme>
                <imsmd:metadatascheme>nl_lom_v1p0</imsmd:metadatascheme>
              </imsmd:metametadata>
              <imsmd:educational>
                <imsmd:intendedenduserrole>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                  </imsmd:value>
                </imsmd:intendedenduserrole>
                <imsmd:difficulty>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                  </imsmd:value>
                </imsmd:difficulty>
              </imsmd:educational>
              <imsmd:rights>
                <imsmd:cost>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                  </imsmd:value>
                </imsmd:cost>
                <imsmd:copyrightandotherrestrictions>
                  <imsmd:source>
                    <imsmd:langstring xml:lang="x-none">http://purl.edustandaard.nl/copyrightsandotherrestrictions_nllom_20131202</imsmd:langstring>
                  </imsmd:source>
                  <imsmd:value>
                    <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                  </imsmd:value>
                </imsmd:copyrightandotherrestrictions>
                <imsmd:description>
                  <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
                </imsmd:description>
              </imsmd:rights>
            </imsmd:lom>
          </metadata>
        </item>
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        <title>5. Voorbereiding toets </title>
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          <imsmd:lom xmlns:imsmd="http://www.imsglobal.org/xsd/imsmd_v1p2">
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              <imsmd:title>
                <imsmd:langstring xml:lang="nl">5. Voorbereiding toets </imsmd:langstring>
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              <imsmd:language>nl</imsmd:language>
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              <imsmd:intendedenduserrole>
                <imsmd:source>
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                </imsmd:source>
                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                </imsmd:value>
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                  <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
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                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                </imsmd:value>
              </imsmd:difficulty>
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                  <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                </imsmd:source>
                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                </imsmd:value>
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                </imsmd:source>
                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
                </imsmd:value>
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              <imsmd:description>
                <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
              </imsmd:description>
            </imsmd:rights>
          </imsmd:lom>
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        <title>6. Eindtoets ademhalingsstelsel</title>
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              <imsmd:intendedenduserrole>
                <imsmd:source>
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                  <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                </imsmd:value>
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                <imsmd:source>
                  <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
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                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                </imsmd:value>
              </imsmd:difficulty>
            </imsmd:educational>
            <imsmd:rights>
              <imsmd:cost>
                <imsmd:source>
                  <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
                </imsmd:source>
                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">no</imsmd:langstring>
                </imsmd:value>
              </imsmd:cost>
              <imsmd:copyrightandotherrestrictions>
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                  <imsmd:langstring xml:lang="x-none">http://purl.edustandaard.nl/copyrightsandotherrestrictions_nllom_20131202</imsmd:langstring>
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                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">cc-by-40</imsmd:langstring>
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              <imsmd:description>
                <imsmd:langstring xml:lang="x-none">http://creativecommons.org/licenses/by/4.0/</imsmd:langstring>
              </imsmd:description>
            </imsmd:rights>
          </imsmd:lom>
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        <title>Bronnenlijst</title>
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              <imsmd:language>nl</imsmd:language>
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                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">learner</imsmd:langstring>
                </imsmd:value>
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                <imsmd:source>
                  <imsmd:langstring xml:lang="x-none">LOMv1.0</imsmd:langstring>
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                <imsmd:value>
                  <imsmd:langstring xml:lang="x-none">medium</imsmd:langstring>
                </imsmd:value>
              </imsmd:difficulty>
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