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Within PHIRI, the Population Health Information Research Infrastructure, a Rapid Exchange Forum (REF) is organized regularly every two weeks or as needed, addressing urgent questions and current developments in population health during the COVID-19 pandemic and beyond. In this one hour meeting, the participants belonging to European public health institutes, Ministries of Health, research institutions and universities as well as EU-level stakeholders answer questions and discuss experiences from their own countries related to the COVID-19 pandemic and other population health issues that require rapid responses. Each meeting is organized around a topic or set of topics of timely relevance to the participating countries, and answers to the questions are shared during the meeting as well as in writing immediately before or after the meetings. This allows a rapid exchange of information across countries to learn from each other’s challenges and best practices, and compare e.g. vaccination-, testing-, and communication strategies, reactions to new virus variants, mortality indicators, long-term pandemic monitoring and surveillance, and impact evaluations of the pandemic. The answers to questions discussed during the REF meetings are uploaded to the Health Information Portal at the latest by the end of the week in which each meeting takes place.

Please use the search function below to browse the content of previous REF meetings. In order to search for an exact phrase, you can utilize quotation marks around your search term.

Title Question Date Document(s)
<a href="/rapid-exchange-forum/35th-rapid-exchange-forum-covid-19-mortality" hreflang="en">35th Rapid Exchange Forum: COVID-19 mortality</a> <p><span><span><span><span><strong><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US">COVID-19 mortality</span></strong></span></span></span></span></p> <ul> <li><span><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL">How long does the entire process take to obtain ICD-10 coding of causes of death from death certificates?</span></span></span></span></span></li> <li><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL">Do you already have access to information (complete or partial) on COVID-19 as cause of death from death certificates? Have the death certificates now been integrated in the COVID-19 mortality statistics?</span></span></span></span></li> <li><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL">Are death certificates completed by the physician in electronic or paper format? If completed electronically, what location of death do they cover (ex. hospital only?) and what is the coverage in relation to all deaths?</span></span></span></span></li> <li><span><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL">Are there any COVID-19 mortality reports you can share, or reports of excess mortality during the COVID-19 crisis?</span></span></span></span></span></li> </ul> 09-May-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/35_REF_minutes_questions_0.pdf" type="application/pdf; length=606830" target="_blank">35_REF_minutes_questions_0.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/34th-rapid-exchange-forum-communication-stratgegies" hreflang="en">34th Rapid Exchange Forum: Communication Stratgegies</a> <p><strong>ââââââCommunication strategies</strong></p> <ul> <li><span><span><span><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span>What communication channels are currently used by official sources in your country to disseminate COVID-19 information / which is the most common tool? </span></span></span></span></span></li> <li><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span>In your opinion, which communication channels/tools are working best to reach the people in your country at this stage of the pandemic? Have there been any (recent) adaptations to your country's national communication strategies with respect to countering pandemic fatigue and improving effectiveness of communication?</span></span></span></span></span></li> </ul> 25-Apr-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/34_REF_minutes_questions.pdf" type="application/pdf; length=311114" target="_blank">34_REF_minutes_questions.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/33rd-rapid-exchange-forum-covid-19-pandemic-evaluation" hreflang="en">33rd Rapid Exchange Forum: COVID-19 pandemic evaluation</a> <p><span><span><span><span><strong><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span><span>COVID-19 pandemic evaluation</span></span></span></strong></span></span></span></span></p> <ul> <li><span><span><span><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span>Have any data analyses or studies been published in your country yet (on national level, or comparing several countries) that investigate direct and indirect health impacts of the pandemic (including indicators such as excess mortality, burden of disease, diminished mental health and well-being, diminished physical activity, loneliness, years of life lost, DALYs/QALYs etc.)? </span></span></span></span></span></li> <li><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL"><span>Other than already published works, is there data analysis currently ongoing or in preparation in your country that investigates direct and indirect health impacts of the pandemic? If so, which indicators are mainly being investigated in this scope?</span></span></span></span></span></li> </ul> 11-Apr-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/33_REF_minutes_questions_0.pdf" type="application/pdf; length=382399" target="_blank">33_REF_minutes_questions_0.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/32nd-rapid-exchange-forum-strategies-winter-2022-and-ba2-subvariant" hreflang="en">32nd Rapid Exchange Forum: Strategies for winter 2022 and BA.2 subvariant</a> <p><span><span><span><span><strong><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span><span>Strategies for winter 2022 and BA.2</span></span></span></strong></span></span></span></span></p> <ul> <li><span><span><span><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span>Is your country taking actions at the moment (or are there plans in place) to anticipate/mitigate a potential spike in COVID-19 infections in autumn/winter 2022? Have any strategies to this effect been developed  based on lessons learned in the previous two years?</span></span></span></span></span></li> <li><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span>Have plans and strategies changed in your country since emergence of the BA.2 subvariant? If so, how? Are there any recommendations you would like to share with other countries in this scope?</span></span></span></span></span></li> </ul> 28-Mar-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/32_REF_minutes_questions.pdf" type="application/pdf; length=227129" target="_blank">32_REF_minutes_questions.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/4th-special-edition-rapid-exchange-forum" hreflang="en">4th Special Edition Rapid Exchange Forum</a> <p>Concurrent with the 32nd Rapid Exchange Forum, the <strong>fourth Special Edition REF </strong>took place. To avoid duplication of work, we believe it is highly relevant to be aware of other international activities, mechanisms and expert groups already in place, or established during the pancemic, which exchange information on population health developments that require rapid action. </p> <p>To shed light on such activities, REF Special Editions invite<strong> key guests from relevant international organisations</strong> to report on<strong> </strong>their<strong> m</strong><strong>ain activities, boards/expert groups, and different COVID-19 actions</strong>.<strong> </strong></p> <p>The guest speakers for the fourth Special Edition REF were:</p> <ul> <li>European Health Emergency Preparedness and Response Authority (HERA) - Christian Wimmer</li> <li>European Centre for Disease Prevention and Control (ECDC) â Marie Heloury &amp; Ettore Severi</li> <li>European Commission, Directorate-General for Health and Food Safety (DG SANTE) â Federico Pratellesi</li> <li>Organisation for Economic Co-operation and Development (OECD) â Gaetan Lafortune</li> <li>European Observatory on Health Systems and Policies (OBS) - Matthias Wismar</li> </ul> 28-Mar-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/04_Special%20Edition_REF_minutes.pdf" type="application/pdf; length=2961771" target="_blank">04_Special Edition_REF_minutes.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/04_Special%20Edition_REF_presentation_DG%20SANTE.pdf" type="application/pdf; length=1580905" target="_blank">04_Special Edition_REF_presentation_DG SANTE.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/04_Special%20Edition_REF_presentation_ECDC.pdf" type="application/pdf; length=1673766" target="_blank">04_Special Edition_REF_presentation_ECDC.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/04_Special%20Edition_REF_presentation_OECD.pdf" type="application/pdf; length=1212129" target="_blank">04_Special Edition_REF_presentation_OECD.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/31st-rapid-exchange-forum-health-screening-refugees-ukraine" hreflang="en">31st Rapid Exchange Forum: Health screening for refugees from Ukraine</a> <p><strong><span><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span>Health screening for refugees from Ukraine</span></span></span></span></span></span></strong></p> <ul> <li><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL">Is there any health screening protocol that is being put in place for arriving refugees from Ukraine in your country at the moment (concerning COVID-19 and/or other screenings)?</span></span></span></span></li> <li><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL">COVID-19 certificates from Ukraine have been established as equivalent to EU certificates in the Commission Implementing Decision 2021/1380. Are there mandatory stipulations for entry of refugees arriving to your country from Ukraine when it comes to COVID-19 vaccination status, and/or is there a non-mandatory vaccination offer for arriving refugees? </span></span></span></span></li> <li><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span><span><span>Are (and if so how are) additional vaccinations and vaccination history recorded for refugees from Ukraine in your country?</span></span></span></span></li> </ul> 14-Mar-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/31_REF_minutes_questions.pdf" type="application/pdf; length=294145" target="_blank">31_REF_minutes_questions.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/30th-rapid-exchange-forum-long-term-surveillance-strategies" hreflang="en">30th Rapid Exchange Forum: Long-term surveillance strategies</a> <p><span><span><span><span><strong><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span>Long-term pandemic monitoring and surveillance</span></span></strong></span></span></span></span></p> <ul> <li><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL">Was the 'state-of-emergency' activated in your country when the pandemic hit, or other emergency legislation set in place in order to set up a COVID-19 monitoring and surveillance system, including regulations for data access and linkage of data sources?</span></span></span></span> <span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL">Did your constitution already include such mechanisms before COVID-19?</span></span></span></span></li> <li><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span><span><span>As a state of emergency or emergency decrees are temporary, what will happen to your COVID-19 monitoring mechanism in the long run? Has a long-term strategy been developed to ensure the continuity of surveillance of COVID-19 and research?</span></span></span></span></li> </ul> 28-Feb-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/30_REF_minutes_questions_1.pdf" type="application/pdf; length=189483" target="_blank">30_REF_minutes_questions_1.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/29th-rapid-exchange-forum-long-covid-management" hreflang="en">29th Rapid Exchange Forum: Long COVID management</a> <p><strong>Long COVID management</strong></p> <p><span><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span>Are there existing or planned processes for coordinated management of care for long COVID patients in your country?</span></span></span></span></span></span></p> <p><span><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span>If yes, please describe/share:</span></span></span></span></span></span></p> <ul> <li><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US">tools for (differential) diagnosis / symptom screening for clinicians?</span></span></span></span></li> <li><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US">standardised treatment pathways for long COVID patients?</span></span></span></span></li> <li><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US">patient information material about long COVID?</span></span></span></span></li> <li><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span><span><span>registries of long COVID patients?</span></span></span></span></li> </ul> 14-Feb-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/29_REF_minutes_questions.pdf" type="application/pdf; length=499724" target="_blank">29_REF_minutes_questions.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/28th-rapid-exchange-forum-green-pass-updates" hreflang="en">28th Rapid Exchange Forum: Green pass updates</a> <p><strong><span><span><span><span><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span>Overview of current national / international duration of âœvaccination passesâ / âœrecovered passesâ</span></span></span></span></span></span></strong></p> <p><span><span><span><span><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span>1. What is the duration of your digital certificates / vaccination passes on a national or international level (in case there is a difference)? </span></span></span></span></span></span></p> <p><span><span><span><span><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span>2. Please explain:</span></span></span></span></span></span></p> <ul> <li><span><span><span><span><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span>if there is any difference between the vaccine given (i.e. AZ/ Pfizer/ Moderna/ J&amp;J/ other)?</span></span></span></span></span></span></li> <li><span><span><span><span><span lang="EN-GB" xml:lang="EN-GB" xml:lang="EN-GB"><span>if there is any difference when persons are boostered or not?</span></span></span></span></span></span></li> </ul> 31-Jan-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/28_REF_minutes_questions.pdf" type="application/pdf; length=204949" target="_blank">28_REF_minutes_questions.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->
<a href="/rapid-exchange-forum/27th-rapid-exchange-forum-omicron-wave" hreflang="en">27th Rapid Exchange Forum: Omicron wave</a> <p><strong><span><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL"><span>Daily new infections are increasing at tremendous pace throughout Europe due to the Omicron variant</span></span></span></span></span></span></strong></p> <ul> <li><span><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL"><span>Are there any (further) containment measures (i.e. closure of businesses, closure of bars, closure of schools/kindergardens, restrictions in private or public gatherings, wearing nose-mouth masks indoor/outdoor) planned in your country? If yes, which measures? If not, please kindly explain reasons for not introducing any measures?</span></span></span></span></span></span></li> <li><span><span><span><span><span lang="NL" xml:lang="NL" xml:lang="NL"><span>If you are using risk classification systems to assess the current epidemiological risk in your country/its regions (âœtraffic lightâ systems): have you made or are you planning to make changes to them (indicators, thresholds)?</span></span></span></span></span></span></li> </ul> 17-Jan-2022 <!-- THEME DEBUG --> <!-- THEME HOOK: 'item_list' --> <!-- BEGIN OUTPUT from 'core/modules/system/templates/item-list.html.twig' --> <ul><li> <!-- THEME DEBUG --> <!-- THEME HOOK: 'document_link' --> <!-- BEGIN OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> <i class="far fa-file-pdf red"></i> <span class="file file--mime-application-pdf file--application-pdf"><a href="https://www.healthinformationportal.eu/sites/default/files/REF_Document/27_REF_minutes_questions.pdf" type="application/pdf; length=209727" target="_blank">27_REF_minutes_questions.pdf</a></span> <style> .far.green { color: green; } .far.red { color: red; } .far.blue { color: blue; } </style> <!-- END OUTPUT from 'modules/custom/document_format/templates/document-link.html.twig' --> </li></ul> <!-- END OUTPUT from 'core/modules/system/templates/item-list.html.twig' -->