ID
17307
Description
Formulare für die vertragsärztliche Versorgung Freigabe durch Dezernat 4 - Ärztliche Leistungen und Versorgungsstruktur Geschäftsbereich Sicherstellung und Versorgungsstruktur Abteilung Sicherstellung Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Quelle: http://www.kbv.de/html/formulare.php Forms for contract medical care Released by Department 4 - Medical treatment and structure of supply, division ensurance and structure of supply, department ensurance Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Source: http://www.kbv.de/html/formulare.php
Lien
Mots-clés
Versions (6)
- 06/09/2016 06/09/2016 -
- 10/08/2017 10/08/2017 -
- 05/09/2017 05/09/2017 -
- 06/09/2017 06/09/2017 -
- 15/03/2021 15/03/2021 - Dr. rer. medic Philipp Neuhaus
- 20/09/2021 20/09/2021 -
Détendeur de droits
Kassenärztliche Bundesvereinigung
Téléchargé le
6 septembre 2016
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC 3.0
Modèle Commentaires :
Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.
Groupe Item commentaires pour :
Item commentaires pour :
Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.
KBV Prescription of patient transport Template 4
Prescription of patient transport
- StudyEvent: ODM
Description
Mitteilung von Krankheiten und drittverursachten Gesundheitsschäden gemäß § 294a SGB V
Description
Accident; Sequelae of accident
Type de données
boolean
Alias
- UMLS CUI [1]
- C0029484
- UMLS CUI [2,1]
- C0243088
- UMLS CUI [2,2]
- C0000924
Description
Work related accident; occupational disease
Type de données
boolean
Alias
- UMLS CUI [1]
- C0277719
- UMLS CUI [2]
- C0028797
Description
War-injuries, vaccination damage
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C4042938
- UMLS CUI [1,2]
- C2609236
Description
Other
Type de données
text
Alias
- UMLS CUI [1]
- C0205394
Description
Hauptleistung
Description
Hospitalization
Type de données
integer
Alias
- UMLS CUI [1]
- C0019993
Description
Duration of hospital stay
Type de données
text
Alias
- UMLS CUI [1]
- C4019086
Description
Ambulatory surgery
Type de données
boolean
Alias
- UMLS CUI [1]
- C0002428
Description
Date of ambulatory surgery
Type de données
date
Alias
- UMLS CUI [1,1]
- C0002428
- UMLS CUI [1,2]
- C0011008
Description
Pre- or postoperative care related to ambulatory surgery
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0002428
- UMLS CUI [1,2]
- C0033061
- UMLS CUI [1,3]
- C0032786
Description
Treatment duration
Type de données
text
Alias
- UMLS CUI [1]
- C1531783
- UMLS CUI [2]
- C1531784
Description
Von der Krankenkasse zu genehmigen
Type de données
integer
Alias
- UMLS CUI [1]
- C0002424
Description
Von der Krankenkasse zu genehmigen
Type de données
text
Alias
- UMLS CUI [1]
- C0002424
Description
Reason for exceptional case
Type de données
integer
Alias
- UMLS CUI [1]
- C1705847
Description
Reason for exceptional case
Type de données
text
Alias
- UMLS CUI [1]
- C1705847
Description
Reason for exceptional case
Type de données
integer
Alias
- UMLS CUI [1]
- C1705847
Description
Reason for exceptional case
Type de données
text
Alias
- UMLS CUI [1]
- C1705847
Description
Treatment frequency
Type de données
integer
Alias
- UMLS CUI [1]
- C0422341
Description
Treatment frequency
Type de données
integer
Alias
- UMLS CUI [1]
- C0422341
Description
Duration of treatment
Type de données
text
Alias
- UMLS CUI [1]
- C0444921
Description
Duration of serial prescription
Type de données
durationDatetime
Alias
- UMLS CUI [1,1]
- C0449238
- UMLS CUI [1,2]
- C0205341
- UMLS CUI [1,3]
- C0033080
Description
Beförderungsmittel
Description
Means of transport
Type de données
integer
Alias
- UMLS CUI [1]
- C0150390
Description
Means of transport
Type de données
text
Alias
- UMLS CUI [1]
- C0150390
Description
Reason for choice of transport
Type de données
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0566251
Description
Medical-technical equipment
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0014672
- UMLS CUI [1,2]
- C0150390
Description
Medical-technical equipment
Type de données
text
Alias
- UMLS CUI [1,1]
- C0014672
- UMLS CUI [1,2]
- C0150390
Description
Transport start
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0450429
Description
Transport start
Type de données
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0450429
Description
Transport destination
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0805885
Description
Transport destination
Type de données
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0805885
Description
Patient transport
Type de données
integer
Alias
- UMLS CUI [1]
- C0150390
Description
Waiting time
Type de données
integer
Alias
- UMLS CUI [1]
- C0814636
Description
Multiple patients transport
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0439064
Description
Professional care required
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0018724
- UMLS CUI [1,2]
- C1514873
Description
Professional care required
Type de données
text
Alias
- UMLS CUI [1,1]
- C0018724
- UMLS CUI [1,2]
- C1514873
Description
Physician Stamp and signature
Type de données
text
Alias
- UMLS CUI [1]
- C1519316
Description
Genehmigung der Krankenkasse
Description
Patient transport approval
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0205540
Description
Patient transport conditional approval
Type de données
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0205540
- UMLS CUI [1,3]
- C1701901
Description
Reason patient transport was denied
Type de données
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0150390
- UMLS CUI [1,3]
- C0332319
Description
Health Insurance stamp and signature
Type de données
text
Alias
- UMLS CUI [1]
- C1519316
Description
Empfangsbestätigung durch den Versicherten
Description
Bitte jede Fahrt durch den Versicherten quittieren lassen.
Type de données
date
Alias
- UMLS CUI [1]
- C0011008
Description
Route
Type de données
text
Alias
- UMLS CUI [1]
- C0449444
Description
Patient Transport
Type de données
integer
Alias
- UMLS CUI [1]
- C0150390
Description
Ich bestätige die Durchführung der Fahrt
Type de données
text
Alias
- UMLS CUI [1,1]
- C1519316
- UMLS CUI [1,2]
- C0030705
Description
Date of exemption from co-payment
Type de données
date
Alias
- UMLS CUI [1,1]
- C0680272
- UMLS CUI [1,2]
- C2348482
Description
Signature of service provider
Type de données
text
Alias
- UMLS CUI [1]
- C1519316
Description
Date of signature
Type de données
date
Alias
- UMLS CUI [1]
- C0807937
Description
Abrechnungsdaten des Leistungserbringers
Description
Institution label of the service provider
Type de données
text
Alias
- UMLS CUI [1,1]
- C2607850
- UMLS CUI [1,2]
- C0181496
- UMLS CUI [1,3]
- C3843883
Description
Co-payment amount
Type de données
float
Unités de mesure
- €
Alias
- UMLS CUI [1]
- C2734948
Description
Total Gross
Type de données
float
Description
Account number
Type de données
text
Alias
- UMLS CUI [1]
- C1549676
Description
Billing code
Type de données
text
Alias
- UMLS CUI [1]
- C1547149
Description
Position
Type de données
integer
Alias
- UMLS CUI [1]
- C0439080
Description
Factor
Type de données
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Type de données
integer
Unités de mesure
- km
Alias
- UMLS CUI [1]
- C0012751
Description
Position
Type de données
integer
Alias
- UMLS CUI [1]
- C0439080
Description
Factor
Type de données
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Type de données
integer
Unités de mesure
- km
Alias
- UMLS CUI [1]
- C0012751
Description
Position
Type de données
integer
Alias
- UMLS CUI [1]
- C0439080
Description
Factor
Type de données
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Type de données
integer
Unités de mesure
- km
Alias
- UMLS CUI [1]
- C0012751
Description
Position
Type de données
integer
Alias
- UMLS CUI [1]
- C0439080
Description
Factor
Type de données
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Type de données
integer
Unités de mesure
- km
Alias
- UMLS CUI [1]
- C0012751
Similar models
Prescription of patient transport
- StudyEvent: ODM
C0243088 (UMLS CUI [2,1])
C0000924 (UMLS CUI [2,2])
C0028797 (UMLS CUI [2])
C2609236 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0033061 (UMLS CUI [1,2])
C0032786 (UMLS CUI [1,3])
C1531784 (UMLS CUI [2])
C0205341 (UMLS CUI [1,2])
C0033080 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,2])
C0150390 (UMLS CUI [1,2])
C0150390 (UMLS CUI [1,2])
C0450429 (UMLS CUI [1,2])
C0805885 (UMLS CUI [1,2])
C0805885 (UMLS CUI [1,2])
C0439064 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,2])
C0205540 (UMLS CUI [1,2])
C0205540 (UMLS CUI [1,2])
C1701901 (UMLS CUI [1,3])
C0150390 (UMLS CUI [1,2])
C0332319 (UMLS CUI [1,3])
C0030705 (UMLS CUI [1,2])
C2348482 (UMLS CUI [1,2])
C0181496 (UMLS CUI [1,2])
C3843883 (UMLS CUI [1,3])