ID
25607
Description
Muster 26 - Verordnung Soziotherapie gemäß § 37a SGB V(Freigabe 01.09.2014). 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 --- Template 26 - Social Therapy Prescription (Released 09-01-2014). 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
Link
Keywords
Versions (4)
- 2/1/17 2/1/17 -
- 2/2/17 2/2/17 -
- 8/16/17 8/16/17 -
- 9/7/17 9/7/17 -
Copyright Holder
Kassenärztliche Bundesvereinigung
Uploaded on
September 7, 2017
DOI
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License
Creative Commons BY-NC 3.0
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KBV Social Therapy Prescription Template 26
KBV Social Therapy Prescription Template 26a
Description
Erkrankung
Description
Diagnosis
Data type
text
Alias
- UMLS CUI [1]
- C2598420
Description
diagnosis severity
Data type
text
Alias
- UMLS CUI [1]
- C0561904
Description
diagnosis date
Data type
date
Alias
- UMLS CUI [1]
- C2316983
Description
impairment manifestation
Data type
text
Alias
- UMLS CUI [1,1]
- C1280464
- UMLS CUI [1,2]
- C0684336
Description
type and duration of hospitalization in the past 10 years
Data type
text
Alias
- UMLS CUI [1]
- C0023303
Description
Anschrift und Telefonnummer des Versicherten
Description
Gesetzlicher Betreuer
Description
Name, Anschrift und Telefonnummer des Betreuers,
Description
Legal Guardian name
Data type
text
Alias
- UMLS CUI [1,1]
- C0023226
- UMLS CUI [1,2]
- C0027365
Description
Legal Guardian street
Data type
text
Alias
- UMLS CUI [1,1]
- C0023226
- UMLS CUI [1,2]
- C1301826
Description
Legal Guardian postal code
Data type
text
Alias
- UMLS CUI [1,1]
- C0023226
- UMLS CUI [1,2]
- C1514254
Description
Legal Guardian city
Data type
text
Alias
- UMLS CUI [1,1]
- C0023226
- UMLS CUI [1,2]
- C2316883
Description
Legal Guardian telephone number
Data type
integer
Alias
- UMLS CUI [1,1]
- C0023226
- UMLS CUI [1,2]
- C1515258
Description
Name, Anschrift und Telefonnummer des nächsten Angehörigen
Description
relative name
Data type
text
Alias
- UMLS CUI [1,1]
- C0080103
- UMLS CUI [1,2]
- C0027365
Description
relative street
Data type
text
Alias
- UMLS CUI [1,1]
- C0080103
- UMLS CUI [1,2]
- C1301826
Description
relative postal code
Data type
text
Alias
- UMLS CUI [1,1]
- C0080103
- UMLS CUI [1,2]
- C1514254
Description
relative city
Data type
text
Alias
- UMLS CUI [1,1]
- C0080103
- UMLS CUI [1,2]
- C2316883
Description
relative telephone number
Data type
integer
Alias
- UMLS CUI [1,1]
- C0080103
- UMLS CUI [1,2]
- C1515258
Description
Umgebung
Description
type of living
Data type
text
Alias
- UMLS CUI [1]
- C0337645
Description
planned therapy units
Data type
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C1301732
- UMLS CUI [1,3]
- C0449788
Description
requested therapy units
Data type
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C1272683
- UMLS CUI [1,3]
- C0449788
Description
planned treatment duration
Data type
text
Alias
- UMLS CUI [1]
- C0444921
Description
sercvices performed
Data type
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0884358
- UMLS CUI [1,3]
- C0449788
Description
Prognose
Description
prognosis
Data type
text
Alias
- UMLS CUI [1]
- C0033325
Description
inpatient treatment
Data type
integer
Alias
- UMLS CUI [1]
- C0019993
Description
Der soziotherapeutische Betreuungsplan ist beigefügt
Data type
text
Alias
- UMLS CUI [1,1]
- C0019993
- UMLS CUI [1,2]
- C0087111
- UMLS CUI [1,3]
- C0566251
Description
Brieffuß
Similar models
KBV Social Therapy Prescription Template 26a
C0684336 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,2])
C0027365 (UMLS CUI [1,2])
C1301826 (UMLS CUI [1,2])
C1514254 (UMLS CUI [1,2])
C2316883 (UMLS CUI [1,2])
C1515258 (UMLS CUI [1,2])
C0027365 (UMLS CUI [1,2])
C1301826 (UMLS CUI [1,2])
C1514254 (UMLS CUI [1,2])
C2316883 (UMLS CUI [1,2])
C1515258 (UMLS CUI [1,2])
C1301732 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
C1272683 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
C0884358 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
C0087111 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,3])