ID
25571
Beschrijving
Muster 4 - Verordnung einer Krankenbeförderung (Freigabe: 01.09.2014) - 10.2014, 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 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
Link
Trefwoorden
Versies (6)
- 06-09-16 06-09-16 -
- 10-08-17 10-08-17 -
- 05-09-17 05-09-17 -
- 06-09-17 06-09-17 -
- 15-03-21 15-03-21 - Dr. rer. medic Philipp Neuhaus
- 20-09-21 20-09-21 -
Houder van rechten
KBV
Geüploaded op
6 september 2017
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
KBV Prescription of patient transport Template 4
KBV Prescription of patient transport Template 4
- StudyEvent: ODM
Beschrijving
Mitteilung von Krankheiten und drittverursachten Gesundheitsschäden gemäß § 294a SGB V
Beschrijving
Accident or consequences
Datatype
boolean
Alias
- UMLS CUI [1]
- C0000924
Beschrijving
Work related accident, occupational disease
Datatype
boolean
Alias
- UMLS CUI [1]
- C0745339
- UMLS CUI [2]
- C0028797
Beschrijving
Service-related injury
Datatype
boolean
Alias
- UMLS CUI [1]
- C3846158
Beschrijving
Other
Datatype
text
Alias
- UMLS CUI [1]
- C0205394
Beschrijving
1. Hauptleistung
Beschrijving
Hospitalization
Datatype
text
Alias
- UMLS CUI [1]
- C0019993
Beschrijving
Duration of hospital stay
Datatype
text
Alias
- UMLS CUI [1]
- C4019086
Beschrijving
Ambulatory surgery
Datatype
boolean
Alias
- UMLS CUI [1]
- C0002428
Beschrijving
Date of ambulatory surgery
Datatype
date
Maateenheden
- TTMMJJ
Alias
- UMLS CUI [1,1]
- C0002428
- UMLS CUI [1,2]
- C0011008
Beschrijving
Pre- or postoperative care related to ambulatory surgery
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0002428
- UMLS CUI [1,2]
- C0033061
- UMLS CUI [2,1]
- C0002428
- UMLS CUI [2,2]
- C0032786
Beschrijving
Treatment duration
Datatype
text
Alias
- UMLS CUI [1]
- C1531783
- UMLS CUI [2]
- C1531784
Beschrijving
Ambulatory Care Facilities
Datatype
integer
Alias
- UMLS CUI [1]
- C0002424
Beschrijving
Ambulatory Care Facilities
Datatype
text
Alias
- UMLS CUI [1]
- C0002424
Beschrijving
Reason for exceptional case
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0205212
- UMLS CUI [1,3]
- C0087111
Beschrijving
Reason for exceptional case
Datatype
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0205212
- UMLS CUI [1,3]
- C0087111
Beschrijving
Reason for exceptional case
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0518456
Beschrijving
Reason for exceptional case ICD 10
Datatype
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0518456
- UMLS CUI [1,3]
- C2598420
Beschrijving
Treatment frequency
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0439603
Beschrijving
Treatment frequency
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0439603
Beschrijving
Duration of treatment
Datatype
text
Alias
- UMLS CUI [1]
- C0444921
Beschrijving
Duration of serial prescription
Datatype
durationDatetime
Alias
- UMLS CUI [1,1]
- C0449238
- UMLS CUI [1,2]
- C0205341
- UMLS CUI [1,3]
- C0033080
Beschrijving
2. Beförderungsmittel
Beschrijving
Means of transport
Datatype
integer
Alias
- UMLS CUI [1]
- C0150390
Beschrijving
Means of transport
Datatype
text
Alias
- UMLS CUI [1]
- C0150390
Beschrijving
Reason for choice of transport
Datatype
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0566251
- UMLS CUI [2]
- C2598420
Beschrijving
Medical-technical equipment
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0014672
- UMLS CUI [1,2]
- C0150390
Beschrijving
Medical-technical equipment
Datatype
text
Alias
- UMLS CUI [1,1]
- C0014672
- UMLS CUI [1,2]
- C0150390
Beschrijving
Transport start
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0450429
Beschrijving
Transport start
Datatype
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0450429
Beschrijving
Transport destination
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0805885
Beschrijving
Transport destination
Datatype
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0805885
Beschrijving
Patient transport
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0150390
Beschrijving
Waiting time
Datatype
integer
Alias
- UMLS CUI [1]
- C0814636
Beschrijving
Multiple patients transport
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0439064
Beschrijving
Professional care required
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0018724
- UMLS CUI [1,2]
- C1514873
Beschrijving
Professional care required
Datatype
text
Alias
- UMLS CUI [1,1]
- C0018724
- UMLS CUI [1,2]
- C1514873
Beschrijving
Brieffuß
Beschrijving
Genehmigung der Krankenkasse
Beschrijving
Patient transport approval
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0205540
Beschrijving
Patient transport conditional approval
Datatype
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0205540
- UMLS CUI [1,3]
- C1701901
Beschrijving
Reason patient transport was denied
Datatype
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0150390
- UMLS CUI [1,3]
- C0332319
Beschrijving
Brieffuß
Beschrijving
Empfangsbestätigung durch den Versicherten
Beschrijving
Date of patient transport
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0150390
Beschrijving
Route
Datatype
text
Alias
- UMLS CUI [1]
- C0449444
Beschrijving
Patient Transport
Datatype
integer
Alias
- UMLS CUI [1]
- C0150390
Beschrijving
Die Krankenbeförderung wurde gemäß der obigen Empfangsbestätigung durchgeführt.
Datatype
text
Alias
- UMLS CUI [1,1]
- C1519316
- UMLS CUI [1,2]
- C0030705
Beschrijving
Date of exemption from co-payment
Datatype
date
Maateenheden
- TTMMJJ
Alias
- UMLS CUI [1,1]
- C0680272
- UMLS CUI [1,2]
- C2348482
Beschrijving
Signature of service provider
Datatype
text
Alias
- UMLS CUI [1]
- C1519316
Beschrijving
Date of signature
Datatype
date
Alias
- UMLS CUI [1]
- C0807937
Beschrijving
Abrechnungsdaten des Leistungserbringers
Beschrijving
Institution number
Datatype
text
Alias
- UMLS CUI [1]
- C0489558
Beschrijving
Co-payment amount
Datatype
float
Maateenheden
- €
Alias
- UMLS CUI [1]
- C2734948
Beschrijving
Total Gross
Datatype
float
Alias
- UMLS CUI [1]
- C0010186
Beschrijving
Account number
Datatype
text
Alias
- UMLS CUI [1]
- C1549676
Beschrijving
Billing code
Datatype
text
Alias
- UMLS CUI [1]
- C1547149
Beschrijving
Position
Datatype
integer
Alias
- UMLS CUI [1]
- C0439080
Beschrijving
Factor
Datatype
integer
Alias
- UMLS CUI [1]
- C1521761
Beschrijving
Distance
Datatype
integer
Maateenheden
- km
Alias
- UMLS CUI [1]
- C0012751
Beschrijving
Position
Datatype
integer
Alias
- UMLS CUI [1]
- C0439080
Beschrijving
Factor
Datatype
integer
Alias
- UMLS CUI [1]
- C1521761
Beschrijving
Distance
Datatype
integer
Maateenheden
- km
Alias
- UMLS CUI [1]
- C0012751
Beschrijving
Position
Datatype
integer
Alias
- UMLS CUI [1]
- C0439080
Beschrijving
Factor
Datatype
integer
Alias
- UMLS CUI [1]
- C1521761
Beschrijving
Distance
Datatype
integer
Maateenheden
- km
Alias
- UMLS CUI [1]
- C0012751
Beschrijving
Position
Datatype
integer
Alias
- UMLS CUI [1]
- C0439080
Beschrijving
Factor
Datatype
integer
Alias
- UMLS CUI [1]
- C1521761
Beschrijving
Distance
Datatype
integer
Maateenheden
- km
Alias
- UMLS CUI [1]
- C0012751
Similar models
KBV Prescription of patient transport Template 4
- StudyEvent: ODM
C0028797 (UMLS CUI [2])
C0011008 (UMLS CUI [1,2])
C0033061 (UMLS CUI [1,2])
C0002428 (UMLS CUI [2,1])
C0032786 (UMLS CUI [2,2])
C1531784 (UMLS CUI [2])
C0205212 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
C0205212 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
C0518456 (UMLS CUI [1,2])
C0518456 (UMLS CUI [1,2])
C2598420 (UMLS CUI [1,3])
C0439603 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,2])
C0205341 (UMLS CUI [1,2])
C0033080 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,2])
C2598420 (UMLS CUI [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])
C0150390 (UMLS CUI [1,2])
C0030705 (UMLS CUI [1,2])
C2348482 (UMLS CUI [1,2])