ID
25646
Beschrijving
Muster 70 - Behandlungsplan für Maßnahmen zur künstlichen Befruchtung gem. § 27a SGB V sowie der „Richtlinien über künstliche Befruchtung“ des Gemeinsamen Bundesausschusses für die hier genannten Ehegatten (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 70 - Treatment Plan (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
Trefwoorden
Versies (9)
- 03-01-17 03-01-17 -
- 03-01-17 03-01-17 -
- 03-01-17 03-01-17 -
- 28-01-17 28-01-17 -
- 19-08-17 19-08-17 -
- 07-09-17 07-09-17 -
- 08-09-17 08-09-17 -
- 08-09-17 08-09-17 -
- 08-09-17 08-09-17 -
Houder van rechten
KBV
Geüploaded op
8 september 2017
DOI
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Licentie
Creative Commons BY-NC 3.0
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KBV Treatment Plan In-vitro fertilization Template 70
KBV Treatment Plan In-vitro fertilization Template 70a
Beschrijving
Briefkopf Männlich
Beschrijving
Health Insurance name
Datatype
text
Alias
- UMLS CUI [1,1]
- C0021682
- UMLS CUI [1,2]
- C0086582
Beschrijving
Patient Name
Datatype
text
Alias
- UMLS CUI [1,1]
- C1299487
- UMLS CUI [1,2]
- C0086582
Beschrijving
Patient address
Datatype
text
Alias
- UMLS CUI [1,1]
- C0421449
- UMLS CUI [1,2]
- C0086582
Beschrijving
Patient Birth Date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0421451
- UMLS CUI [1,2]
- C0086582
Beschrijving
Insurance Company ID
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1547687
- UMLS CUI [1,2]
- C0086582
Beschrijving
Insurance number
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1549712
- UMLS CUI [1,2]
- C0086582
Beschrijving
Status
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0449438
- UMLS CUI [1,2]
- C0086582
Beschrijving
Facility ID
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1549700
- UMLS CUI [1,2]
- C0086582
Beschrijving
Physician ID
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1548646
- UMLS CUI [1,2]
- C0086582
Beschrijving
Date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0086582
Beschrijving
I Indikation(en)
Beschrijving
II Geplante Behandlungsmaßnahme
Beschrijving
Artificial insemination
Datatype
boolean
Alias
- UMLS CUI [1]
- C0021587
Beschrijving
insemination after hormonal stimulation
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0021587
- UMLS CUI [1,2]
- C2250373
Beschrijving
in-vitro-fertilization
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0015915
- UMLS CUI [1,2]
- C0013938
Beschrijving
Gamete Intrafallopian Transfer
Datatype
boolean
Alias
- UMLS CUI [1]
- C0016999
Beschrijving
Intracytoplasmic Sperm Injection
Datatype
boolean
Alias
- UMLS CUI [1]
- C0455164
Beschrijving
number and type of treatment
Datatype
text
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0021587
Beschrijving
III Kostenschätzung, a) Kosten für eimalig im Reproduktionsfall anfallende Leistungen
Beschrijving
physician service, male
Datatype
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0086582
Beschrijving
physician service , female
Datatype
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0086287
Beschrijving
overall medical costs, male
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0085552
- UMLS CUI [1,2]
- C0086582
Beschrijving
overall medical costs, female
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0085552
- UMLS CUI [1,2]
- C0086287
Beschrijving
administrative costs, male
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C1517106
- UMLS CUI [1,2]
- C0086582
Beschrijving
administrative costs, female
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C1517106
- UMLS CUI [1,2]
- C0086287
Beschrijving
overall treatment costs for single treatment, male
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0087112
- UMLS CUI [1,2]
- C0086582
Beschrijving
overall treatment costs for single treatment, female
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0087112
- UMLS CUI [1,2]
- C0086287
Beschrijving
location
Datatype
text
Alias
- UMLS CUI [1]
- C0450429
Beschrijving
date
Datatype
date
Alias
- UMLS CUI [1]
- C0011008
Beschrijving
III Kostenschätzung, b) Kosten pro Zyklusfall (ohne einmalig im Reproduktionsfall anfallende Leistungen)
Beschrijving
physician service , male
Datatype
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0086582
Beschrijving
physician service, female
Datatype
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0086287
Beschrijving
overall medical costs, male
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0085552
- UMLS CUI [1,2]
- C0086582
Beschrijving
overall medical costs, female
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0085552
- UMLS CUI [1,2]
- C0086287
Beschrijving
Drug costs, male
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0085123
- UMLS CUI [1,2]
- C0086582
Beschrijving
Drug costs, female
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0085123
- UMLS CUI [1,2]
- C0086287
Beschrijving
administrative costs, male
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C1517106
- UMLS CUI [1,2]
- C0086582
Beschrijving
administrative costs, female
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C1517106
- UMLS CUI [1,2]
- C0086287
Beschrijving
overall treatment costs per cycle, male
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0087112
- UMLS CUI [1,2]
- C0086582
Beschrijving
overall treatment costs per cycle, female
Datatype
float
Maateenheden
- Euro
Alias
- UMLS CUI [1,1]
- C0087112
- UMLS CUI [1,2]
- C0086287
Beschrijving
IV Genehmigung durch die Krankenkasse(n), männlich
Beschrijving
Insurance authorization
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0376629
- UMLS CUI [1,2]
- C0449788
- UMLS CUI [1,3]
- C0021587
- UMLS CUI [1,4]
- C0086582
Beschrijving
(separate Begründung anbei)
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0376629
- UMLS CUI [1,2]
- C0086582
Beschrijving
location
Datatype
text
Alias
- UMLS CUI [1]
- C0450429
Beschrijving
date
Datatype
date
Alias
- UMLS CUI [1]
- C0011008
Beschrijving
IV Genehmigung durch die Krankenkasse(n), weiblich
Beschrijving
insurance authorization
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0376629
- UMLS CUI [1,2]
- C0449788
- UMLS CUI [1,3]
- C0021587
- UMLS CUI [1,4]
- C0086287
Beschrijving
(separate Begründung anbei)
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0376629
- UMLS CUI [1,2]
- C0086287
Beschrijving
location
Datatype
text
Alias
- UMLS CUI [1]
- C0450429
Beschrijving
date
Datatype
date
Alias
- UMLS CUI [1]
- C0011008
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KBV Treatment Plan In-vitro fertilization Template 70a
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C0086287 (UMLS CUI [1,4])
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