ID
25648
Beschreibung
Muster 70A - Folge-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). 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 70A - Subsequent 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
Stichworte
Versionen (6)
- 03.01.17 03.01.17 -
- 28.01.17 28.01.17 -
- 28.01.17 28.01.17 -
- 19.08.17 19.08.17 -
- 07.09.17 07.09.17 -
- 08.09.17 08.09.17 -
Rechteinhaber
Kassenärztliche Bundesvereinigung
Hochgeladen am
8. September 2017
DOI
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Lizenz
Creative Commons BY-NC 3.0
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KBV Follow-Up Treatment Plan In-vitro fertilization Template 70A
KBV Follow-Up Treatment Plan In-vitro fertilization Template 70Aa
Beschreibung
Briefkopf Männlich
Beschreibung
Health Insurance name
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0021682
- UMLS CUI [1,2]
- C0086582
Beschreibung
Patient Name
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1299487
- UMLS CUI [1,2]
- C0086582
Beschreibung
Patient address
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0421449
- UMLS CUI [1,2]
- C0086582
Beschreibung
Patient Birth Date
Datentyp
date
Alias
- UMLS CUI [1,1]
- C0421451
- UMLS CUI [1,2]
- C0086582
Beschreibung
Insurance Company ID
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1547687
- UMLS CUI [1,2]
- C0086582
Beschreibung
Insurance number
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1549712
- UMLS CUI [1,2]
- C0086582
Beschreibung
Status
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0449438
- UMLS CUI [1,2]
- C0086582
Beschreibung
Facility ID
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1549700
- UMLS CUI [1,2]
- C0086582
Beschreibung
Physician ID
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1548646
- UMLS CUI [1,2]
- C0086582
Beschreibung
Date
Datentyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0086582
Beschreibung
Folge-Behandlungsplan
Beschreibung
Date previous treatment plan
Datentyp
date
Maßeinheiten
- TTMMJJ
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0599880
Beschreibung
I Indikation(en)
Beschreibung
II Geplante Behandlungsmaßnahme
Beschreibung
Artificial insemination
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0021587
Beschreibung
insemination after hormonal stimulation
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0021587
- UMLS CUI [1,2]
- C2250373
Beschreibung
in-vitro-fertilization
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0015915
- UMLS CUI [1,2]
- C0013938
Beschreibung
Gamete Intrafallopian Transfer
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0016999
Beschreibung
Intracytoplasmic Sperm Injection
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0455164
Beschreibung
number and type of treatment
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0021587
Beschreibung
III Kostenschätzung, a) Kosten für eimalig im Reproduktionsfall anfallende Leistungen
Beschreibung
physician service, male
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0086582
Beschreibung
physician service , female
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0086287
Beschreibung
overall medical costs, male
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0085552
- UMLS CUI [1,2]
- C0086582
Beschreibung
overall medical costs, female
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0085552
- UMLS CUI [1,2]
- C0086287
Beschreibung
administrative costs, male
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C1517106
- UMLS CUI [1,2]
- C0086582
Beschreibung
administrative costs, female
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C1517106
- UMLS CUI [1,2]
- C0086287
Beschreibung
overall treatment costs for single treatment, male
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0087112
- UMLS CUI [1,2]
- C0086582
Beschreibung
overall treatment costs for single treatment, female
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0087112
- UMLS CUI [1,2]
- C0086287
Beschreibung
location
Datentyp
text
Alias
- UMLS CUI [1]
- C0450429
Beschreibung
date
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
III Kostenschätzung, b) Kosten pro Zyklusfall (ohne einmalig im Reproduktionsfall anfallende Leistungen)
Beschreibung
physician service , male
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0086582
Beschreibung
physician service, female
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0086287
Beschreibung
overall medical costs, male
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0085552
- UMLS CUI [1,2]
- C0086582
Beschreibung
overall medical costs, female
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0085552
- UMLS CUI [1,2]
- C0086287
Beschreibung
Drug costs, male
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0085123
- UMLS CUI [1,2]
- C0086582
Beschreibung
Drug costs, female
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0085123
- UMLS CUI [1,2]
- C0086287
Beschreibung
administrative costs, male
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C1517106
- UMLS CUI [1,2]
- C0086582
Beschreibung
administrative costs, female
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C1517106
- UMLS CUI [1,2]
- C0086287
Beschreibung
overall treatment costs per cycle, male
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0087112
- UMLS CUI [1,2]
- C0086582
Beschreibung
overall treatment costs per cycle, female
Datentyp
float
Maßeinheiten
- Euro
Alias
- UMLS CUI [1,1]
- C0087112
- UMLS CUI [1,2]
- C0086287
Beschreibung
IV Genehmigung durch die Krankenkasse(n), männlich
Beschreibung
Insurance authorization
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0376629
- UMLS CUI [1,2]
- C0449788
- UMLS CUI [1,3]
- C0021587
- UMLS CUI [1,4]
- C0086582
Beschreibung
(separate Begründung anbei)
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0376629
- UMLS CUI [1,2]
- C0086582
Beschreibung
location
Datentyp
text
Alias
- UMLS CUI [1]
- C0450429
Beschreibung
date
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
IV Genehmigung durch die Krankenkasse(n), weiblich
Beschreibung
insurance authorization
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0376629
- UMLS CUI [1,2]
- C0449788
- UMLS CUI [1,3]
- C0021587
- UMLS CUI [1,4]
- C0086287
Beschreibung
(separate Begründung anbei)
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0376629
- UMLS CUI [1,2]
- C0086287
Beschreibung
location
Datentyp
text
Alias
- UMLS CUI [1]
- C0450429
Beschreibung
date
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Ähnliche Modelle
KBV Follow-Up Treatment Plan In-vitro fertilization Template 70Aa
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0599880 (UMLS CUI [1,2])
C2250373 (UMLS CUI [1,2])
C0013938 (UMLS CUI [1,2])
C0021587 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0086582 (UMLS CUI [1,2])
C0086287 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0021587 (UMLS CUI [1,3])
C0086582 (UMLS CUI [1,4])
C0086582 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0021587 (UMLS CUI [1,3])
C0086287 (UMLS CUI [1,4])
C0086287 (UMLS CUI [1,2])