ID
19350
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
Link
Keywords
Versions (2)
- 12/20/16 12/20/16 -
- 9/6/17 9/6/17 -
Copyright Holder
Kassenärztliche Bundesvereinigung
Uploaded on
December 20, 2016
DOI
To request one please log in.
License
Creative Commons BY-NC 3.0
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
KBV Prescription for magnifying visual aid Template 8A
KBV Prescription for magnifying aid; Template 8A
- StudyEvent: ODM
Description
Indikation der Verordnung
Description
Findings: Best correction of distance vision of right eye
Data type
integer
Alias
- UMLS CUI [1,1]
- C0442747
- UMLS CUI [1,2]
- C1275679
Description
Findings: Best correction of distance vision of left eye
Data type
integer
Alias
- UMLS CUI [1,1]
- C0442747
- UMLS CUI [1,2]
- C1301507
Description
Need of magnification
Data type
integer
Alias
- UMLS CUI [1,1]
- C0587921
- UMLS CUI [1,2]
- C0686904
Description
Initial supply
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1279901
- UMLS CUI [1,2]
- C0419274
Description
Follow up supply
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0420316
- UMLS CUI [1,2]
- C1561604
Description
Accident and sequelae
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0000924
- UMLS CUI [1,2]
- C0243088
Description
War-injuries, vaccination damage
Data type
boolean
Alias
- UMLS CUI [1,1]
- C4042938
- UMLS CUI [1,2]
- C2609236
Description
Vision impairment
Data type
boolean
Alias
- UMLS CUI [1]
- C1456582
Description
Vision impairment
Data type
integer
Alias
- UMLS CUI [1]
- C1456582
Description
Repair
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1705181
- UMLS CUI [1,2]
- C0183277
Description
Replacement
Data type
boolean
Alias
- UMLS CUI [1]
- C0559956
Description
Number and type of prescription
Data type
text
Alias
- UMLS CUI [1,1]
- C1273860
- UMLS CUI [1,2]
- C0449788
Description
Diagnosis
Data type
text
Alias
- UMLS CUI [1]
- C0011900
Description
Refraktion
Description
Sphere right eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0947331
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0442747
Description
Sphere left eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0947331
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0442747
Description
Sphere right eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0947331
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0429541
Description
Sphere left eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0947331
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0429541
Description
Cylinder right eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0946265
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0442747
Description
Cylinder left eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0946265
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0442747
Description
Cylinder right eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0946265
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0429541
Description
Cylinder left eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0946265
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0429541
Description
Axis right eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0946264
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0442747
Description
Axis left eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0946264
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0442747
Description
Axis right eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0946264
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0429541
Description
Axis left eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0946264
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0429541
Description
Prisma right eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C1720258
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0442747
Description
Prisma left eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C1720258
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0442747
Description
Prisma right eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C1720258
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0429541
Description
Prisma left eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C1720258
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0429541
Description
Base right eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0549196
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0442747
Description
Base left eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0549196
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0442747
Description
Base right eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0549196
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0429541
Description
Base left eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0549196
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0429541
Description
Vertex distance right eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0429591
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0442747
Description
Vertex distance left eye distance vision
Data type
integer
Alias
- UMLS CUI [1,1]
- C0429591
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0442747
Description
Vertex distance right eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0429591
- UMLS CUI [1,2]
- C0229089
- UMLS CUI [1,3]
- C0429541
Description
Vertex distance left eye Near visual acuity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0429591
- UMLS CUI [1,2]
- C0229090
- UMLS CUI [1,3]
- C0429541
Description
Right eye
Data type
integer
Measurement units
- Grad
Alias
- UMLS CUI [1]
- C0229089
Description
Left eye
Data type
integer
Measurement units
- Grad
Alias
- UMLS CUI [1]
- C0229090
Description
Kostenrechnung
Description
Medical aid number
Data type
integer
Alias
- UMLS CUI [1,1]
- C4035891
- UMLS CUI [1,2]
- C0600091
Description
Sum in Euro
Data type
float
Alias
- UMLS CUI [1,1]
- C1515051
- UMLS CUI [1,2]
- C1533125
Description
Total sum
Data type
float
Alias
- UMLS CUI [1,1]
- C0439810
- UMLS CUI [1,2]
- C1533125
Description
Signature
Data type
text
Alias
- UMLS CUI [1]
- C1519316
Description
Erklärung des Versicherten
Description
Statement of first supply
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1710187
- UMLS CUI [1,2]
- C1279901
- UMLS CUI [1,3]
- C0243163
Description
Statement of loss
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1710187
- UMLS CUI [1,2]
- C1517945
Description
Date
Data type
date
Alias
- UMLS CUI [1]
- C0011008
Description
signature of insured
Data type
text
Alias
- UMLS CUI [1]
- C1519316
Description
Entscheidung der Krankenkasse
Description
Benefits
Data type
boolean
Alias
- UMLS CUI [1]
- C0021674
Description
Benefits
Data type
float
Alias
- UMLS CUI [1]
- C0021674
Description
Date
Data type
date
Alias
- UMLS CUI [1]
- C0011008
Description
Signature
Data type
text
Alias
- UMLS CUI [1]
- C1519316
Description
Please Note
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
Empfangsbestätigung
Description
Bescheinigung des Leistungserbringers
Description
Equivalent with prescription
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205163
- UMLS CUI [1,2]
- C0419275
Description
Date
Data type
date
Alias
- UMLS CUI [1]
- C0011008
Description
Signature
Data type
text
Alias
- UMLS CUI [1]
- C1519316
Similar models
KBV Prescription for magnifying aid; Template 8A
- StudyEvent: ODM
C0600091 (UMLS CUI [1,2])
C1275679 (UMLS CUI [1,2])
C1301507 (UMLS CUI [1,2])
C0686904 (UMLS CUI [1,2])
C0419274 (UMLS CUI [1,2])
C1561604 (UMLS CUI [1,2])
C0243088 (UMLS CUI [1,2])
C2609236 (UMLS CUI [1,2])
C0183277 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0229089 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0442747 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,2])
C0429541 (UMLS CUI [1,3])
C0600091 (UMLS CUI [1,2])
C1533125 (UMLS CUI [1,2])
C1533125 (UMLS CUI [1,2])
C1279901 (UMLS CUI [1,2])
C0243163 (UMLS CUI [1,3])
C1517945 (UMLS CUI [1,2])
C0419275 (UMLS CUI [1,2])