ID

19967

Description

Muster 27 - Soziotherapeutischer Betreuungsplan gem. § 37a SGB V(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 27 - Social Therapy Planning (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

www.kbv.de

Keywords

  1. 2/1/17 2/1/17 -
  2. 8/16/17 8/16/17 -
  3. 9/7/17 9/7/17 -
Uploaded on

February 1, 2017

DOI

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License

Creative Commons BY-NC 3.0

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KBV Social Therapy Planning Template 27

KBV Social Therapy Planning Template 27

Briefkopf
Description

Briefkopf

Name der Krankenversicherung
Description

Health Insurance name

Data type

text

Alias
UMLS CUI [1]
C0021682
Nachname
Description

Patient surname

Data type

text

Alias
UMLS CUI [1]
C0421448
Patientenname
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Adresse des Patienten
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Patient Geburtsdatum
Description

Patient Birth Date

Data type

date

Alias
UMLS CUI [1]
C0421451
Kostenträgerkennung
Description

Insurance ID

Data type

integer

Alias
UMLS CUI [1]
C1547687
Versichertennummer
Description

Insurance number

Data type

integer

Alias
UMLS CUI [1]
C1549712
Status
Description

Status

Data type

integer

Alias
UMLS CUI [1]
C0449438
Betriebsstättennummer
Description

Facility number

Data type

integer

Alias
UMLS CUI [1]
C1549700
Arzt- Nr.
Description

Physician ID number

Data type

integer

Alias
UMLS CUI [1]
C1548646
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Soziotherapeutischer Betreuungsplan
Description

Soziotherapeutischer Betreuungsplan

IK des Leistungserbringers
Description

Institution number

Data type

text

Alias
UMLS CUI [1]
C0489558
Therapieziele (Nah- und Fernziele definieren)
Description

Therapy goal

Data type

text

Alias
UMLS CUI [1]
C0679840
Verordnete und empfohlene Maßnahmen, deren Inanspruchnahme zu koordinieren ist
Description

Verordnete und empfohlene Maßnahmen, deren Inanspruchnahme zu koordinieren ist

measures
Description

measures

Data type

text

Alias
UMLS CUI [1]
C0087111
Durchführung der soziotherapeutischen Maßnahmen
Description

Durchführung der soziotherapeutischen Maßnahmen

Art der Maßnahmen
Description

type of therapy

Data type

text

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0087111
Frequenz pro Woche / Monat
Description

therapy frequency

Data type

text

Alias
UMLS CUI [1,1]
C0439603
UMLS CUI [1,2]
C0087111
Zeitraum
Description

therapy period

Data type

text

Alias
UMLS CUI [1,1]
C1948053
UMLS CUI [1,2]
C0087111
Signature
Description

Signature

Ausstellungsdatum
Description

Date of completion

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0850287
Datum
Description

Signature date investigator

Data type

date

Measurement units
  • TT-MM-JJ
Alias
UMLS CUI [1,1]
C0807937
UMLS CUI [1,2]
C2346576
TT-MM-JJ
Datum
Description

Signature date patient

Data type

date

Measurement units
  • TT-MM-JJ
Alias
UMLS CUI [1,1]
C0807937
UMLS CUI [1,2]
C0030705
TT-MM-JJ

Similar models

KBV Social Therapy Planning Template 27

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Briefkopf
Health Insurance name
Item
Name der Krankenversicherung
text
C0021682 (UMLS CUI [1])
Patient surname
Item
Nachname
text
C0421448 (UMLS CUI [1])
Patient Name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Patient address
Item
Adresse des Patienten
text
C0421449 (UMLS CUI [1])
Patient Birth Date
Item
Patient Geburtsdatum
date
C0421451 (UMLS CUI [1])
Insurance ID
Item
Kostenträgerkennung
integer
C1547687 (UMLS CUI [1])
Insurance number
Item
Versichertennummer
integer
C1549712 (UMLS CUI [1])
Status
Item
Status
integer
C0449438 (UMLS CUI [1])
Facility number
Item
Betriebsstättennummer
integer
C1549700 (UMLS CUI [1])
Physician ID number
Item
Arzt- Nr.
integer
C1548646 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Item Group
Soziotherapeutischer Betreuungsplan
Institution number
Item
IK des Leistungserbringers
text
C0489558 (UMLS CUI [1])
Therapy goal
Item
Therapieziele (Nah- und Fernziele definieren)
text
C0679840 (UMLS CUI [1])
Item Group
Verordnete und empfohlene Maßnahmen, deren Inanspruchnahme zu koordinieren ist
measures
Item
text
C0087111 (UMLS CUI [1])
Item Group
Durchführung der soziotherapeutischen Maßnahmen
type of therapy
Item
Art der Maßnahmen
text
C0332307 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
therapy frequency
Item
Frequenz pro Woche / Monat
text
C0439603 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
therapy period
Item
Zeitraum
text
C1948053 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Item Group
Date of completion
Item
Ausstellungsdatum
date
C0011008 (UMLS CUI [1,1])
C0850287 (UMLS CUI [1,2])
Signature date investigator
Item
Datum
date
C0807937 (UMLS CUI [1,1])
C2346576 (UMLS CUI [1,2])
Signature date patient
Item
Datum
date
C0807937 (UMLS CUI [1,1])
C0030705 (UMLS CUI [1,2])

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