ID
17199
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)
- 8/30/16 8/30/16 -
- 8/31/16 8/31/16 -
Uploaded on
August 31, 2016
DOI
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License
Creative Commons BY-NC 3.0
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Health insurance request for evaluation of application for psychotherapy
Health insurance request for evaluation of application for psychotherapy
Description
Art der Therapie
Description
Psychotherapy type
Data type
integer
Alias
- UMLS CUI [1,1]
- C0033968
- UMLS CUI [1,2]
- C0332307
Description
Date of application brief psychotherapy
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0033970
Description
Name of assessor of first application for psychotherapy
Data type
text
Alias
- UMLS CUI [1,1]
- C0401804
- UMLS CUI [1,2]
- C1285170
Description
Date of first expert opinion
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0600219
Description
Ergänzende Angaben über den Patienten
Description
Unfit for work start date
Data type
date
Alias
- UMLS CUI [1,1]
- C0425098
- UMLS CUI [1,2]
- C0808070
Description
Unfit for work end date
Data type
date
Alias
- UMLS CUI [1,1]
- C0425098
- UMLS CUI [1,2]
- C0806020
Description
Unfit for work Diagnosis
Data type
text
Alias
- UMLS CUI [1,1]
- C0425098
- UMLS CUI [1,2]
- C0011900
Description
Hospitalization during the last 5 years start date
Data type
date
Alias
- UMLS CUI [1,1]
- C0019993
- UMLS CUI [1,2]
- C0808070
Description
Hospitalization during the last 5 years end date
Data type
date
Alias
- UMLS CUI [1,1]
- C0019993
- UMLS CUI [1,2]
- C0806020
Description
Hospitalization during the last 5 years facility name
Data type
text
Alias
- UMLS CUI [1,1]
- C0019993
- UMLS CUI [1,2]
- C3261404
Description
Rehabilitation during the last 5 years start date
Data type
date
Alias
- UMLS CUI [1,1]
- C0034991
- UMLS CUI [1,2]
- C0808070
Description
Rehabilitation during the last 5 years end date
Data type
date
Alias
- UMLS CUI [1,1]
- C0034991
- UMLS CUI [1,2]
- C0806020
Description
Rehabilitation diagnosis
Data type
text
Alias
- UMLS CUI [1]
- C0943249
Description
Health resort
Data type
text
Alias
- UMLS CUI [1]
- C0018740
Description
Healthcare payer
Data type
text
Alias
- UMLS CUI [1]
- C2348942
Description
Date of signature
Data type
date
Alias
- UMLS CUI [1]
- C0807937
Description
Signature
Data type
text
Alias
- UMLS CUI [1]
- C1519316
Similar models
Health insurance request for evaluation of application for psychotherapy
C1442065 (UMLS CUI [1,2])
C0337611 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,2])
C0033970 (UMLS CUI [1,2])
C1285170 (UMLS CUI [1,2])
C0600219 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C3261404 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])