ID
17199
Beschrijving
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
Trefwoorden
Versies (2)
- 30-08-16 30-08-16 -
- 31-08-16 31-08-16 -
Geüploaded op
31 augustus 2016
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
Health insurance request for evaluation of application for psychotherapy
Health insurance request for evaluation of application for psychotherapy
Beschrijving
Art der Therapie
Beschrijving
Psychotherapy type
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0033968
- UMLS CUI [1,2]
- C0332307
Beschrijving
Date of application brief psychotherapy
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0033970
Beschrijving
Name of assessor of first application for psychotherapy
Datatype
text
Alias
- UMLS CUI [1,1]
- C0401804
- UMLS CUI [1,2]
- C1285170
Beschrijving
Date of first expert opinion
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0600219
Beschrijving
Ergänzende Angaben über den Patienten
Beschrijving
Unfit for work start date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0425098
- UMLS CUI [1,2]
- C0808070
Beschrijving
Unfit for work end date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0425098
- UMLS CUI [1,2]
- C0806020
Beschrijving
Unfit for work Diagnosis
Datatype
text
Alias
- UMLS CUI [1,1]
- C0425098
- UMLS CUI [1,2]
- C0011900
Beschrijving
Hospitalization during the last 5 years start date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0019993
- UMLS CUI [1,2]
- C0808070
Beschrijving
Hospitalization during the last 5 years end date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0019993
- UMLS CUI [1,2]
- C0806020
Beschrijving
Hospitalization during the last 5 years facility name
Datatype
text
Alias
- UMLS CUI [1,1]
- C0019993
- UMLS CUI [1,2]
- C3261404
Beschrijving
Rehabilitation during the last 5 years start date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0034991
- UMLS CUI [1,2]
- C0808070
Beschrijving
Rehabilitation during the last 5 years end date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0034991
- UMLS CUI [1,2]
- C0806020
Beschrijving
Rehabilitation diagnosis
Datatype
text
Alias
- UMLS CUI [1]
- C0943249
Beschrijving
Health resort
Datatype
text
Alias
- UMLS CUI [1]
- C0018740
Beschrijving
Healthcare payer
Datatype
text
Alias
- UMLS CUI [1]
- C2348942
Beschrijving
Date of signature
Datatype
date
Alias
- UMLS CUI [1]
- C0807937
Beschrijving
Signature
Datatype
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])