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KBV Rehabilitation Consultation Template 61 D

1 forms  
Heading
Description

Heading

Patient Name
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Insurance ID
Description

Insurance ID

Data type

integer

Alias
UMLS CUI [1]
C1547687
Insurance number
Description

Insurance number

Data type

integer

Alias
UMLS CUI [1]
C1549712
Resilience to rehabilitate
Description

Resilience to rehabilitate

Alias
UMLS CUI-1
C0683253
resilience
Description

resilience

Data type

boolean

Alias
UMLS CUI [1]
C0683253
target of rehabilitation therapy
Description

target of rehabilitation therapy

target of rehabilitation therapy
Description

target of rehabilitation therapy

Data type

text

Alias
UMLS CUI [1,1]
C0018017
UMLS CUI [1,2]
C0034991
patients target of rehabilitation therapy
Description

patients target of rehabilitation therapy

Data type

text

Alias
UMLS CUI [1,1]
C0018017
UMLS CUI [1,2]
C0034991
UMLS CUI [1,3]
C0030705
rehabilitation therapy prognosis
Description

rehabilitation therapy prognosis

rehabilitation therapy prognosis
Description

rehabilitation therapy prognosis

Data type

integer

Alias
UMLS CUI [1]
C0033325
rehabilitation therapy prognosis
Description

rehabilitation therapy prognosis

Data type

integer

Alias
UMLS CUI [1]
C0033325
rehabilitation type
Description

rehabilitation type

Alias
UMLS CUI-1
C0034991
recommended rehabiliation type
Description

recommended rehabiliation type

Data type

integer

Alias
UMLS CUI [1]
C0034991
commens on rehabiliation type
Description

commens on rehabiliation type

Data type

integer

Alias
UMLS CUI [1,1]
C0034991
UMLS CUI [1,2]
C1521970
commens on rehabiliation type
Description

commens on rehabiliation type

Data type

text

Alias
UMLS CUI [1,1]
C0034991
UMLS CUI [1,2]
C1521970
other information
Description

other information

necessity of planned treatment
Description

necessity of planned treatment

Data type

integer

Alias
UMLS CUI [1,1]
C1555447
UMLS CUI [1,2]
C1301732
UMLS CUI [1,3]
C0039798
UMLS CUI [1,4]
C0034991
social distancing necessary
Description

social distancing necessary

Data type

boolean

Alias
UMLS CUI [1,1]
C1555447
UMLS CUI [1,2]
C0037412
home care possible
Description

home care possible

Data type

boolean

Alias
UMLS CUI [1]
C0204977
fit to travel
Description

fit to travel

Data type

integer

Alias
UMLS CUI [1]
C0040802
other characteristics
Description

other characteristics

Data type

text

Alias
UMLS CUI [1]
C0815172
call back
Description

call back

Data type

text

Alias
UMLS CUI [1,1]
C0175745
UMLS CUI [1,2]
C1515258
Signature
Description

Signature

Alias
UMLS CUI-1
C1519316
Signature date
Description

Signature date

Data type

date

Alias
UMLS CUI [1]
C0807937
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Similar models

KBV Rehabilitation Consultation Template 61 D

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient Name
Item
text
C1299487 (UMLS CUI [1])
Insurance ID
Item
integer
C1547687 (UMLS CUI [1])
Insurance number
Item
integer
C1549712 (UMLS CUI [1])
Item Group
C0683253 (UMLS CUI-1)
resilience
Item
boolean
C0683253 (UMLS CUI [1])
target of rehabilitation therapy
Item
text
C0018017 (UMLS CUI [1,1])
C0034991 (UMLS CUI [1,2])
patients target of rehabilitation therapy
Item
text
C0018017 (UMLS CUI [1,1])
C0034991 (UMLS CUI [1,2])
C0030705 (UMLS CUI [1,3])
Item
integer
C0033325 (UMLS CUI [1])
rehabilitation therapy prognosis
Code List
rehabilitation therapy prognosis
CL Item
 (1)
CL Item
 (2)
Item
integer
C0033325 (UMLS CUI [1])
rehabilitation therapy prognosis
Code List
rehabilitation therapy prognosis
CL Item
 (1)
CL Item
 (2)
Item Group
C0034991 (UMLS CUI-1)
Item
integer
C0034991 (UMLS CUI [1])
recommended rehabiliation type
Code List
recommended rehabiliation type
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
CL Item
 (6)
CL Item
 (7)
Item
integer
C0034991 (UMLS CUI [1,1])
C1521970 (UMLS CUI [1,2])
recommended rehabiliation type
Code List
commens on rehabiliation type
CL Item
 (1)
CL Item
 (2)
commens on rehabiliation type
Item
text
C0034991 (UMLS CUI [1,1])
C1521970 (UMLS CUI [1,2])
Item
integer
C1555447 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
C0039798 (UMLS CUI [1,3])
C0034991 (UMLS CUI [1,4])
necessity of planned treatment
Code List
necessity of planned treatment
CL Item
 (1)
CL Item
 (2)
social distancing necessary
Item
boolean
C1555447 (UMLS CUI [1,1])
C0037412 (UMLS CUI [1,2])
home care possible
Item
boolean
C0204977 (UMLS CUI [1])
Item
integer
C0040802 (UMLS CUI [1])
fit to travel
Code List
fit to travel
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
other characteristics
Item
text
C0815172 (UMLS CUI [1])
call back
Item
text
C0175745 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Item Group
Signature
C1519316 (UMLS CUI-1)
Signature date
Item
Signature date
date
C0807937 (UMLS CUI [1])
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