ID

19668

Descripción

Muster 52 - Bericht für die Krankenkasse bei Fortbestehen der Arbeitsunfähigkeit (Freigabe 21.058.2015). 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 52 - Report to Health Insurance for Persistence of Inability to Work (Released 05-21-2015). 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

Palabras clave

Versiones (3)
  1. 21/1/17 21/1/17 -
  2. 28/1/17 28/1/17 -
  3. 7/9/17 7/9/17 -
Subido en

21 de enero de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0
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KBV Report to Health Insurance for Persistence of Inability to Work Template 52

Alemán Inglés

KBV Report to Health Insurance for Persistence of Inability to Work Template 52

1 formularios  
Heading
Descripción

Heading

Health Insurance name
Descripción

Health Insurance name

Tipo de datos

text

Alias
UMLS CUI [1]
C0021682
Patient surname
Descripción

Patient surname

Tipo de datos

text

Alias
UMLS CUI [1]
C0421448
Patient Name
Descripción

Patient Name

Tipo de datos

text

Alias
UMLS CUI [1]
C1299487
Patient address
Descripción

Patient address

Tipo de datos

text

Alias
UMLS CUI [1]
C0421449
Patient Birth Date
Descripción

Patient Birth Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Insurance ID
Descripción

Insurance ID

Tipo de datos

integer

Alias
UMLS CUI [1]
C1547687
Insurance number
Descripción

Insurance number

Tipo de datos

integer

Alias
UMLS CUI [1]
C1549712
Status
Descripción

Status

Tipo de datos

integer

Alias
UMLS CUI [1]
C0449438
Facility number
Descripción

Facility number

Tipo de datos

integer

Alias
UMLS CUI [1]
C1549700
Physician ID number
Descripción

Physician ID number

Tipo de datos

integer

Alias
UMLS CUI [1]
C1548646
Date
Descripción

Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
1. Diagnosis
Descripción

1. Diagnosis

Diagnosis
Descripción

Diagnosis

Tipo de datos

text

Alias
UMLS CUI [1,1]
C4049481
UMLS CUI [1,2]
C0011900
2. Occupation
Descripción

2. Occupation

Employment
Descripción

Employment

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0014003
occupation
Descripción

occupation

Tipo de datos

text

Alias
UMLS CUI [1]
C0028811
unemployment benefits
Descripción

unemployment benefits

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0425014
working hours
Descripción

working hours

Tipo de datos

integer

Unidades de medida
  • Stunden
Alias
UMLS CUI [1,1]
C0556976
UMLS CUI [1,2]
C0043227
Stunden
undefined item
Descripción

undefined item

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C4274891
UMLS CUI [1,2]
C2987220
3. recovery to work ability
Descripción

3. recovery to work ability

recovery to work ability
Descripción

recovery to work ability

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0237820
UMLS CUI [1,2]
C4274891
date of recovery to work ability
Descripción

date of recovery to work ability

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0237820
UMLS CUI [1,3]
C4274891
4. diagnostic or therapeutic procedures
Descripción

4. diagnostic or therapeutic procedures

Conservative Treatment
Descripción

Conservative Treatment

Tipo de datos

text

Alias
UMLS CUI [1]
C0459914
operative procedure
Descripción

operative procedure

Tipo de datos

text

Alias
UMLS CUI [1]
C0038895
5. treating physicians
Descripción

5. treating physicians

Alias
UMLS CUI-1
C1710470
treating physician
Descripción

treating physician

Tipo de datos

text

Alias
UMLS CUI [1]
C1710470
6. Other measures
Descripción

6. Other measures

Alias
UMLS CUI-1
C0079809
no measures necessary
Descripción

no measures necessary

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0079809
job rotation
Descripción

job rotation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1261323
reintegration
Descripción

reintegration

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3527099
other measures
Descripción

other measures

Tipo de datos

text

Alias
UMLS CUI [1]
C0079809
medical rehabilitation
Descripción

medical rehabilitation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0034991
Psychotherapy
Descripción

Psychotherapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0033968
participate in labour market
Descripción

participate in labour market

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0079809
UMLS CUI [1,2]
C0679823
UMLS CUI [1,3]
C0014003
7. other issues for overcoming unemployment
Descripción

7. other issues for overcoming unemployment

other issues for overcoming unemployment
Descripción

other issues for overcoming unemployment

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0033213
UMLS CUI [1,2]
C0014003
which issues
Descripción

which issues

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0033213
UMLS CUI [1,2]
C0014003
8. reduction in earning capacity
Descripción

8. reduction in earning capacity

Alias
UMLS CUI-1
C0392756
UMLS CUI-2
C0014003
reduction in earning capacity
Descripción

reduction in earning capacity

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0392756
UMLS CUI [1,2]
C0014003
9. Comments to state of health
Descripción

9. Comments to state of health

Alias
UMLS CUI-1
C0947611
UMLS CUI-2
C0683314
comments on state of health
Descripción

comments on state of health

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0683314
Signature
Descripción

Signature

Alias
UMLS CUI-1
C1519316
Signature date
Descripción

Signature date

Tipo de datos

date

Alias
UMLS CUI [1]
C0807937
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Similar models

KBV Report to Health Insurance for Persistence of Inability to Work Template 52

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Health Insurance name
Item
text
C0021682 (UMLS CUI [1])
Patient surname
Item
text
C0421448 (UMLS CUI [1])
Patient Name
Item
text
C1299487 (UMLS CUI [1])
Patient address
Item
text
C0421449 (UMLS CUI [1])
Patient Birth Date
Item
date
C0421451 (UMLS CUI [1])
Insurance ID
Item
integer
C1547687 (UMLS CUI [1])
Insurance number
Item
integer
C1549712 (UMLS CUI [1])
Status
Item
integer
C0449438 (UMLS CUI [1])
Facility number
Item
integer
C1549700 (UMLS CUI [1])
Physician ID number
Item
integer
C1548646 (UMLS CUI [1])
Date
Item
date
C0011008 (UMLS CUI [1])
Item Group
Diagnosis
Item
text
C4049481 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item Group
Employment
Item
boolean
C0014003 (UMLS CUI [1])
occupation
Item
text
C0028811 (UMLS CUI [1])
unemployment benefits
Item
boolean
C0425014 (UMLS CUI [1])
working hours
Item
integer
C0556976 (UMLS CUI [1,1])
C0043227 (UMLS CUI [1,2])
undefined item
Item
boolean
C4274891 (UMLS CUI [1,1])
C2987220 (UMLS CUI [1,2])
recovery to work ability
Item
boolean
C0237820 (UMLS CUI [1,1])
C4274891 (UMLS CUI [1,2])
date of recovery to work ability
Item
date
C0011008 (UMLS CUI [1,1])
C0237820 (UMLS CUI [1,2])
C4274891 (UMLS CUI [1,3])
Conservative Treatment
Item
text
C0459914 (UMLS CUI [1])
operative procedure
Item
text
C0038895 (UMLS CUI [1])
Item Group
C1710470 (UMLS CUI-1)
treating physician
Item
text
C1710470 (UMLS CUI [1])
Item Group
C0079809 (UMLS CUI-1)
no measures necessary
Item
boolean
C0079809 (UMLS CUI [1])
job rotation
Item
boolean
C1261323 (UMLS CUI [1])
reintegration
Item
boolean
C3527099 (UMLS CUI [1])
other measures
Item
text
C0079809 (UMLS CUI [1])
medical rehabilitation
Item
boolean
C0034991 (UMLS CUI [1])
Psychotherapy
Item
boolean
C0033968 (UMLS CUI [1])
participate in labour market
Item
boolean
C0079809 (UMLS CUI [1,1])
C0679823 (UMLS CUI [1,2])
C0014003 (UMLS CUI [1,3])
other issues for overcoming unemployment
Item
boolean
C0033213 (UMLS CUI [1,1])
C0014003 (UMLS CUI [1,2])
which issues
Item
text
C0033213 (UMLS CUI [1,1])
C0014003 (UMLS CUI [1,2])
Item Group
C0392756 (UMLS CUI-1)
C0014003 (UMLS CUI-2)
reduction in earning capacity
Item
boolean
C0392756 (UMLS CUI [1,1])
C0014003 (UMLS CUI [1,2])
Item Group
C0947611 (UMLS CUI-1)
C0683314 (UMLS CUI-2)
comments on state of health
Item
text
C0947611 (UMLS CUI [1,1])
C0683314 (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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