ID

19800

Beschrijving

Muster 61 D - Beratung zu medizinischer Rehabilitation / Prüfung des zuständigen Rehabilitationsträgers(Freigabe 25.11.2015). 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 61 D - Rehabilitation Consultation (Released 25-11-2015). 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

Trefwoorden

Versies (4)
  1. 13-01-17 13-01-17 -
  2. 13-01-17 13-01-17 -
  3. 28-01-17 28-01-17 -
  4. 07-09-17 07-09-17 -
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28 januari 2017

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Creative Commons BY-NC 3.0
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KBV Rehabilitation Consultation Template 61 D

Duits Engels

KBV Rehabilitation Consultation Template 61 D

1 Formulieren  
Heading
Beschrijving

Heading

Patient Name
Beschrijving

Patient Name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Insurance ID
Beschrijving

Insurance ID

Datatype

integer

Alias
UMLS CUI [1]
C1547687
Insurance number
Beschrijving

Insurance number

Datatype

integer

Alias
UMLS CUI [1]
C1549712
Resilience to rehabilitate
Beschrijving

Resilience to rehabilitate

resilience
Beschrijving

resilience

Datatype

boolean

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

target of rehabilitation therapy

target of rehabilitation therapy
Beschrijving

target of rehabilitation therapy

Datatype

text

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

patients target of rehabilitation therapy

Datatype

text

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

rehabilitation therapy prognosis

rehabilitation therapy prognosis
Beschrijving

rehabilitation therapy prognosis

Datatype

integer

Alias
UMLS CUI [1]
C0033325
rehabilitation therapy prognosis
Beschrijving

rehabilitation therapy prognosis

Datatype

text

rehabilitation type
Beschrijving

rehabilitation type

recommended rehabiliation type
Beschrijving

recommended rehabiliation type

Datatype

integer

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

commens on rehabiliation type

Datatype

integer

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

commens on rehabiliation type

Datatype

text

other information
Beschrijving

other information

necessity of planned treatment
Beschrijving

necessity of planned treatment

Datatype

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
Beschrijving

social distancing necessary

Datatype

boolean

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

home care possible

Datatype

boolean

Alias
UMLS CUI [1]
C0204977
fit to travel
Beschrijving

fit to travel

Datatype

integer

Alias
UMLS CUI [1]
C0040802
other characteristics
Beschrijving

other characteristics

Datatype

text

Alias
UMLS CUI [1]
C0815172
call back
Beschrijving

call back

Datatype

text

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

Signature

Signature date
Beschrijving

Signature date

Datatype

date

Alias
UMLS CUI [1]
C0807937
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Similar models

KBV Rehabilitation Consultation Template 61 D

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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])
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)
rehabilitation therapy prognosis
Item
text
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
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
Signature date
Item
Signature date
date
C0807937 (UMLS CUI [1])
Terug naar het begin van de pagina 

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