Informatie:
Fout:
ID
24494
Beschrijving
Routine documentation in German hospitals. Source file name: AM010108_MDK_Gutachten. Examplary forms provided by DMI (http://www.dmi.de/)
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- 16-06-17 16-06-17 -
- 02-08-17 02-08-17 -
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2 augustus 2017
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Creative Commons BY-NC 3.0
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Medical opinion MDK, file memo Routine documentation in German hospitals DMI
Medical opinion MDK, file memo Routine documentation in German hospitals DMI
Similar models
Medical opinion MDK, file memo Routine documentation in German hospitals DMI
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Department
Item
Fachabteilung
text
C1704729 (UMLS CUI [1])
Ward
Item
Station
text
C1305702 (UMLS CUI [1])
Case number
Item
Fall-Nr.
text
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
Name of patient
Item
Patient: Name
text
C0421448 (UMLS CUI [1])
First name
Item
Patient: Vorname
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Patient: Geburtsdatum
date
C0421451 (UMLS CUI [1])
Date of admission
Item
Aufnahmedatum
date
C1302393 (UMLS CUI [1])
Date of discharge
Item
Entlassdatum
date
C2361123 (UMLS CUI [1])
Insurance
Item
Kostenträger
text
C0021672 (UMLS CUI [1])
claims
Item
Gesamtforderung
text
C0021677 (UMLS CUI [1])
Insurance acceptance
Item
Von der Kasse anerkannt
text
C0021672 (UMLS CUI [1,1])
C0000899 (UMLS CUI [1,2])
C0000899 (UMLS CUI [1,2])
amount
Item
Ausbuchungsbetrag
text
C1552683 (UMLS CUI [1])
Medical opinion
Item
MDK-Gutachten
text
C3826021 (UMLS CUI [1])
CL Item
Objection possible, statement attached (Objection possible, statement attached)
CL Item
Objection not possible, please write off (Objection not possible, please write off)
Signature physician
Item
Unterschrift Arzt
text
C0807938 (UMLS CUI [1])