KBV Referral to hospital Template 2b

Briefkopf
Description

Briefkopf

Name der Krankenversicherung
Description

Health Insurance name

Data type

text

Alias
UMLS CUI [1]
C0021682
Nachname
Description

Patient surname

Data type

text

Alias
UMLS CUI [1]
C0421448
Patientenname
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Adresse des Patienten
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Patient Geburtsdatum
Description

Patient Birth Date

Data type

date

Alias
UMLS CUI [1]
C0421451
Kostenträgerkennung
Description

Insurance ID

Data type

integer

Alias
UMLS CUI [1]
C1547687
Versichertennummer
Description

Insurance number

Data type

integer

Alias
UMLS CUI [1]
C1549712
Status
Description

Status

Data type

integer

Alias
UMLS CUI [1]
C0449438
Betriebsstättennummer
Description

Facility number

Data type

integer

Alias
UMLS CUI [1]
C1549700
Arzt- Nr.
Description

Physician ID number

Data type

integer

Alias
UMLS CUI [1]
C1548646
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Nächsterreichbare, geeignete Krankenhäuser
Description

Next suitable hospital

Data type

text

Alias
UMLS CUI [1]
C0019982
Art der Krankenhauseinweisung
Description

Type of hospital referral

Data type

integer

Alias
UMLS CUI [1,1]
C0019982
UMLS CUI [1,2]
C0332307
Diagnose
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Vertragsarztstempel und Unterschrift
Description

Physician Stamp and signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Weitere Informationen (Vertraulich, für den Krankenhausarzt)
Description

Weitere Informationen (Vertraulich, für den Krankenhausarzt)

Untersuchungsergebnisse
Description

Examination results

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0456984
Bisherige Maßnahmen
Description

z.B Medikation

Data type

text

Alias
UMLS CUI [1]
C0039798
Fragestellung/Hinweise
Description

z.B Allergie

Data type

text

Alias
UMLS CUI [1]
C1522634
UMLS CUI [2]
C3146298
Mitgegebene Befunde
Description

Medical records transfer

Data type

text

Alias
UMLS CUI [1]
C0583100

Similar models

KBV Referral to hospital Template 2b

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Briefkopf
Health Insurance name
Item
Name der Krankenversicherung
text
C0021682 (UMLS CUI [1])
Patient surname
Item
Nachname
text
C0421448 (UMLS CUI [1])
Patient Name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Patient address
Item
Adresse des Patienten
text
C0421449 (UMLS CUI [1])
Patient Birth Date
Item
Patient Geburtsdatum
date
C0421451 (UMLS CUI [1])
Insurance ID
Item
Kostenträgerkennung
integer
C1547687 (UMLS CUI [1])
Insurance number
Item
Versichertennummer
integer
C1549712 (UMLS CUI [1])
Status
Item
Status
integer
C0449438 (UMLS CUI [1])
Facility number
Item
Betriebsstättennummer
integer
C1549700 (UMLS CUI [1])
Physician ID number
Item
Arzt- Nr.
integer
C1548646 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Next suitable hospital
Item
Nächsterreichbare, geeignete Krankenhäuser
text
C0019982 (UMLS CUI [1])
Item
Art der Krankenhauseinweisung
integer
C0019982 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Art der Krankenhauseinweisung
CL Item
Belegarztbehandlung (1)
CL Item
Notfall (2)
CL Item
Unfall/ Unfallfolgen (3)
CL Item
Versorgungsleiden (BVG) (4)
Diagnosis
Item
Diagnose
text
C0011900 (UMLS CUI [1])
Physician Stamp and signature
Item
Vertragsarztstempel und Unterschrift
text
C1519316 (UMLS CUI [1])
Item Group
Weitere Informationen (Vertraulich, für den Krankenhausarzt)
Examination results
Item
Untersuchungsergebnisse
text
C0031809 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
Previous measures
Item
Bisherige Maßnahmen
text
C0039798 (UMLS CUI [1])
Questions or indications
Item
Fragestellung/Hinweise
text
C1522634 (UMLS CUI [1])
C3146298 (UMLS CUI [2])
Medical records transfer
Item
Mitgegebene Befunde
text
C0583100 (UMLS CUI [1])