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ID
24643
Description
987654321
Keywords
Versions (3)
- 12/6/16 12/6/16 -
- 8/10/17 8/10/17 -
- 9/6/17 9/6/17 -
Copyright Holder
Kassenärztliche Bundesvereinigung
Uploaded on
August 10, 2017
DOI
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License
Creative Commons BY-NC 3.0
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KBV Notice of Referral to investigate somatic causes before starting psychotherapy Template 7
KBV Notice of Referral to investigate somatic causes before starting psychotherapy Template 7
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KBV Notice of Referral to investigate somatic causes before starting psychotherapy Template 7
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
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])
Diagnosis or indication for psychotherapy
Item
Diagnosen/ Indikation zur Psychotherapie
text
C0011900 (UMLS CUI [1,1])
C2315323 (UMLS CUI [1,2])
C2315323 (UMLS CUI [1,2])
Further information to the physician
Item
Informationen für den Arzt
text
C0012625 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
C0031831 (UMLS CUI [1,2])
Date of completion
Item
Ausstellungsdatum
date
C0011008 (UMLS CUI [1,1])
C0850287 (UMLS CUI [1,2])
C0850287 (UMLS CUI [1,2])
Stamp and Signature
Item
Stempel /Unterschrift des Therapeuten
text
C1519316 (UMLS CUI [1])