ID
44703
Description
Muster 14 - Heilmittelverordnung Maßnahmen der Stimm-, Sprech- und Sprachtherapie (Freigabe 29.04.2016). Formulare für die vertragsärztliche Versorgung - 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 14 - Remedy Prescription for Speech Therapy (Released 04-29-2016). 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
Keywords
Versions (6)
- 2/15/17 2/15/17 -
- 2/23/17 2/23/17 -
- 2/23/17 2/23/17 -
- 8/24/17 8/24/17 -
- 9/7/17 9/7/17 -
- 9/27/21 9/27/21 -
Copyright Holder
KBV
Uploaded on
September 27, 2021
DOI
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License
Creative Commons BY-NC 3.0
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KBV Remedy Prescription for Speech Therapy Template 14
KBV Remedy Prescription for Speech Therapy Template 14
- StudyEvent: ODM
Description
Verordnung nach Maßgabe des Kataloges (Regelfall)
Description
primary prescription
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0033080
- UMLS CUI [1,2]
- C0205225
Description
subsequent prescription
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0033080
- UMLS CUI [1,2]
- C0332282
Description
group therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C1527374
Description
prescription
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0033080
- UMLS CUI [1,2]
- C0015370
Description
Treatment start date
Data type
date
Alias
- UMLS CUI [1]
- C3173309
Description
Home Visit
Data type
boolean
Alias
- UMLS CUI [1]
- C0020043
Description
Therapy Report
Data type
boolean
Alias
- UMLS CUI [1]
- C0684224
Description
Heilmittelverordnung
Description
Institution number
Data type
text
Alias
- UMLS CUI [1]
- C0489558
Description
additional payment
Data type
float
Alias
- UMLS CUI [1]
- C2734948
Description
total costs
Data type
float
Alias
- UMLS CUI [1]
- C0010186
Description
drug id
Data type
text
Alias
- UMLS CUI [1,1]
- C4256366
- UMLS CUI [1,2]
- C0600091
Description
factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
drug id
Data type
text
Alias
- UMLS CUI [1,1]
- C4256366
- UMLS CUI [1,2]
- C0600091
Description
factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Allowance
Data type
text
Alias
- UMLS CUI [1,1]
- C0556660
- UMLS CUI [1,2]
- C0020043
Description
Distance
Data type
integer
Alias
- UMLS CUI [1]
- C0012751
Description
factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Home Visit
Data type
text
Alias
- UMLS CUI [1]
- C0020043
Description
factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Home Visit
Data type
text
Alias
- UMLS CUI [1]
- C0020043
Description
factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Account number
Data type
text
Alias
- UMLS CUI [1]
- C1549676
Description
Billing code
Data type
text
Alias
- UMLS CUI [1]
- C1547149
Description
Therapie
Description
voice therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C2202690
Description
speech therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C0037831
Description
language therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C0023017
Description
Therapy duration
Data type
integer
Measurement units
- Minuten
Alias
- UMLS CUI [1]
- C0444921
Description
prescription quantity
Data type
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0033080
Description
therapy frequency
Data type
integer
Measurement units
- pro Woche
Alias
- UMLS CUI [1,1]
- C0439603
- UMLS CUI [1,2]
- C0087111
Description
Indication Number
Data type
text
Alias
- UMLS CUI [1,1]
- C3146298
- UMLS CUI [1,2]
- C0805701
Description
neurologic abnormalities
Data type
text
Alias
- UMLS CUI [1]
- C0027765
- UMLS CUI [2]
- C0679381
Description
therapy goal
Data type
text
Alias
- UMLS CUI [1]
- C0679840
Description
indication
Data type
text
Alias
- UMLS CUI [1]
- C3146298
Description
Diagnose mit Leitsymptomatik, störungsspezifischer Befund
Description
Tonaudiogram
Description
Bitte bei pathologischem oder unsicherem Tonschwellenaudiogramm Tympanogramm und Sprachaudiogramm beifügen.
Data type
date
Alias
- UMLS CUI [1,1]
- C0018786
- UMLS CUI [1,2]
- C0011008
Description
audiogram finding
Data type
integer
Alias
- UMLS CUI [1,1]
- C0018786
- UMLS CUI [1,2]
- C1550369
Description
eardrum rechts
Data type
text
Alias
- UMLS CUI [1,1]
- C0041445
- UMLS CUI [1,2]
- C0205090
Description
eardrum left
Data type
text
Alias
- UMLS CUI [1,1]
- C0041445
- UMLS CUI [1,2]
- C0205091
Description
Tonaudiogramm links
Description
Tonaudiogramm rechts
Description
Laryngologischer Befund (bei Stimmstörungen)
Description
laryngoscopy
Data type
text
Alias
- UMLS CUI [1]
- C0023072
Description
stroboscopy left
Data type
text
Alias
- UMLS CUI [1,1]
- C1450459
- UMLS CUI [1,2]
- C0205091
Description
stroboscopy right
Data type
text
Alias
- UMLS CUI [1,1]
- C1450459
- UMLS CUI [1,2]
- C0205090
Description
amplitude left
Data type
text
Alias
- UMLS CUI [1,1]
- C2346753
- UMLS CUI [1,2]
- C0205091
Description
amplitude right
Data type
text
Alias
- UMLS CUI [1,1]
- C2346753
- UMLS CUI [1,2]
- C0205090
Description
Margin Vocal Cord Shifted right
Data type
text
Alias
- UMLS CUI [1,1]
- C0042930
- UMLS CUI [1,2]
- C0026724
- UMLS CUI [1,3]
- C0205284
- UMLS CUI [1,4]
- C2347509
- UMLS CUI [1,5]
- C0205090
Description
Margin Vocal Cord Shifted left
Data type
text
Alias
- UMLS CUI [1,1]
- C0042930
- UMLS CUI [1,2]
- C0026724
- UMLS CUI [1,3]
- C0205284
- UMLS CUI [1,4]
- C2347509
- UMLS CUI [1,5]
- C0205091
Description
normal finding
Data type
boolean
Alias
- UMLS CUI [1]
- C0205307
Description
closure of glottis
Data type
boolean
Alias
- UMLS CUI [1]
- C1408723
Description
laryngoscopic finding right closed
Data type
text
Alias
- UMLS CUI [1,1]
- C0426538
- UMLS CUI [1,2]
- C0234772
- UMLS CUI [1,3]
- C0205090
Description
laryngoscopic finding left closed
Data type
text
Alias
- UMLS CUI [1,1]
- C0426538
- UMLS CUI [1,2]
- C0234772
- UMLS CUI [1,3]
- C0205091
Description
laryngoscopic finding right open
Data type
text
Alias
- UMLS CUI [1,1]
- C0426538
- UMLS CUI [1,2]
- C0234775
- UMLS CUI [1,3]
- C0205090
Description
laryngoscopic finding left open
Data type
text
Alias
- UMLS CUI [1,1]
- C0426538
- UMLS CUI [1,2]
- C0234775
- UMLS CUI [1,3]
- C0205091
Description
Genehmigung der Krankenkasse bei Verordnung außerhalb des Regelfalles
Description
insurance coverage
Data type
boolean
Alias
- UMLS CUI [1]
- C0376629
Description
insurance coverage
Data type
boolean
Alias
- UMLS CUI [1]
- C0376629
Description
denial justification
Data type
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0376629
- UMLS CUI [1,3]
- C1705116
Description
Brieffuß
Description
Empfangsbestätigung durch den Versicherten
Description
receipt date
Data type
date
Alias
- UMLS CUI [1]
- C2985846
Description
therapeutic procedure
Data type
text
Alias
- UMLS CUI [1]
- C0087111
Description
Patient signature
Data type
text
Alias
- UMLS CUI [1,1]
- C1519316
- UMLS CUI [1,2]
- C0030705
Description
Behandlung
Description
end of treatment
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0444930
Description
date treatment ended
Data type
date
Alias
- UMLS CUI [1]
- C1531784
Description
Group- changed to Individual-Therapy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1527374
- UMLS CUI [1,2]
- C0203986
Description
therapy frequency
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0439603
- UMLS CUI [1,2]
- C0087111
Description
Reason and justification
Data type
text
Alias
- UMLS CUI [1]
- C0566251
Similar models
KBV Remedy Prescription for Speech Therapy Template 14
- StudyEvent: ODM
C0205225 (UMLS CUI [1,2])
C0332282 (UMLS CUI [1,2])
C0015370 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
C0020043 (UMLS CUI [1,2])
C0033080 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,2])
C0679381 (UMLS CUI [2])
C0011008 (UMLS CUI [1,2])
C1550369 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
C0026724 (UMLS CUI [1,2])
C0205284 (UMLS CUI [1,3])
C2347509 (UMLS CUI [1,4])
C0205090 (UMLS CUI [1,5])
C0026724 (UMLS CUI [1,2])
C0205284 (UMLS CUI [1,3])
C2347509 (UMLS CUI [1,4])
C0205091 (UMLS CUI [1,5])
C0234772 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,3])
C0234772 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,3])
C0234775 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,3])
C0234775 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,3])
C0376629 (UMLS CUI [1,2])
C1705116 (UMLS CUI [1,3])
C0030705 (UMLS CUI [1,2])
C0444930 (UMLS CUI [1,2])
C0203986 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,2])