ID

25589

Beskrivning

Muster 39 - Krebsfrüherkennung - Frauen (Freigabe 22.10.2014). 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 39 - Early Detection of Cancer Women (Released 10-22-2014). 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

Länk

www.kbv.de

Nyckelord

Versioner (4)
  1. 2017-01-29 2017-01-29 -
  2. 2017-08-16 2017-08-16 -
  3. 2017-09-07 2017-09-07 -
  4. 2017-09-07 2017-09-07 -
Rättsinnehavare

KBV

Uppladdad den

7 september 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

KBV Early Detection of Cancer Women Template 39

Tysk Engelsk

KBV Early Detection of Cancer Women Template 39a

3 Formulär  
Header
Beskrivning

Header

Health Insurance name
Beskrivning

Health Insurance name

Datatyp

text

Alias
UMLS CUI [1]
C0021682
Patient Name
Beskrivning

Patient Name

Datatyp

text

Alias
UMLS CUI [1]
C1299487
Patient address
Beskrivning

Patient address

Datatyp

text

Alias
UMLS CUI [1]
C0421449
Patient Birth Date
Beskrivning

Patient Birth Date

Datatyp

date

Alias
UMLS CUI [1]
C0421451
Insurance Company ID
Beskrivning

Insurance Company ID

Datatyp

integer

Alias
UMLS CUI [1]
C1547687
Insurance number
Beskrivning

Insurance number

Datatyp

integer

Alias
UMLS CUI [1]
C1549712
Status
Beskrivning

Status

Datatyp

integer

Alias
UMLS CUI [1]
C0449438
Facility ID
Beskrivning

Facility ID

Datatyp

integer

Alias
UMLS CUI [1]
C1549700
Physician ID
Beskrivning

Physician ID

Datatyp

integer

Alias
UMLS CUI [1]
C1548646
Date
Beskrivning

Date

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Cytologic Examination
Beskrivning

Cytologic Examination

Examination number
Beskrivning

Examination number

Datatyp

integer

Alias
UMLS CUI [1]
C2826946
Date of Receipt
Beskrivning

Date of Receipt

Datatyp

date

Alias
UMLS CUI [1]
C2985846
Consecutive number
Beskrivning

Consecutive number

Datatyp

integer

Alias
UMLS CUI [1]
C0750480
date of procedure
Beskrivning

date of procedure

Datatyp

date

Måttenheter
  • TTMMJJ
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0582103
TTMMJJ
Royalty statement
Beskrivning

Royalty statement

Uniform rating scale
Beskrivning

Uniform rating scale

Datatyp

integer

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0205375
cost refund according to BMÄ/E-GO-Nr.
Beskrivning

cost refund according to BMÄ/E-GO-Nr.

Datatyp

integer

Alias
UMLS CUI [1]
C0376629
Footer
Beskrivning

Footer

Signature date
Beskrivning

Signature date

Datatyp

date

Alias
UMLS CUI [1]
C0807937
Tillbaka till toppen

Similar models

KBV Early Detection of Cancer Women Template 39a

3 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Health Insurance name
Item
text
C0021682 (UMLS CUI [1])
Patient Name
Item
text
C1299487 (UMLS CUI [1])
Patient address
Item
text
C0421449 (UMLS CUI [1])
Patient Birth Date
Item
date
C0421451 (UMLS CUI [1])
Insurance Company ID
Item
integer
C1547687 (UMLS CUI [1])
Insurance number
Item
integer
C1549712 (UMLS CUI [1])
Status
Item
integer
C0449438 (UMLS CUI [1])
Facility ID
Item
integer
C1549700 (UMLS CUI [1])
Physician ID
Item
integer
C1548646 (UMLS CUI [1])
Date
Item
date
C0011008 (UMLS CUI [1])
Examination number
Item
integer
C2826946 (UMLS CUI [1])
Date of Receipt
Item
date
C2985846 (UMLS CUI [1])
Consecutive number
Item
integer
C0750480 (UMLS CUI [1])
date of procedure
Item
date
C0011008 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
Uniform rating scale
Item
integer
C0681889 (UMLS CUI [1,1])
C0205375 (UMLS CUI [1,2])
cost refund according to BMÄ/E-GO-Nr.
Item
integer
C0376629 (UMLS CUI [1])
Item Group
Signature date
Item
Signature date
date
C0807937 (UMLS CUI [1])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial