ID
25601
Description
Muster 18 - Heilmittelverordnung Maßnahmen der Ergotherapie (Freigabe 01.09.2014). 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 18 - Prescription Rehabilitation (Occupational Therapy) for contract medical care 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 (3)
- 9/21/16 9/21/16 -
- 9/7/17 9/7/17 -
- 9/7/17 9/7/17 -
Uploaded on
September 7, 2017
DOI
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License
Creative Commons BY-NC 3.0
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KBV Rehabilitation Prescription Occupational Therapy Template 18
KBV Rehabilitation Prescription Occupational Therapy Template 18
- StudyEvent: ODM
Description
Verordnung nach Maßgabe des Kataloges (Regelfall)
Description
Type of prescription
Data type
integer
Alias
- UMLS CUI [1,1]
- C0033080
- UMLS CUI [1,2]
- C0332307
Description
Group Therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C1527374
Description
Extraordinary Prescription
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1521941
- UMLS CUI [1,2]
- C2700116
Description
Wird vom verordnenden Arzt hier kein Datum eingetragen, muss die Therapie innerhalb von 14 Kalendertagen nach Ausstellung der Verordnung beginnen. Der Arzt kann eine kürzere oder längere Frist bestimmen. In diesem Fall trägt er das gewünschte Datum hier ein. Für eine Angabe des Behandlungsbeginns können medizinische oder organisatorische Gründe ausschlaggebend sein (z.B. viele Feiertage innerhalb der 14 Kalendertage).
Data type
date
Alias
- UMLS CUI [1]
- C3173309
Description
Der Arzt kann bestimmen, dass die Therapie am Wohnort des Patienten als "Hausbesuch" durchgeführt wird. Das ist nur dann zulässig, wenn der Patient aus medizinischen Gründen den Therapeuten nicht aufsuchen kann bzw. wenn zwingende medizinische Gründe vorliegen.
Data type
boolean
Alias
- UMLS CUI [1]
- C0020043
Description
Der Arzt kann hier festlegen, ob er vom Therapeuten nach Abschluss der Behandlungsserie einen Therapiebericht erhalten möchte. Dies ist hier durch Ankreuzen der Kästchen "Ja" oder "Nein" kenntlich zu machen.
Data type
boolean
Alias
- UMLS CUI [1]
- C0684224
Description
Abrechnungsdaten des Leistungserbringers
Description
Institution number
Data type
text
Alias
- UMLS CUI [1]
- C0489558
Description
Co-payment amount
Data type
float
Alias
- UMLS CUI [1]
- C2734948
Description
Total Gross
Data type
float
Alias
- UMLS CUI [1]
- C0010186
Description
Rehabilitation Position Number
Data type
text
Alias
- UMLS CUI [1,1]
- C2985830
- UMLS CUI [1,2]
- C0034991
Description
Factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Rehabilitation Position Number
Data type
text
Alias
- UMLS CUI [1,1]
- C2985830
- UMLS CUI [1,2]
- C0034991
Description
Rehabilitation Position Number
Data type
text
Alias
- UMLS CUI [1,1]
- C2985830
- UMLS CUI [1,2]
- C0034991
Description
Factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Allowance for Home Visit
Data type
text
Alias
- UMLS CUI [1,1]
- C0556660
- UMLS CUI [1,2]
- C0020043
Description
Factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Data type
integer
Measurement units
- km
Alias
- UMLS CUI [1]
- C0012751
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
Heilmittel
Description
Verordnungsmenge
Data type
integer
Alias
- UMLS CUI [1,1]
- C1265611
- UMLS CUI [1,2]
- C0033082
Description
Rehabilitation
Data type
text
Alias
- UMLS CUI [1]
- C0034991
Description
Number per Week
Data type
integer
Alias
- UMLS CUI [1]
- C0456698
Description
Verordnungsmenge
Data type
integer
Alias
- UMLS CUI [1,1]
- C1265611
- UMLS CUI [1,2]
- C0033082
Description
Rehabilitation
Data type
text
Alias
- UMLS CUI [1]
- C0034991
Description
Number per Week
Data type
integer
Alias
- UMLS CUI [1]
- C0456698
Description
Indication Number
Data type
text
Alias
- UMLS CUI [1,1]
- C3146298
- UMLS CUI [1,2]
- C0805701
Description
Diagnosis
Data type
text
Alias
- UMLS CUI [1]
- C0011900
Description
ICD10 Diagnosis Code
Data type
text
Alias
- UMLS CUI [1]
- C2598420
Description
Special Condition
Data type
text
Alias
- UMLS CUI [1,1]
- C0205494
- UMLS CUI [1,2]
- C0348080
- UMLS CUI [2,1]
- C0205487
- UMLS CUI [2,2]
- C0348080
- UMLS CUI [3,1]
- C1521725
- UMLS CUI [3,2]
- C0348080
- UMLS CUI [4]
- C0029354
Description
Specification Therapeutic Goal
Data type
text
Alias
- UMLS CUI [1]
- C0679840
Description
Reason Extraordinary Prescription
Data type
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C1521941
- UMLS CUI [1,3]
- C2700116
Description
Physician Stamp and signature
Data type
text
Alias
- UMLS CUI [1]
- C1519316
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 Rehabilitation Prescription Occupational Therapy Template 18
- StudyEvent: ODM
C0332307 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,2])
C2700116 (UMLS CUI [1,2])
C0034991 (UMLS CUI [1,2])
C0034991 (UMLS CUI [1,2])
C0034991 (UMLS CUI [1,2])
C0020043 (UMLS CUI [1,2])
C0033082 (UMLS CUI [1,2])
C0033082 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,2])
C0348080 (UMLS CUI [1,2])
C0205487 (UMLS CUI [2,1])
C0348080 (UMLS CUI [2,2])
C1521725 (UMLS CUI [3,1])
C0348080 (UMLS CUI [3,2])
C0029354 (UMLS CUI [4])
C1521941 (UMLS CUI [1,2])
C2700116 (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])