KBV Emergency Template Template 19a

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
geb. am
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
Notfal-/Vertretungsschein
Description

Notfal-/Vertretungsschein

ärztlicher Notfalldienst
Description

emergency service

Data type

boolean

Alias
UMLS CUI [1]
C0013961
holiday replacement
Description

holiday replacement

Data type

boolean

Alias
UMLS CUI [1,1]
C0559956
UMLS CUI [1,2]
C0242807
UMLS CUI [2,1]
C0559956
UMLS CUI [2,2]
C0019843
Notfall
Description

Emergency

Data type

boolean

Alias
UMLS CUI [1]
C0013956
Quartal
Description

Quarter

Data type

integer

Alias
UMLS CUI [1]
C2825406
Jahr
Description

year

Data type

integer

Alias
UMLS CUI [1]
C0439234
Unfall Unfallfolgen
Description

Accident

Data type

boolean

Alias
UMLS CUI [1]
C0000924
UMLS CUI [2,1]
C0686907
UMLS CUI [2,2]
C0000924
Arbeitsunfähigkeit bescheinigt bis
Description

inability to work

Data type

date

Alias
UMLS CUI [1,1]
C4049481
UMLS CUI [1,2]
C0242807
Teil b erhält weiterbehandelnder Arzt:
Description

referring doctor

Data type

text

Alias
UMLS CUI [1]
C4264331
Diagnosen / ggf. Abrechnungsbegründungen
Description

Diagnosen / ggf. Abrechnungsbegründungen

Diagnosen / ggf. Abrechnungsbegründungen
Description

Diagnoses

Data type

text

Alias
UMLS CUI [1]
C0011900
Abrechnungsbegründungen
Description

accounting

Data type

text

Alias
UMLS CUI [1,1]
C0000938
UMLS CUI [1,2]
C0566251
Befunde/Therapie
Description

Befunde/Therapie

Befunde/Therapie
Description

finding

Data type

text

Alias
UMLS CUI [1]
C0582103
Brieffuß
Description

Brieffuß

Datum
Description

Ich bin bei der oben genannten Krankenkasse versichert.

Data type

date

Measurement units
  • TT-MM-JJ
Alias
UMLS CUI [1]
C0807937
TT-MM-JJ

Similar models

KBV Emergency Template Template 19a

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
geb. am
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])
Item Group
Notfal-/Vertretungsschein
emergency service
Item
ärztlicher Notfalldienst
boolean
C0013961 (UMLS CUI [1])
holiday replacement
Item
boolean
C0559956 (UMLS CUI [1,1])
C0242807 (UMLS CUI [1,2])
C0559956 (UMLS CUI [2,1])
C0019843 (UMLS CUI [2,2])
Emergency
Item
Notfall
boolean
C0013956 (UMLS CUI [1])
Quarter
Item
Quartal
integer
C2825406 (UMLS CUI [1])
year
Item
Jahr
integer
C0439234 (UMLS CUI [1])
Accident
Item
Unfall Unfallfolgen
boolean
C0000924 (UMLS CUI [1])
C0686907 (UMLS CUI [2,1])
C0000924 (UMLS CUI [2,2])
inability to work
Item
Arbeitsunfähigkeit bescheinigt bis
date
C4049481 (UMLS CUI [1,1])
C0242807 (UMLS CUI [1,2])
referring doctor
Item
Teil b erhält weiterbehandelnder Arzt:
text
C4264331 (UMLS CUI [1])
Item Group
Diagnosen / ggf. Abrechnungsbegründungen
Diagnoses
Item
Diagnosen / ggf. Abrechnungsbegründungen
text
C0011900 (UMLS CUI [1])
accounting
Item
Abrechnungsbegründungen
text
C0000938 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Item Group
Befunde/Therapie
finding
Item
Befunde/Therapie
text
C0582103 (UMLS CUI [1])
Item Group
Brieffuß
Signature date
Item
Datum
date
C0807937 (UMLS CUI [1])