ID

25611

Description

Muster 36 - Empfehlung zur verhaltensbezogenen Primärprävention gem. § 20 Abs. 5 SGB V(Freigabe 09.05.2017). 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 36 - Recommendation for Primary Prevention (Released 05-09-2017). 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

www.kbv.de

Keywords

Versions (2)
  1. 8/16/17 8/16/17 -
  2. 9/7/17 9/7/17 -
Copyright Holder

Kassenärztliche Bundesvereinigung

Uploaded on

September 7, 2017

DOI

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License

Creative Commons BY-NC 3.0
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KBV Recommendation for Primary Prevention Template 36

German

KBV Recommendation for Primary Prevention Template 36

1 forms  
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
Empfehlung
Description

Empfehlung

Bewegungsgewohnheiten
Description

motion

Data type

boolean

Alias
UMLS CUI [1]
C0026597
Ernährung
Description

nutrition

Data type

boolean

Alias
UMLS CUI [1]
C0600072
Stressmanagement
Description

stress

Data type

boolean

Alias
UMLS CUI [1]
C0038435
Suchtmittelkonsum
Description

addictive ddrug consumption

Data type

boolean

Alias
UMLS CUI [1]
C0813966
Sonstiges
Description

other primary prevention

Data type

text

Alias
UMLS CUI [1]
C0033144
Hinweise des behandelnden Arztes (z.B. Kontraindikationen, Konkretisierung zur Präventionsempfehlung)
Description

Bitte informieren Sie sich bei Ihrer Krankenkasse über die geprüften und anerkannten Präventionsangebote und die Fördervoraussetzungen.

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0031831
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Similar models

KBV Recommendation for Primary Prevention Template 36

1 forms
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
Empfehlung
motion
Item
Bewegungsgewohnheiten
boolean
C0026597 (UMLS CUI [1])
nutrition
Item
Ernährung
boolean
C0600072 (UMLS CUI [1])
stress
Item
Stressmanagement
boolean
C0038435 (UMLS CUI [1])
addictive ddrug consumption
Item
Suchtmittelkonsum
boolean
C0813966 (UMLS CUI [1])
other primary prevention
Item
Sonstiges
text
C0033144 (UMLS CUI [1])
doctors comment
Item
Hinweise des behandelnden Arztes (z.B. Kontraindikationen, Konkretisierung zur Präventionsempfehlung)
text
C0947611 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
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