ID

25624

Beschrijving

Muster 61 D - Beratung zu medizinischer Rehabilitation / Prüfung des zuständigen Rehabilitationsträgers(Freigabe 25.11.2015). 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 61 D - Rehabilitation Consultation (Released 25-11-2015). 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

Trefwoorden

Versies (4)
  1. 13-01-17 13-01-17 -
  2. 13-01-17 13-01-17 -
  3. 28-01-17 28-01-17 -
  4. 07-09-17 07-09-17 -
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KBV

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7 september 2017

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Licentie

Creative Commons BY-NC 3.0
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KBV Rehabilitation Consultation Template 61D

Duits Engels

KBV Rehabilitation Consultation Template 61 Db

2 Formulieren  
Header
Beschrijving

Header

Patient Name
Beschrijving

Patient Name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Insurance ID
Beschrijving

Insurance ID

Datatype

integer

Alias
UMLS CUI [1]
C1547687
Insurance number
Beschrijving

Insurance number

Datatype

integer

Alias
UMLS CUI [1]
C1549712
Capability to rehabilitate
Beschrijving

Capability to rehabilitate

resilience
Beschrijving

resilience

Datatype

boolean

Alias
UMLS CUI [1]
C0683253
target of rehabilitation therapy
Beschrijving

target of rehabilitation therapy

target of rehabilitation therapy
Beschrijving

target of rehabilitation therapy

Datatype

text

Alias
UMLS CUI [1]
C2148126
patients target of rehabilitation therapy
Beschrijving

patients target of rehabilitation therapy

Datatype

text

Alias
UMLS CUI [1]
C2148126
rehabilitation therapy prognosis
Beschrijving

rehabilitation therapy prognosis

rehabilitation therapy prognosis
Beschrijving

rehabilitation therapy prognosis

Datatype

integer

Alias
UMLS CUI [1]
C0807510
rehabilitation therapy prognosis
Beschrijving

rehabilitation therapy prognosis

Datatype

text

Alias
UMLS CUI [1]
C0807510
rehabilitation type
Beschrijving

rehabilitation type

recommended rehabiliation type
Beschrijving

recommended rehabiliation type

Datatype

integer

Alias
UMLS CUI [1]
C0034991
commens on rehabiliation type
Beschrijving

commens on rehabiliation type

Datatype

integer

Alias
UMLS CUI [1,1]
C0034991
UMLS CUI [1,2]
C1521970
comments on rehabiliation type
Beschrijving

comments on rehabiliation type

Datatype

text

Alias
UMLS CUI [1,1]
C0034991
UMLS CUI [1,2]
C1521970
other information
Beschrijving

other information

necessity of planned treatment
Beschrijving

necessity of planned treatment

Datatype

integer

Alias
UMLS CUI [1,1]
C1555447
UMLS CUI [1,2]
C1301732
UMLS CUI [1,3]
C0087111
UMLS CUI [1,4]
C0034991
social distancing necessary
Beschrijving

social distancing necessary

Datatype

boolean

Alias
UMLS CUI [1,1]
C1555447
UMLS CUI [1,2]
C0037412
home care possible
Beschrijving

home care possible

Datatype

boolean

Alias
UMLS CUI [1]
C0204977
fit to travel
Beschrijving

fit to travel

Datatype

integer

Alias
UMLS CUI [1]
C0040802
other characteristics
Beschrijving

other characteristics

Datatype

text

Alias
UMLS CUI [1]
C0815172
call back
Beschrijving

call back

Datatype

text

Alias
UMLS CUI [1,1]
C0175745
UMLS CUI [1,2]
C1515258
Footer
Beschrijving

Footer

Signature date
Beschrijving

Signature date

Datatype

date

Alias
UMLS CUI [1]
C0807937
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Similar models

KBV Rehabilitation Consultation Template 61 Db

2 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Patient Name
Item
text
C1299487 (UMLS CUI [1])
Insurance ID
Item
integer
C1547687 (UMLS CUI [1])
Insurance number
Item
integer
C1549712 (UMLS CUI [1])
resilience
Item
boolean
C0683253 (UMLS CUI [1])
target of rehabilitation therapy
Item
text
C2148126 (UMLS CUI [1])
patients target of rehabilitation therapy
Item
text
C2148126 (UMLS CUI [1])
Item
integer
C0807510 (UMLS CUI [1])
rehabilitation therapy prognosis
Code List
rehabilitation therapy prognosis
CL Item
 (1)
CL Item
 (2)
rehabilitation therapy prognosis
Item
text
C0807510 (UMLS CUI [1])
Item
integer
C0034991 (UMLS CUI [1])
recommended rehabiliation type
Code List
recommended rehabiliation type
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
CL Item
 (6)
CL Item
 (7)
Item
integer
C0034991 (UMLS CUI [1,1])
C1521970 (UMLS CUI [1,2])
recommended rehabiliation type
Code List
commens on rehabiliation type
CL Item
 (1)
CL Item
 (2)
comments on rehabiliation type
Item
text
C0034991 (UMLS CUI [1,1])
C1521970 (UMLS CUI [1,2])
Item
integer
C1555447 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
C0034991 (UMLS CUI [1,4])
necessity of planned treatment
Code List
necessity of planned treatment
CL Item
 (1)
CL Item
 (2)
social distancing necessary
Item
boolean
C1555447 (UMLS CUI [1,1])
C0037412 (UMLS CUI [1,2])
home care possible
Item
boolean
C0204977 (UMLS CUI [1])
Item
integer
C0040802 (UMLS CUI [1])
fit to travel
Code List
fit to travel
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
other characteristics
Item
text
C0815172 (UMLS CUI [1])
call back
Item
text
C0175745 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Item Group
Signature date
Item
Signature date
date
C0807937 (UMLS CUI [1])
Terug naar het begin van de pagina 

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