ID

41998

Description

Documentation part 6. Contract for the post- therapy ophthalmologist for the special ambulatory care of eye surgery.

Keywords

Versions (2)
  1. 1/2/18 1/2/18 -
  2. 3/15/21 3/15/21 - Dr. rer. medic Philipp Neuhaus
Copyright Holder

Kassenärztliche Vereinigung Westfalen-Lippe (KVWL)

Uploaded on

March 15, 2021

DOI

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License

Creative Commons BY-NC 3.0
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6. Documentation Form for The Post- Therapy Ophthalmologist

German

Documentation Form for The Post- Therapy Ophthalmologist

1 forms  
Administrative Dokumentation
Description

Administrative Dokumentation

Alias
UMLS CUI-1
C1320722
Krankenkasse bzw. Kostenträger
Description

Health insurance

Data type

text

Alias
UMLS CUI [1]
C0021682
Name, Vorname des Versicherten
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Geb. am
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Kostenträgerkennung
Description

Health insurance ID

Data type

text

Alias
UMLS CUI [1]
C1547687
Versicherten- Nr.
Description

Insurance number

Data type

text

Alias
UMLS CUI [1]
C1549712
Status
Description

Status

Data type

text

Alias
UMLS CUI [1]
C0449438
Betriebsstäten- Nr.
Description

Hospital ID

Data type

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Arzt- Nr.
Description

Physician ID

Data type

text

Alias
UMLS CUI [1]
C1550333
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Indikation
Description

Indikation

Alias
UMLS CUI-1
C3146298
Indikation
Description

Indication

Data type

text

Alias
UMLS CUI [1]
C3146298
Befund/Behandlungsdaten:
Description

Befund/Behandlungsdaten:

Alias
UMLS CUI-1
C0684224
Rechtes Auge
Description

Right eye

Data type

boolean

Alias
UMLS CUI [1]
C0229089
Linkes Auge
Description

Left eye

Data type

boolean

Alias
UMLS CUI [1]
C0229090
a. Wirkstoff/Medikament:
Description

Medication

Data type

text

Alias
UMLS CUI [1]
C0013227
b. Erstbehandlung am:
Description

Date treatment started

Data type

date

Alias
UMLS CUI [1]
C3173309
b. Erstbehandlung durch:
Description

physician

Data type

text

Alias
UMLS CUI [1]
C1710470
c. Beginn der/des Wiederbehandlung/Wiederbehandlungszyklus:
Description

therapy number

Data type

integer

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0750480
c. Beginn der/des Wiederbehandlung/Wiederbehandlungszyklus am:
Description

Therapy date

Data type

date

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0011008
Befunde nach der Behandlung
Description

Befunde nach der Behandlung

Alias
UMLS CUI-1
C0684224
Befunde nach der Behandlung
Description

report

Data type

integer

Alias
UMLS CUI [1]
C0684224
Befunde nach der Behandlung vom:
Description

report date

Data type

date

Alias
UMLS CUI [1]
C1302584
Visus:cc
Description

Visual acuity

Data type

text

Alias
UMLS CUI [1]
C0042812
Tensio:
Description

Intraocular pressure

Data type

text

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0578862
mmHg
Komplikationen:
Description

complication

Data type

text

Alias
UMLS CUI [1]
C0009566
Datum:
Description

date

Data type

date

Alias
UMLS CUI [1]
C0011008
Ort
Description

Place

Data type

text

Alias
UMLS CUI [1]
C0442504
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Vertragsarztstempel/ Unterschrift des behandelnden Arztes
Description

Physician signature

Data type

text

Alias
UMLS CUI [1]
C0807938
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Similar models

Documentation Form for The Post- Therapy Ophthalmologist

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Dokumentation
C1320722 (UMLS CUI-1)
Health insurance
Item
Krankenkasse bzw. Kostenträger
text
C0021682 (UMLS CUI [1])
Patient name
Item
Name, Vorname des Versicherten
text
C1299487 (UMLS CUI [1])
Date of birth
Item
Geb. am
date
C0421451 (UMLS CUI [1])
Health insurance ID
Item
Kostenträgerkennung
text
C1547687 (UMLS CUI [1])
Insurance number
Item
Versicherten- Nr.
text
C1549712 (UMLS CUI [1])
Status
Item
Status
text
C0449438 (UMLS CUI [1])
Hospital ID
Item
Betriebsstäten- Nr.
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Physician ID
Item
Arzt- Nr.
text
C1550333 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Item Group
Indikation
C3146298 (UMLS CUI-1)
Item
Indikation
text
C3146298 (UMLS CUI [1])
Indication
Code List
Indikation
CL Item
AMD (AMD)
C0242383 (UMLS CUI-1)
(Comment:de)
CL Item
RVV (RVV)
C0035328 (UMLS CUI-1)
(Comment:de)
CL Item
CNV (CNV)
C0600518 (UMLS CUI-1)
(Comment:de)
CL Item
Uveitis (Uveitis)
C0042164 (UMLS CUI-1)
(Comment:de)
CL Item
DMÖ (DMÖ)
C0730285 (UMLS CUI-1)
(Comment:de)
Item Group
Befund/Behandlungsdaten:
C0684224 (UMLS CUI-1)
Right eye
Item
Rechtes Auge
boolean
C0229089 (UMLS CUI [1])
Left eye
Item
Linkes Auge
boolean
C0229090 (UMLS CUI [1])
Medication
Item
a. Wirkstoff/Medikament:
text
C0013227 (UMLS CUI [1])
Date treatment started
Item
b. Erstbehandlung am:
date
C3173309 (UMLS CUI [1])
physician
Item
b. Erstbehandlung durch:
text
C1710470 (UMLS CUI [1])
therapy number
Item
c. Beginn der/des Wiederbehandlung/Wiederbehandlungszyklus:
integer
C0087111 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Therapy date
Item
c. Beginn der/des Wiederbehandlung/Wiederbehandlungszyklus am:
date
C0087111 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Befunde nach der Behandlung
C0684224 (UMLS CUI-1)
Item
Befunde nach der Behandlung
integer
C0684224 (UMLS CUI [1])
report
Code List
Befunde nach der Behandlung
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
report date
Item
Befunde nach der Behandlung vom:
date
C1302584 (UMLS CUI [1])
Visual acuity
Item
Visus:cc
text
C0042812 (UMLS CUI [1])
Intraocular pressure
Item
Tensio:
text
C0578862 (UMLS CUI [1])
complication
Item
Komplikationen:
text
C0009566 (UMLS CUI [1])
date
Item
Datum:
date
C0011008 (UMLS CUI [1])
Place
Item
Ort
text
C0442504 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Physician signature
Item
Vertragsarztstempel/ Unterschrift des behandelnden Arztes
text
C0807938 (UMLS CUI [1])
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