ID
44074
Description
Muster 4 - Verordnung einer Krankenbeförderung (Freigabe: 01.09.2014) - 10.2014, 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 Forms 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 (6)
- 9/6/16 9/6/16 -
- 8/10/17 8/10/17 -
- 9/5/17 9/5/17 -
- 9/6/17 9/6/17 -
- 3/15/21 3/15/21 - Dr. rer. medic Philipp Neuhaus
- 9/20/21 9/20/21 -
Copyright Holder
KBV
Uploaded on
September 20, 2021
DOI
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License
Creative Commons BY-NC 3.0
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KBV Prescription of patient transport Template 4
KBV Prescription of patient transport Template 4
- StudyEvent: ODM
Description
Mitteilung von Krankheiten und drittverursachten Gesundheitsschäden gemäß § 294a SGB V
Description
Accident or consequences
Data type
boolean
Alias
- UMLS CUI [1]
- C0000924
Description
Work related accident, occupational disease
Data type
boolean
Alias
- UMLS CUI [1]
- C0745339
- UMLS CUI [2]
- C0028797
Description
Service-related injury
Data type
boolean
Alias
- UMLS CUI [1]
- C3846158
Description
Other
Data type
text
Alias
- UMLS CUI [1]
- C0205394
Description
1. Hauptleistung
Description
Hospitalization
Data type
text
Alias
- UMLS CUI [1]
- C0019993
Description
Duration of hospital stay
Data type
text
Alias
- UMLS CUI [1]
- C4019086
Description
Ambulatory surgery
Data type
boolean
Alias
- UMLS CUI [1]
- C0002428
Description
Date of ambulatory surgery
Data type
date
Measurement units
- TTMMJJ
Alias
- UMLS CUI [1,1]
- C0002428
- UMLS CUI [1,2]
- C0011008
Description
Pre- or postoperative care related to ambulatory surgery
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0002428
- UMLS CUI [1,2]
- C0033061
- UMLS CUI [2,1]
- C0002428
- UMLS CUI [2,2]
- C0032786
Description
Treatment duration
Data type
text
Alias
- UMLS CUI [1]
- C3173309
- UMLS CUI [2]
- C1531784
Description
Ambulatory Care Facilities
Data type
integer
Alias
- UMLS CUI [1]
- C0002424
Description
Ambulatory Care Facilities
Data type
text
Alias
- UMLS CUI [1]
- C0002424
Description
Reason for exceptional case
Data type
integer
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0205212
- UMLS CUI [1,3]
- C0087111
Description
Reason for exceptional case
Data type
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0205212
- UMLS CUI [1,3]
- C0087111
Description
Reason for exceptional case
Data type
integer
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0518456
Description
Reason for exceptional case ICD 10
Data type
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0518456
- UMLS CUI [1,3]
- C2598420
Description
Treatment frequency
Data type
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0439603
Description
Treatment frequency
Data type
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0439603
Description
Duration of treatment
Data type
text
Alias
- UMLS CUI [1]
- C0444921
Description
Duration of serial prescription
Data type
durationDatetime
Alias
- UMLS CUI [1,1]
- C0449238
- UMLS CUI [1,2]
- C0205341
- UMLS CUI [1,3]
- C0033080
Description
2. Beförderungsmittel
Description
Means of transport
Data type
integer
Alias
- UMLS CUI [1]
- C0150390
Description
Means of transport
Data type
text
Alias
- UMLS CUI [1]
- C0150390
Description
Reason for choice of transport
Data type
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0566251
- UMLS CUI [2]
- C2598420
Description
Medical-technical equipment
Data type
integer
Alias
- UMLS CUI [1,1]
- C0014672
- UMLS CUI [1,2]
- C0150390
Description
Medical-technical equipment
Data type
text
Alias
- UMLS CUI [1,1]
- C0014672
- UMLS CUI [1,2]
- C0150390
Description
Transport start
Data type
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0450429
Description
Transport start
Data type
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0450429
Description
Transport destination
Data type
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0079220
Description
Transport destination
Data type
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0079220
Description
Patient transport
Data type
integer
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0150390
Description
Waiting time
Data type
integer
Alias
- UMLS CUI [1]
- C0814636
Description
Multiple patients transport
Data type
integer
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0439064
Description
Professional care required
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0018724
- UMLS CUI [1,2]
- C1514873
Description
Professional care required
Data type
text
Alias
- UMLS CUI [1,1]
- C0018724
- UMLS CUI [1,2]
- C1514873
Description
Brieffuß
Description
Genehmigung der Krankenkasse
Description
Patient transport approval
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0205540
Description
Patient transport conditional approval
Data type
text
Alias
- UMLS CUI [1,1]
- C0150390
- UMLS CUI [1,2]
- C0205540
- UMLS CUI [1,3]
- C1701901
Description
Reason patient transport was denied
Data type
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C0150390
- UMLS CUI [1,3]
- C0332319
Description
Brieffuß
Description
Empfangsbestätigung durch den Versicherten
Description
Date of patient transport
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0150390
Description
Route
Data type
text
Alias
- UMLS CUI [1]
- C0449444
Description
Patient Transport
Data type
integer
Alias
- UMLS CUI [1]
- C0150390
Description
Die Krankenbeförderung wurde gemäß der obigen Empfangsbestätigung durchgeführt.
Data type
text
Alias
- UMLS CUI [1,1]
- C1519316
- UMLS CUI [1,2]
- C0030705
Description
Date of exemption from co-payment
Data type
date
Measurement units
- TTMMJJ
Alias
- UMLS CUI [1,1]
- C0680272
- UMLS CUI [1,2]
- C2348482
Description
Signature of service provider
Data type
text
Alias
- UMLS CUI [1]
- C1519316
Description
Date of signature
Data type
date
Alias
- UMLS CUI [1]
- C0807937
Description
Abrechnungsdaten des Leistungserbringers
Description
Institution number
Data type
text
Alias
- UMLS CUI [1]
- C0489558
Description
Co-payment amount
Data type
float
Measurement units
- €
Alias
- UMLS CUI [1]
- C2734948
Description
Total Gross
Data type
float
Alias
- UMLS CUI [1]
- C0010186
Description
Account number
Data type
text
Alias
- UMLS CUI [1]
- C1549676
Description
Billing code
Data type
text
Alias
- UMLS CUI [1]
- C1547149
Description
Position
Data type
integer
Alias
- UMLS CUI [1]
- C0439080
Description
Factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Data type
integer
Measurement units
- km
Alias
- UMLS CUI [1]
- C0012751
Description
Position
Data type
integer
Alias
- UMLS CUI [1]
- C0439080
Description
Factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Data type
integer
Measurement units
- km
Alias
- UMLS CUI [1]
- C0012751
Description
Position
Data type
integer
Alias
- UMLS CUI [1]
- C0439080
Description
Factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Data type
integer
Measurement units
- km
Alias
- UMLS CUI [1]
- C0012751
Description
Position
Data type
integer
Alias
- UMLS CUI [1]
- C0439080
Description
Factor
Data type
integer
Alias
- UMLS CUI [1]
- C1521761
Description
Distance
Data type
integer
Measurement units
- km
Alias
- UMLS CUI [1]
- C0012751
Similar models
KBV Prescription of patient transport Template 4
- StudyEvent: ODM
C0028797 (UMLS CUI [2])
C0011008 (UMLS CUI [1,2])
C0033061 (UMLS CUI [1,2])
C0002428 (UMLS CUI [2,1])
C0032786 (UMLS CUI [2,2])
C1531784 (UMLS CUI [2])
C0205212 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
C0205212 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
C0518456 (UMLS CUI [1,2])
C0518456 (UMLS CUI [1,2])
C2598420 (UMLS CUI [1,3])
C0439603 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,2])
C0205341 (UMLS CUI [1,2])
C0033080 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,2])
C2598420 (UMLS CUI [2])
C0150390 (UMLS CUI [1,2])
C0150390 (UMLS CUI [1,2])
C0450429 (UMLS CUI [1,2])
C0079220 (UMLS CUI [1,2])
C0079220 (UMLS CUI [1,2])
C0439064 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,2])
C0205540 (UMLS CUI [1,2])
C0205540 (UMLS CUI [1,2])
C1701901 (UMLS CUI [1,3])
C0150390 (UMLS CUI [1,2])
C0332319 (UMLS CUI [1,3])
C0150390 (UMLS CUI [1,2])
C0030705 (UMLS CUI [1,2])
C2348482 (UMLS CUI [1,2])