2023 심사평가정보 표준서식
- Type
- Book
- Issued Date
- 2023-10
- Publisher
- 건강보험심사평가원
- Table Of Contents
- 제1부 정보통신망을 이용한 심사관련 자료제출에 대한 세부사항
제2부 종류별 세부서식 및 작성요령
Ⅰ. 심사자료 제출을 위한 표준서식(제3조제2항 관련)
1. 퇴원요약자료 ························································· 16
2. 진단검사결과지 ······················································· 23
3. 영상검사결과지 ······················································· 26
4. 병리검사결과지 ······················································· 28
5. 수술기록자료 ··························································· 32
6. 응급기록자료 ··························································· 36
7. 입원초진기록자료 ··················································· 44
8. 입원경과기록자료 ··················································· 50
9. 외래초진기록자료 ··················································· 53
10. 외래경과기록자료 ················································· 59
11. 중환자실기록자료 ················································· 62
12. 협의진료기록자료 ················································· 71
13. 마취기록자료 ························································· 74
14. 회복기록자료 ························································· 80
15. 간호정보조사자료 ················································· 83
16. 기타간호기록자료 ················································· 88
17. 수술간호기록자료 ················································· 90
18. 응급간호기록자료 ················································· 93
19. 의사지시기록자료 ················································· 96
20. 임상관찰기록자료 ················································ 98
21. 투석기록자료 ······················································ 101
22. 전입기록자료 ······················································ 107
23. 전출기록자료 ······················································ 110
24. 시술기록자료 ······················································ 113
25. 투약기록자료 ······················································ 118
26. 신생아중환자실기록자료 ···································· 121
27. 의원급 진료기록자료 ·········································· 129
28. 방사선치료기록자료 ··········································· 133
Ⅱ. 표준서식 이외의 심사자료 제출 서식(제4조 관련)
1. 자율서식 ·································································140
Ⅲ. 기타자료 제출을 위한 표준서식(제3조의2 관련)
1. 입원 진료비 계산서ㆍ영수증 ······························· 146
2. 의료의 질 향상을 위한 점검표 ····························· 158
3. 난임시술기록지 ····················································· 162
4. 교육상담일지 ························································· 168
5. 이학요법 실시 기록지 ··········································· 170
6. 정신요법 실시 기록지 ··········································· 172
7. 처방소견서 ··························································· 174
8. 진료비 세부산정내역 ············································ 176
9. 척추 MRI 퇴행성 질환 진료결과 서식 ················· 181
10. 항암화학요법 심사정보 표준서식 ······················ 185
별첨
별첨 1. 진료과목 ························································ 197
별첨 2. 설치 및 제출방법 ·········································· 198
- Publisher
- 건강보험심사평가원
- Location
- KOR
- Citation
- 건강보험심사평가원. (2023-10). 2023 심사평가정보 표준서식.
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