Countries and Languages
| Countries | Languages |
|---|---|
| Germany | German |
| Belgium | French |
| Dutch | |
| Netherlands | Dutch |
| English |
Extracted Fields
General Information
| Field | Description |
|---|---|
| Date | The sick note registration date. |
| Health insurer | The name of the medical insurance company. This field can only be found on German documents. The actual German designation is Krankenkasse beziehungsweise Kostenträger. |
Type of Sick Note (Checkmark Group)
| Field | Description |
|---|---|
| First Occurrence | Indicates that this is a first injury/illness sick leave. |
| Extension | Indicates that this is an extended sick leave. |
| Relapse | Indicates that this is a sick leave due to relapse. |
Patient
| Field | Description |
|---|---|
| Insurance ID | The insurance company identifier. |
| German Insurance ID | The German insurance company identifier. This field can only be found on German documents. The actual German designation is Kostenträgerkennung. |
| Full Name | The employee’s full name. |
| Date of Birth | The employee’s date of birth. |
| Address | The employee’s address. |
Restrictions (Checkmark Group)
Specifies restrictions. Multiple fields can be checked simultaneously.| Field | Description |
|---|---|
| Work | Restriction indicator |
| Attend Classes | Restriction indicator |
| Engage in Sports | Restriction indicator |
| Swimming | Restriction indicator |
| Perform Strenuous Activity | Restriction indicator |
| Attend Workplace | Restriction indicator |
| Attend Kindergarten | Restriction indicator |
| Other | Restriction indicator |
| Other(Clarification) | If the Other field in the Restrictions checkmark group is checked, this field describing the restriction should be filled in. |
Duration Information
| Field | Description |
|---|---|
| Duration (days) | The duration of the sick leave. |
| Sickness Start Date | The starting date of the sick leave. |
| Presumable Recovery Date | The estimated end date of the sick leave. |
| Sickness Concluded Date | The actual end date of the sick leave. |
Cause of Absence (Checkmark Group)
Indicates the type of injury/illness.| Field | Description |
|---|---|
| Sickness | Cause indicator |
| Surgery | Cause indicator |
| Accident | Cause indicator |
| Sickness of Dependant | Cause indicator |
| Family Reasons | Cause indicator |
| Hospitalization | Cause indicator |
| Stay at Emergency Room | Cause indicator |
| Other | Cause indicator |
| Other(Clarification) | If the Other field in the Cause of Absence checkmark group is checked, this field describing the cause of absence should be filled in. |
Additional Details
| Field | Description |
|---|---|
| Date of Accident | The date of the accident. |
| Work-Related | Specifies whether the injury/illness is work-related. |
Leaving Home (Checkmark Group)
| Field | Description |
|---|---|
| Authorized | Indicates that leaving home is allowed. |
| Not Authorized | Indicates that leaving home is not allowed. |
Doctor
| Field | Description |
|---|---|
| Doctor ID | The identifier, additional information, and signature of the attending doctor. |
| Doctor Information | The identifier, additional information, and signature of the attending doctor. |
| Assigned to Doctor (checkmark field) | Marked if the attending doctor is a traffic and work-related accident treatment specialist. This field can only be found on German documents. The actual German designation is Dem Durchgangsarzt zugewiesen. |
Key Fields
- Patient/Full Name
- Patient/Insurance ID
- Date
- Sickness Start Date
Validation Rules
| Rule | Description |
|---|---|
| Check Dates | Checks that there is at most 3 days between the sick leave start date (Sickness Start Date) and the sick note registration date (Date). If not, displays an appropriate error message. |
| Type of Sick Note Checkmark | Checks that only one type of Sick Note is selected. Auto-checks Extension if certain conditions are met. |
| Leaving Home Checkmark Check | Checks whether the constraints on the minimum and maximum number of checked checkboxes in the Leaving Home, Restrictions, and Cause of Absence groups are satisfied, and converts plain text values to their standardized checkbox equivalents. |
| Restrictions Checkmark Check | Checks whether the constraints on the minimum and maximum number of checked checkboxes in the Leaving Home, Restrictions, and Cause of Absence groups are satisfied, and converts plain text values to their standardized checkbox equivalents. |
| Check Document Copy | Checks that the document is a copy of the sick note intended for the employer. If the appropriate mark is not detected, displays a message saying that the uploaded copy is not the correct one. The rule is relevant for German documents only. |
| Cause of Absence Checkmark Check | Checks whether the constraints on the minimum and maximum number of checked checkboxes in the Leaving Home, Restrictions, and Cause of Absence groups are satisfied, and converts plain text values to their standardized checkbox equivalents. |
| Normalized IDs | Normalizes the doctor and patient identifier to the default national format. |