German Practice Management FHIR Profiles (R4)
Version 0.99.1 - release

: Synthetic Code-local Billing Rule - TTL Representation

Active as of 2026-08-22

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ChargeItemDefinition/example-billing-code-local-rule> a fhir:ChargeItemDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "example-billing-code-local-rule"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/praxis-billing-rule-chargeitemdefinition" ;
       fhir:index 0 ;
       fhir:link <https://fhir.cognovis.de/praxis/StructureDefinition/praxis-billing-rule-chargeitemdefinition>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ChargeItemDefinition example-billing-code-local-rule</b></p><a name=\"example-billing-code-local-rule\"> </a><a name=\"hcexample-billing-code-local-rule\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-praxis-billing-rule-chargeitemdefinition.html\">Praxis Billing Rule ChargeItemDefinition</a></p></div><blockquote><p><b>Billing Source Manifest</b></p><ul><li>sourceUri: <a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.6.0&amp;canonical=https://example.invalid/source/synthetic-catalog.xml\">https://example.invalid/source/synthetic-catalog.xml</a></li><li>sourceVersion: 2026.1-test</li><li>sourceDigest: sha256:1111111111111111111111111111111111111111111111111111111111111111</li><li>retrievedAt: 2026-01-01 00:00:00+0000</li><li>mapperVersion: 1.0.0-test</li><li>completeness: <a href=\"CodeSystem-billing-source-completeness.html#billing-source-completeness-complete\">Billing Source Completeness: complete</a> (Complete)</li></ul></blockquote><p><b>url</b>: <a href=\"ChargeItemDefinition-example-billing-code-local-rule.html\">ChargeItemDefinition Synthetic factor-bound service</a></p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt #xD;#xA;#xD;#xA;This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: #xD;#xA;#xD;#xA;Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.#xD;#xA;#xD;#xA;This OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.3.7985.14.2</p><p><b>version</b>: 2026.1-test</p><p><b>title</b>: Synthetic factor-bound service</p><p><b>status</b>: Active</p><p><b>date</b>: 2026-08-22 18:18:46+0200</p><p><b>publisher</b>: cognovis GmbH</p><p><b>contact</b>: cognovis GmbH: <a href=\"https://www.cognovis.de\">https://www.cognovis.de</a>,<a href=\"mailto:info@cognovis.de\">info@cognovis.de</a></p><p><b>description</b>: </p><div><p>Synthetic service used only to demonstrate the typed code-local billing-rule contract.</p>\n</div><p><b>jurisdiction</b>: <span title=\"Codes:{urn:iso:std:iso:3166 DE}\">Germany</span></p><p><b>copyright</b>: </p><div><p>Copyright 2026+ cognovis GmbH. Cognovis-authored material is licensed under Apache-2.0; third-party material retains its own terms as documented in THIRD_PARTY_NOTICES.md.</p>\n</div><p><b>code</b>: <span title=\"Codes:{https://example.invalid/CodeSystem/synthetic-billing 10000}\">10000</span></p><h3>Applicabilities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ModifierExtension</b></td></tr><tr><td style=\"display: none\">*</td><td/></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "sourceUri" ] ;
       fhir:Extension.valueUri [ fhir:value "https://example.invalid/source/synthetic-catalog.xml" ]
     ], [
       fhir:index 1 ;
       fhir:Extension.url [ fhir:value "sourceVersion" ] ;
       fhir:Extension.valueString [ fhir:value "2026.1-test" ]
     ], [
       fhir:index 2 ;
       fhir:Extension.url [ fhir:value "sourceDigest" ] ;
       fhir:Extension.valueString [ fhir:value "sha256:1111111111111111111111111111111111111111111111111111111111111111" ]
     ], [
       fhir:index 3 ;
       fhir:Extension.url [ fhir:value "retrievedAt" ] ;
       fhir:Extension.valueInstant [ fhir:value "2026-01-01T00:00:00Z"^^xsd:dateTime ]
     ], [
       fhir:index 4 ;
       fhir:Extension.url [ fhir:value "mapperVersion" ] ;
       fhir:Extension.valueString [ fhir:value "1.0.0-test" ]
     ], [
       fhir:index 5 ;
       fhir:Extension.url [ fhir:value "completeness" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "https://fhir.cognovis.de/praxis/CodeSystem/billing-source-completeness" ] ;
         fhir:Coding.code [ fhir:value "complete" ]
       ]
     ] ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/billing-source-manifest" ]
  ] ;
  fhir:ChargeItemDefinition.url [ fhir:value "https://fhir.cognovis.de/praxis/ChargeItemDefinition/example-billing-code-local-rule"] ;
  fhir:ChargeItemDefinition.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.3.7985.14.2" ]
  ] ;
  fhir:ChargeItemDefinition.version [ fhir:value "2026.1-test"] ;
  fhir:ChargeItemDefinition.title [ fhir:value "Synthetic factor-bound service"] ;
  fhir:ChargeItemDefinition.status [ fhir:value "active"] ;
  fhir:ChargeItemDefinition.date [ fhir:value "2026-08-22T18:18:46+02:00"^^xsd:dateTime] ;
  fhir:ChargeItemDefinition.publisher [ fhir:value "cognovis GmbH"] ;
  fhir:ChargeItemDefinition.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "cognovis GmbH" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.cognovis.de" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@cognovis.de" ]
     ]
  ] ;
  fhir:ChargeItemDefinition.description [ fhir:value "Synthetic service used only to demonstrate the typed code-local billing-rule contract."] ;
  fhir:ChargeItemDefinition.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "DE" ]
     ]
  ] ;
  fhir:ChargeItemDefinition.copyright [ fhir:value "Copyright 2026+ cognovis GmbH. Cognovis-authored material is licensed under Apache-2.0; third-party material retains its own terms as documented in THIRD_PARTY_NOTICES.md."] ;
  fhir:ChargeItemDefinition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://example.invalid/CodeSystem/synthetic-billing" ] ;
       fhir:Coding.code [ fhir:value "10000" ]
     ]
  ] ;
  fhir:ChargeItemDefinition.applicability [
     fhir:index 0 ;
     fhir:BackboneElement.modifierExtension [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "ruleId" ] ;
         fhir:Extension.valueString [ fhir:value "synthetic-factor-bound" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "ruleClass" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-class" ] ;
           fhir:Coding.version [ fhir:value "1" ] ;
           fhir:Coding.code [ fhir:value "factor-bound" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "effect" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-effect" ] ;
           fhir:Coding.code [ fhir:value "reject" ]
         ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "maximum" ] ;
         fhir:Extension.valueDecimal [ fhir:value "3.5"^^xsd:decimal ]
       ], [
         fhir:index 4 ;
         fhir:Extension.url [ fhir:value "standardThreshold" ] ;
         fhir:Extension.valueDecimal [ fhir:value "2.3"^^xsd:decimal ]
       ], [
         fhir:index 5 ;
         fhir:Extension.url [ fhir:value "aboveThresholdEffect" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-effect" ] ;
           fhir:Coding.code [ fhir:value "requires-justification" ]
         ]
       ], [
         fhir:index 6 ;
         fhir:Extension.url [ fhir:value "agreementOverrideAllowed" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/billing-factor-bound-rule" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ChargeItemDefinition/example-billing-code-local-rule.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ChargeItemDefinition/example-billing-code-local-rule.ttl> .