Generated Narrative: CodeSystem billing-required-fact This case-sensitive code system https://fhir.cognovis.de/praxis/CodeSystem/billing-required-fact defines the following codes: Code Display Definition service-occurrence Service occurrence An occurrence of a billed or previously rendered service. service-value Service value A monetary, point, duration, quantity, or factor value attached to a service. diagnosis Diagnosis A diagnosis and its relevant status, certainty, site, and time context. procedure Procedure A documented procedure and its time and site context. finding Finding A documented clinical or administrative finding or measurement. patient-attribute Patient attribute A demographic or status attribute of the patient. provider-eligibility Provider eligibility A specialty, authorization, role, or relationship fact that establishes whether a provider may render or bill the service. care-setting Care setting A place, case type, care setting, time, or treatment-kind fact. contract-participation Contract participation A patient, provider, or practice enrollment in a contract or module. accompanying-information Accompanying information A structured field, justification, report, or itemized cost record. prior-authorization Prior authorization An applicable approved plan or authorization. patient-agreement Patient agreement An applicable agreement signed or accepted by the patient. billing-factor Billing factor The factor or multiplier applied to a billed item. analogue-reference Analogue reference The declared listed service used as an analogue for an unlisted service. cost-evidence Cost evidence Evidence supporting material, laboratory, or other reimbursable costs. approved-plan Approved plan An approved treatment or cost plan and its entitlement-relevant findings. volume Volume An accumulated count, value, or quota for the declared counting subject and window. treatment-episode Treatment episode The start, end, and continuity of the treatment episode a service belongs to, used to place the service inside an episode-relative counting window. provider-specialty-group Provider specialty group The grouping identity of the rendering provider: the specialty group or the care sector the provider belongs to. It is used to group providers for counting and to condition rules on that grouping, including rules that apply differently in an organisation spanning more than one care sector. The applicable values arrive as parameters and are never enumerated by this concept. It is grouping identity and does not assert that the provider is eligible to render or bill the service.
Fact categories that a billing-rule evaluator may require from its caller.
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An occurrence of a billed or previously rendered service.
A monetary, point, duration, quantity, or factor value attached to a service.
A diagnosis and its relevant status, certainty, site, and time context.
A documented procedure and its time and site context.
A documented clinical or administrative finding or measurement.
A demographic or status attribute of the patient.
A specialty, authorization, role, or relationship fact that establishes whether a provider may render or bill the service.
A place, case type, care setting, time, or treatment-kind fact.
A patient, provider, or practice enrollment in a contract or module.
A structured field, justification, report, or itemized cost record.
An applicable approved plan or authorization.
An applicable agreement signed or accepted by the patient.
The factor or multiplier applied to a billed item.
The declared listed service used as an analogue for an unlisted service.
Evidence supporting material, laboratory, or other reimbursable costs.
An approved treatment or cost plan and its entitlement-relevant findings.
An accumulated count, value, or quota for the declared counting subject and window.
The start, end, and continuity of the treatment episode a service belongs to, used to place the service inside an episode-relative counting window.
The grouping identity of the rendering provider: the specialty group or the care sector the provider belongs to. It is used to group providers for counting and to condition rules on that grouping, including rules that apply differently in an organisation spanning more than one care sector. The applicable values arrive as parameters and are never enumerated by this concept. It is grouping identity and does not assert that the provider is eligible to render or bill the service.