billing-rule-effect
type: CodeSystem
node role: treeRoot
resource.id:
  value: billing-rule-effect
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: CodeSystem billing-rule-effect This case-sensitive code system https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-effect defines the following codes: Code Display Definition reject Reject The billed item is non-conformant and must be rejected or corrected. requires-justification Requires justification The billed item requires a documented justification. requires-approval Requires approval The billed item requires an applicable approval or authorization. requires-agreement Requires agreement The billed item requires an applicable patient or contractual agreement. replace-code Replace code The billed item must be replaced by a declared alternative code. price-adjust Price adjustment The rule changes the applicable price, points, factor, or valuation. advisory Advisory The rule produces a non-blocking advisory finding. reporting-only Reporting only The rule produces a reporting obligation without changing billability.
code system.url:
  value: https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-effect
code system.identifier:
  index: 0
  identifier.system:
    value: urn:ietf:rfc:3986
  identifier.value:
    value: urn:oid:2.16.840.1.113883.3.7985.16.21
code system.version:
  value: 1
code system.name:
  value: BillingRuleEffectCS
code system.title:
  value: Billing Rule Effect
code system.status:
  value: active
code system.experimental:
  value: false
code system.date:
  value: 2026-08-22T18:18:46+02:00
code system.publisher:
  value: cognovis GmbH
code system.contact:
  index: 0
  contact detail.name:
    value: cognovis GmbH
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://www.cognovis.de
  contact detail.telecom:
    index: 1
    contact point.system:
      value: email
code system.description:
  value: Observable effects produced when a declarative billing rule matches or is violated.
code system.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:iso:std:iso:3166
    coding.code:
      value: DE
code system.copyright:
  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.
code system.case sensitive:
  value: true
code system.content:
  value: complete
code system.count:
  value: 8
code system.concept:
  index: 0
  code system.concept.code:
    value: reject
  code system.concept.display:
    value: Reject
  code system.concept.definition:
    value: The billed item is non-conformant and must be rejected or corrected.
code system.concept:
  index: 1
  code system.concept.code:
    value: requires-justification
  code system.concept.display:
    value: Requires justification
  code system.concept.definition:
    value: The billed item requires a documented justification.
code system.concept:
  index: 2
  code system.concept.code:
    value: requires-approval
  code system.concept.display:
    value: Requires approval
  code system.concept.definition:
    value: The billed item requires an applicable approval or authorization.
code system.concept:
  index: 3
  code system.concept.code:
    value: requires-agreement
  code system.concept.display:
    value: Requires agreement
  code system.concept.definition:
    value: The billed item requires an applicable patient or contractual agreement.
code system.concept:
  index: 4
  code system.concept.code:
    value: replace-code
  code system.concept.display:
    value: Replace code
  code system.concept.definition:
    value: The billed item must be replaced by a declared alternative code.
code system.concept:
  index: 5
  code system.concept.code:
    value: price-adjust
  code system.concept.display:
    value: Price adjustment
  code system.concept.definition:
    value: The rule changes the applicable price, points, factor, or valuation.
code system.concept:
  index: 6
  code system.concept.code:
    value: advisory
  code system.concept.display:
    value: Advisory
  code system.concept.definition:
    value: The rule produces a non-blocking advisory finding.
code system.concept:
  index: 7
  code system.concept.code:
    value: reporting-only
  code system.concept.display:
    value: Reporting only
  code system.concept.definition:
    value: The rule produces a reporting obligation without changing billability.