<status value="active"/> <experimental value="false"/> <date value="2026-08-22T18:18:46+02:00"/> <publisher value="cognovis GmbH"/> <contact> <name value="cognovis GmbH"/> <telecom> <system value="url"/> <value value="https://www.cognovis.de"/> </telecom> <telecom> <system value="email"/> <value value="info@cognovis.de"/> </telecom> </contact> <description value="Observable effects produced when a declarative billing rule matches or is violated."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="DE"/> </coding> </jurisdiction> <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."/> <caseSensitive value="true"/> <content value="complete"/> <count value="8"/> <concept> <code value="reject"/> <display value="Reject"/> <definition value="The billed item is non-conformant and must be rejected or corrected."/> </concept> <concept> <code value="requires-justification"/> <display value="Requires justification"/> <definition value="The billed item requires a documented justification."/> </concept> <concept> <code value="requires-approval"/> <display value="Requires approval"/> <definition value="The billed item requires an applicable approval or authorization."/> </concept> <concept> <code value="requires-agreement"/> <display value="Requires agreement"/> <definition value="The billed item requires an applicable patient or contractual agreement."/> </concept> <concept> <code value="replace-code"/> <display value="Replace code"/> <definition value="The billed item must be replaced by a declared alternative code."/> </concept> <concept> <code value="price-adjust"/> <display value="Price adjustment"/> <definition value="The rule changes the applicable price, points, factor, or valuation."/> </concept> <concept> <code value="advisory"/> <display value="Advisory"/> <definition value="The rule produces a non-blocking advisory finding."/> </concept> <concept> <code value="reporting-only"/> <display value="Reporting only"/> <definition value="The rule produces a reporting obligation without changing billability."/> </concept> </CodeSystem>

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.