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

CodeSystem: Billing Rule Result Reason

Official URL: https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-reason Version: 1
Active as of 2026-08-22 Computable Name: BillingRuleReasonCS
Other Identifiers: OID:2.16.840.1.113883.3.7985.16.22

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Stable machine-readable reasons for source-neutral billing-rule outcomes.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-reason defines the following codes:

CodeDisplayDefinition
RULES_UNAVAILABLE Rules unavailable No readable rule corpus is available for the applicable catalog scope.
RULESET_STALE Ruleset stale The available ruleset is outside its accepted freshness or effective-period contract.
RULESET_PARTIAL Ruleset partial The available ruleset declares partial structured coverage.
RULESET_UNSUPPORTED Ruleset unsupported The ruleset schema or semantic version is unsupported.
RULE_CLASS_UNSUPPORTED Rule class unsupported The evaluator does not support the declared rule class semantic major.
RULE_PARAMETER_UNSUPPORTED Rule parameter unsupported The evaluator does not support a declared must-understand parameter.
SOURCE_COVERAGE_INCOMPLETE Source coverage incomplete The source manifest declares a must-understand structured or prose coverage gap.
SERVICE_DATE_UNRESOLVED Service date unresolved No unambiguous ruleset version can be resolved for the service date.
REQUIRED_FACT_NOT_SUPPLIED Required fact not supplied The caller did not supply a fact required by the rule.
REQUIRED_FACT_SOURCE_UNAVAILABLE Required fact source unavailable The source needed to determine a required fact is unavailable.
RULE_VIOLATION Rule violation The evaluated facts violate the declared rule.
RULE_REQUIREMENT_UNMET Rule requirement unmet A declared approval, agreement, companion, documentation, or other requirement is unmet.
RULE_ADVISORY Rule advisory The rule produced a non-blocking advisory result.