{
  "resourceType" : "CodeSystem",
  "id" : "billing-rule-reason",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem billing-rule-reason</b></p><a name=\"billing-rule-reason\"> </a><a name=\"hcbilling-rule-reason\"> </a><p>This case-sensitive code system <code>https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-reason</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">RULES_UNAVAILABLE<a name=\"billing-rule-reason-RULES_UNAVAILABLE\"> </a></td><td>Rules unavailable</td><td>No readable rule corpus is available for the applicable catalog scope.</td></tr><tr><td style=\"white-space:nowrap\">RULESET_STALE<a name=\"billing-rule-reason-RULESET_STALE\"> </a></td><td>Ruleset stale</td><td>The available ruleset is outside its accepted freshness or effective-period contract.</td></tr><tr><td style=\"white-space:nowrap\">RULESET_PARTIAL<a name=\"billing-rule-reason-RULESET_PARTIAL\"> </a></td><td>Ruleset partial</td><td>The available ruleset declares partial structured coverage.</td></tr><tr><td style=\"white-space:nowrap\">RULESET_UNSUPPORTED<a name=\"billing-rule-reason-RULESET_UNSUPPORTED\"> </a></td><td>Ruleset unsupported</td><td>The ruleset schema or semantic version is unsupported.</td></tr><tr><td style=\"white-space:nowrap\">RULE_CLASS_UNSUPPORTED<a name=\"billing-rule-reason-RULE_CLASS_UNSUPPORTED\"> </a></td><td>Rule class unsupported</td><td>The evaluator does not support the declared rule class semantic major.</td></tr><tr><td style=\"white-space:nowrap\">RULE_PARAMETER_UNSUPPORTED<a name=\"billing-rule-reason-RULE_PARAMETER_UNSUPPORTED\"> </a></td><td>Rule parameter unsupported</td><td>The evaluator does not support a declared must-understand parameter.</td></tr><tr><td style=\"white-space:nowrap\">SOURCE_COVERAGE_INCOMPLETE<a name=\"billing-rule-reason-SOURCE_COVERAGE_INCOMPLETE\"> </a></td><td>Source coverage incomplete</td><td>The source manifest declares a must-understand structured or prose coverage gap.</td></tr><tr><td style=\"white-space:nowrap\">SERVICE_DATE_UNRESOLVED<a name=\"billing-rule-reason-SERVICE_DATE_UNRESOLVED\"> </a></td><td>Service date unresolved</td><td>No unambiguous ruleset version can be resolved for the service date.</td></tr><tr><td style=\"white-space:nowrap\">REQUIRED_FACT_NOT_SUPPLIED<a name=\"billing-rule-reason-REQUIRED_FACT_NOT_SUPPLIED\"> </a></td><td>Required fact not supplied</td><td>The caller did not supply a fact required by the rule.</td></tr><tr><td style=\"white-space:nowrap\">REQUIRED_FACT_SOURCE_UNAVAILABLE<a name=\"billing-rule-reason-REQUIRED_FACT_SOURCE_UNAVAILABLE\"> </a></td><td>Required fact source unavailable</td><td>The source needed to determine a required fact is unavailable.</td></tr><tr><td style=\"white-space:nowrap\">RULE_VIOLATION<a name=\"billing-rule-reason-RULE_VIOLATION\"> </a></td><td>Rule violation</td><td>The evaluated facts violate the declared rule.</td></tr><tr><td style=\"white-space:nowrap\">RULE_REQUIREMENT_UNMET<a name=\"billing-rule-reason-RULE_REQUIREMENT_UNMET\"> </a></td><td>Rule requirement unmet</td><td>A declared approval, agreement, companion, documentation, or other requirement is unmet.</td></tr><tr><td style=\"white-space:nowrap\">RULE_ADVISORY<a name=\"billing-rule-reason-RULE_ADVISORY\"> </a></td><td>Rule advisory</td><td>The rule produced a non-blocking advisory result.</td></tr></table></div>"
  },
  "url" : "https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-reason",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.3.7985.16.22"
  }],
  "version" : "1",
  "name" : "BillingRuleReasonCS",
  "title" : "Billing Rule Result Reason",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-08-22T18:18:46+02:00",
  "publisher" : "cognovis GmbH",
  "contact" : [{
    "name" : "cognovis GmbH",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.cognovis.de"
    },
    {
      "system" : "email",
      "value" : "info@cognovis.de"
    }]
  }],
  "description" : "Stable machine-readable reasons for source-neutral billing-rule outcomes.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE"
    }]
  }],
  "copyright" : "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" : true,
  "content" : "complete",
  "count" : 13,
  "concept" : [{
    "code" : "RULES_UNAVAILABLE",
    "display" : "Rules unavailable",
    "definition" : "No readable rule corpus is available for the applicable catalog scope."
  },
  {
    "code" : "RULESET_STALE",
    "display" : "Ruleset stale",
    "definition" : "The available ruleset is outside its accepted freshness or effective-period contract."
  },
  {
    "code" : "RULESET_PARTIAL",
    "display" : "Ruleset partial",
    "definition" : "The available ruleset declares partial structured coverage."
  },
  {
    "code" : "RULESET_UNSUPPORTED",
    "display" : "Ruleset unsupported",
    "definition" : "The ruleset schema or semantic version is unsupported."
  },
  {
    "code" : "RULE_CLASS_UNSUPPORTED",
    "display" : "Rule class unsupported",
    "definition" : "The evaluator does not support the declared rule class semantic major."
  },
  {
    "code" : "RULE_PARAMETER_UNSUPPORTED",
    "display" : "Rule parameter unsupported",
    "definition" : "The evaluator does not support a declared must-understand parameter."
  },
  {
    "code" : "SOURCE_COVERAGE_INCOMPLETE",
    "display" : "Source coverage incomplete",
    "definition" : "The source manifest declares a must-understand structured or prose coverage gap."
  },
  {
    "code" : "SERVICE_DATE_UNRESOLVED",
    "display" : "Service date unresolved",
    "definition" : "No unambiguous ruleset version can be resolved for the service date."
  },
  {
    "code" : "REQUIRED_FACT_NOT_SUPPLIED",
    "display" : "Required fact not supplied",
    "definition" : "The caller did not supply a fact required by the rule."
  },
  {
    "code" : "REQUIRED_FACT_SOURCE_UNAVAILABLE",
    "display" : "Required fact source unavailable",
    "definition" : "The source needed to determine a required fact is unavailable."
  },
  {
    "code" : "RULE_VIOLATION",
    "display" : "Rule violation",
    "definition" : "The evaluated facts violate the declared rule."
  },
  {
    "code" : "RULE_REQUIREMENT_UNMET",
    "display" : "Rule requirement unmet",
    "definition" : "A declared approval, agreement, companion, documentation, or other requirement is unmet."
  },
  {
    "code" : "RULE_ADVISORY",
    "display" : "Rule advisory",
    "definition" : "The rule produced a non-blocking advisory result."
  }]
}