: Billing Rule Result Reason - XML Representation
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<CodeSystem xmlns="http://hl7.org/fhir">
<id value="billing-rule-reason"/>
<text>
<status value="generated"/>
<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>
</text>
<url
value="https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-reason"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.3.7985.16.22"/>
</identifier>
<version value="1"/>
<name value="BillingRuleReasonCS"/>
<title value="Billing Rule Result Reason"/>
<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="Stable machine-readable reasons for source-neutral billing-rule outcomes."/>
<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="13"/>
<concept>
<code value="RULES_UNAVAILABLE"/>
<display value="Rules unavailable"/>
<definition
value="No readable rule corpus is available for the applicable catalog scope."/>
</concept>
<concept>
<code value="RULESET_STALE"/>
<display value="Ruleset stale"/>
<definition
value="The available ruleset is outside its accepted freshness or effective-period contract."/>
</concept>
<concept>
<code value="RULESET_PARTIAL"/>
<display value="Ruleset partial"/>
<definition
value="The available ruleset declares partial structured coverage."/>
</concept>
<concept>
<code value="RULESET_UNSUPPORTED"/>
<display value="Ruleset unsupported"/>
<definition
value="The ruleset schema or semantic version is unsupported."/>
</concept>
<concept>
<code value="RULE_CLASS_UNSUPPORTED"/>
<display value="Rule class unsupported"/>
<definition
value="The evaluator does not support the declared rule class semantic major."/>
</concept>
<concept>
<code value="RULE_PARAMETER_UNSUPPORTED"/>
<display value="Rule parameter unsupported"/>
<definition
value="The evaluator does not support a declared must-understand parameter."/>
</concept>
<concept>
<code value="SOURCE_COVERAGE_INCOMPLETE"/>
<display value="Source coverage incomplete"/>
<definition
value="The source manifest declares a must-understand structured or prose coverage gap."/>
</concept>
<concept>
<code value="SERVICE_DATE_UNRESOLVED"/>
<display value="Service date unresolved"/>
<definition
value="No unambiguous ruleset version can be resolved for the service date."/>
</concept>
<concept>
<code value="REQUIRED_FACT_NOT_SUPPLIED"/>
<display value="Required fact not supplied"/>
<definition
value="The caller did not supply a fact required by the rule."/>
</concept>
<concept>
<code value="REQUIRED_FACT_SOURCE_UNAVAILABLE"/>
<display value="Required fact source unavailable"/>
<definition
value="The source needed to determine a required fact is unavailable."/>
</concept>
<concept>
<code value="RULE_VIOLATION"/>
<display value="Rule violation"/>
<definition value="The evaluated facts violate the declared rule."/>
</concept>
<concept>
<code value="RULE_REQUIREMENT_UNMET"/>
<display value="Rule requirement unmet"/>
<definition
value="A declared approval, agreement, companion, documentation, or other requirement is unmet."/>
</concept>
<concept>
<code value="RULE_ADVISORY"/>
<display value="Rule advisory"/>
<definition value="The rule produced a non-blocking advisory result."/>
</concept>
</CodeSystem>
