Finance (draft)
Financial information has a different purpose from the clinical treatment record. Keep tariff and reimbursement meaning separate from the clinical Procedure code.
| Profile | Purpose |
|---|---|
| ChargeItem | A fee, tariff or charge line, optionally linked to the clinical service it concerns. |
| Claim | Reimbursement or preauthorisation information with patient, provider and relevant care context. |
An administrative or aggregate charge need not correspond to exactly one clinical action. Conversely, a clinical Procedure does not establish which tariff or reimbursement rule applies.
These profiles are preliminary comparison material. The financial and settlement workflow remains unresolved; this draft is not a complete Norwegian reimbursement specification. Current clinical-reference targets in the financial profiles also need scope review. Consult Review status and releases for the outstanding decisions.