This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
. Page versions: R5 R4B R4
| Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Encounter, Patient, Practitioner, RelatedPerson |
Operation Definition
{
"resourceType": "OperationDefinition",
"id": "Claim-submit",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
"valueString": "Trial Use"
}
],
"url": "http://hl7.org/fhir/OperationDefinition/Claim-submit",
"name": "Submit a Claim resource for adjudication",
"status": "draft",
"kind": "operation",
"date": "2018-04-03T12:05:46+10:00",
"publisher": "HL7 (FHIR Project)",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org/fhir"
},
{
"system": "email",
"value": "fhir@lists.hl7.org"
}
]
}
],
"description": "This operation is used to submit a Claim, Pre-Authorization or Pre-Determination (all instances of Claim resources) for adjudication either as a single Claim resource instance or as a Bundle containing the Claim and other referenced resources, or Bundle containing a batch of Claim resources, either as single Claims resources or Bundle resources, for processing. The only input parameter is the single Claim or Bundle resource and the only output is a single ClaimResponse, Bundle of ClaimResponses or an OperationOutcome resource.",
"code": "submit",
"resource": [
"Claim"
],
"system": false,
"type": true,
"instance": false,
"parameter": [
{
"name": "resource",
"use": "in",
"min": 1,
"max": "1",
"documentation": "A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.",
"type": "Resource"
},
{
"name": "return",
"use": "out",
"min": 1,
"max": "1",
"documentation": "A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources.",
"type": "Resource"
}
]
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.