This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). 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 | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
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Operation Definition
@prefix fhir: <http://hl7.org/fhir/> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . # - resource ------------------------------------------------------------------- [] a fhir:OperationDefinition; fhir:Resource.id [ fhir:value "Claim-submit"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ]; fhir:DomainResource.extension [ fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ]; fhir:Extension.value [ fhir:value "2" ] ], [ fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ]; fhir:Extension.value [ fhir:value "trial-use" ] ]; fhir:CanonicalResource.url [ fhir:value "http://hl7.org/fhir/OperationDefinition/Claim-submit"]; fhir:CanonicalResource.version [ fhir:value "4.2.0"]; fhir:CanonicalResource.name [ fhir:value "Submit a Claim resource for adjudication"]; fhir:CanonicalResource.status [ fhir:value "draft"]; fhir:CanonicalResource.date [ fhir:value "2019-12-31T21:03:40+11:00"]; fhir:CanonicalResource.publisher [ fhir:value "HL7 (FHIR Project)"]; fhir:CanonicalResource.contact [ fhir:ContactDetail.telecom [ fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ] ], [ fhir:ContactPoint.system [ fhir:value "email" ]; fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ] ] ]; fhir:CanonicalResource.description [ fhir:value "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."]; fhir:OperationDefinition.url [ fhir:value "http://hl7.org/fhir/OperationDefinition/Claim-submit"]; fhir:OperationDefinition.version [ fhir:value "4.2.0"]; fhir:OperationDefinition.name [ fhir:value "Submit a Claim resource for adjudication"]; fhir:OperationDefinition.status [ fhir:value "draft"]; fhir:OperationDefinition.kind [ fhir:value "operation"]; fhir:OperationDefinition.date [ fhir:value "2019-12-31T21:03:40+11:00"]; fhir:OperationDefinition.publisher [ fhir:value "HL7 (FHIR Project)"]; fhir:OperationDefinition.contact [ fhir:ContactDetail.telecom [ fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ] ], [ fhir:ContactPoint.system [ fhir:value "email" ]; fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ] ] ]; fhir:OperationDefinition.description [ fhir:value "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."]; fhir:OperationDefinition.code [ fhir:value "submit"]; fhir:OperationDefinition.resource [ fhir:value "Claim"]; fhir:OperationDefinition.system [ fhir:value "false"]; fhir:OperationDefinition.type [ fhir:value "true"]; fhir:OperationDefinition.instance [ fhir:value "false"]; fhir:OperationDefinition.parameter [ fhir:OperationDefinitionParameterComponent.name [ fhir:value "resource" ]; fhir:OperationDefinitionParameterComponent.use [ fhir:value "in" ]; fhir:OperationDefinitionParameterComponent.min [ fhir:value "1" ]; fhir:OperationDefinitionParameterComponent.max [ fhir:value "1" ]; fhir:OperationDefinitionParameterComponent.documentation [ fhir:value "A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources." ]; fhir:OperationDefinitionParameterComponent.type [ fhir:value "Resource" ] ], [ fhir:OperationDefinitionParameterComponent.name [ fhir:value "return" ]; fhir:OperationDefinitionParameterComponent.use [ fhir:value "out" ]; fhir:OperationDefinitionParameterComponent.min [ fhir:value "1" ]; fhir:OperationDefinitionParameterComponent.max [ fhir:value "1" ]; fhir:OperationDefinitionParameterComponent.documentation [ fhir:value "A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources." ]; fhir:OperationDefinitionParameterComponent.type [ fhir:value "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.