This page is part of the FHIR Specification (v4.4.0: R5 Preview #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 | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
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-standards-status", "valueCode" : "trial-use" }], "url" : "http://hl7.org/fhir/OperationDefinition/Claim-submit", "version" : "4.4.0", "name" : "Submit a Claim resource for adjudication", "status" : "draft", "kind" : "operation", "date" : "2020-05-03T08:43:35+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.