Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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

Operation-claim-submit.ttl

Financial Management Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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 "extensions" ]
  ];
  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 "4.6.0"];
  fhir:CanonicalResource.name [ fhir:value "submit"];
  fhir:CanonicalResource.title [ fhir:value "Submit a Claim resource for adjudication"];
  fhir:CanonicalResource.status [ fhir:value "draft"];
  fhir:CanonicalResource.date [ fhir:value "2021-04-15T12:25:09+10:00"];
  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 "4.6.0"];
  fhir:OperationDefinition.name [ fhir:value "submit"];
  fhir:OperationDefinition.title [ 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 "2021-04-15T12:25:09+10:00"];
  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.affectsState [ fhir:value "true"];
  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.