Operation-claim-submit.json

Operation Definition

{
  "resourceType" : "OperationDefinition",
  "id" : "Claim-submit",
  "text" : {
    "status" : "extensions",
    "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" : "4.3.0",
  "name" : "Submit",
  "title" : "Submit a Claim resource for adjudication",
  "status" : "draft",
  "kind" : "operation",
  "experimental" : false,
  "date" : "2022-05-28T12:47:40+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.",
  "affectsState" : true,
  "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"
  }]
}