This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
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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:id [ fhir:v "Claim-submit"] ; fhir:text [ fhir:status [ fhir:v "extensions" ] ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ; fhir:value [ fhir:v "2" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ; fhir:value [ fhir:v "trial-use" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ; fhir:value [ fhir:v "fm" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/OperationDefinition/Claim-submit"], [ fhir:v "http://hl7.org/fhir/OperationDefinition/Claim-submit"] ; fhir:version [ fhir:v "6.0.0-ballot1"], [ fhir:v "6.0.0-ballot1"] ; fhir:name [ fhir:v "Submit"], [ fhir:v "Submit"] ; fhir:title [ fhir:v "Submit a Claim resource for adjudication"], [ fhir:v "Submit a Claim resource for adjudication"] ; fhir:status [ fhir:v "draft"], [ fhir:v "draft"] ; fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ; fhir:date [ fhir:v "2023-12-18T15:12:07+11:00"], [ fhir:v "2023-12-18T15:12:07+11:00"] ; fhir:publisher [ fhir:v "HL7 International / Financial Management"], [ fhir:v "HL7 International / Financial Management"] ; fhir:contact ( [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://hl7.org/fhir" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "fhir@lists.hl7.org" ] ] ) ] [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ] ] ) ] [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://hl7.org/fhir" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "fhir@lists.hl7.org" ] ] ) ] [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ] ] ) ] ) ; fhir:description [ fhir:v "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:v "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:jurisdiction ( [ fhir:coding ( [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] [ fhir:coding ( [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; fhir:kind [ fhir:v "operation"] ; fhir:affectsState [ fhir:v "true"] ; fhir:code [ fhir:v "submit"] ; fhir:resource ( [ fhir:v "Claim"] ) ; fhir:system [ fhir:v "false"] ; fhir:type [ fhir:v "true"] ; fhir:instance [ fhir:v "false"] ; fhir:parameter ( [ fhir:name [ fhir:v "resource" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v "1" ] ; fhir:max [ fhir:v "1" ] ; fhir:documentation [ fhir:v "A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources." ] ; fhir:type [ fhir:v "Resource" ] ] [ fhir:name [ fhir:v "return" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v "1" ] ; fhir:max [ fhir:v "1" ] ; fhir:documentation [ fhir:v "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:type [ fhir:v "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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot1 generated on Mon, Dec 18, 2023 15:16+1100.
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