{
  "resourceType" : "OperationDefinition",
  "id" : "Claim-submit",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition Claim-submit</b></p><a name=\"Claim-submit\"> </a><a name=\"hcClaim-submit\"> </a><p>URL: [base]/Claim/$submit</p><h3>Parameters</h3><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>resource</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a> (<a href=\"StructureDefinition-profile-pas-request-bundle.html\" title=\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle|2.2.1\">PAS Request Bundle</a>)</td><td/><td><div><p>A Bundle containing a single Claim plus referenced resources.</p>\n</div></td></tr><tr><td>OUT</td><td>return</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a> (<a href=\"StructureDefinition-profile-pas-response-bundle.html\" title=\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-response-bundle|2.2.1\">PAS Response Bundle</a>)</td><td/><td><div><p>A Bundle containing a single ClaimResponse plus referenced resources.</p>\n</div></td></tr></table></div>"
  },
  "extension" : [{
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    "valueCode" : "fm"
  },
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    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 4,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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    "_valueCode" : {
      "extension" : [{
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  "url" : "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit",
  "version" : "2.2.1",
  "name" : "ClaimSubmit",
  "title" : "Submit a Prior Authorization Request for adjudication",
  "status" : "draft",
  "kind" : "operation",
  "date" : "2026-03-27T13:58:48+11:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [{
    "name" : "HL7 International / Financial Management",
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/Special/committees/fm"
    },
    {
      "system" : "email",
      "value" : "fmlists@lists.hl7.org"
    }]
  },
  {
    "name" : "Jean Duteau",
    "telecom" : [{
      "system" : "email",
      "value" : "mailto:jean@duteaudesign.com"
    }]
  },
  {
    "name" : "HL7 International / Financial Management",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm"
    }]
  }],
  "description" : "This operation is used to submit a PreAuthorization Claim Request for adjudication as a Bundle containing the PASClaimRequest and other referenced resources for processing. The only input parameter is the single Bundle resource with a PASClaimRequest instance (along with other referenced resources) and the only output is a single Bundle with a PASClaimResponse (and other referenced resources) or an OperationOutcome resource.  This is a variant of the FHIR Core Claim $submit operation.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }]
  }],
  "code" : "submit",
  "base" : "http://hl7.org/fhir/OperationDefinition/Claim-submit",
  "resource" : ["Claim"],
  "system" : false,
  "type" : true,
  "instance" : false,
  "parameter" : [{
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    "use" : "in",
    "min" : 1,
    "max" : "1",
    "documentation" : "A Bundle containing a single Claim plus referenced resources.",
    "type" : "Bundle",
    "targetProfile" : ["http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle|2.2.1"]
  },
  {
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    "documentation" : "A Bundle containing a single ClaimResponse plus referenced resources.",
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}