This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions
: Search for a Prior Authorization Response by example - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:OperationDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "Claim-inquiry"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition Claim-inquiry</b></p><a name=\"Claim-inquiry\"> </a><a name=\"hcClaim-inquiry\"> </a><p>URL: [base]/Claim/$inquire</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-inquiry-request-bundle.html\" title=\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-request-bundle\">PAS Inquiry Request Bundle</a>)</td><td/><td><div><p>A Bundle containing a single ClaimInquiry 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-inquiry-response-bundle.html\" title=\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-response-bundle\">PAS Inquiry Response Bundle</a>)</td><td/><td><div><p>A Bundle containing a single ClaimInquiryResponse plus referenced resources.</p>\n</div></td></tr></table></div>"^^rdf:XMLLiteral
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "fm" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [
a fhir:integer ;
fhir:v 3 ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas> ] ] ) ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "trial-use" ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas> ] ] ) ]
] ) ; #
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry"^^xsd:anyURI] ; #
fhir:version [ fhir:v "2.2.0-ballot"] ; #
fhir:name [ fhir:v "ClaimInquiry"] ; #
fhir:title [ fhir:v "Search for a Prior Authorization Response by example"] ; #
fhir:status [ fhir:v "draft"] ; #
fhir:kind [ fhir:v "operation"] ; #
fhir:date [ fhir:v "2025-07-30T00:50:50+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "HL7 International / Financial Management"] ; #
fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/Special/committees/fm" ] ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fmlists@lists.hl7.org" ] ] )
] [
fhir:name [ fhir:v "Jean Duteau" ] ;
( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "mailto:jean@duteaudesign.com" ] ] )
] [
fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
( 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 make a search for a Prior Authorization Response by example. This Prior Authorization $inquire operation is a query-by-example that follows the X12 278 Inquiry rules. The only input parameter is the single Bundle resource with a PASClaimInquiry instance (along with other referenced resources) and the only output is a single Bundle with zero-to-many PASClaimInquiryResponses (and other referenced resources) or an OperationOutcome resource."] ; #
fhir:jurisdiction ( [
( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ] ] )
] ) ; #
fhir:code [ fhir:v "inquire"] ; #
fhir:base [
fhir:v "http://hl7.org/fhir/OperationDefinition/Claim-submit"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/OperationDefinition/Claim-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 Bundle containing a single ClaimInquiry plus referenced resources." ] ;
fhir:type [ fhir:v "Bundle" ] ;
( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-request-bundle"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-request-bundle> ] )
] [
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 Bundle containing a single ClaimInquiryResponse plus referenced resources." ] ;
fhir:type [ fhir:v "Bundle" ] ;
( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-response-bundle"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-response-bundle> ] )
] ) . #
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