Da Vinci Prior Authorization Support (PAS) FHIR IG
1.0.0 - STU 1

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

: ClaimInquiryOperation - JSON Representation

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{
  "resourceType" : "OperationDefinition",
  "id" : "Claim-inquiry",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>ClaimInquiry</h2><p>OPERATION: ClaimInquiry</p><p>The official URL for this operation definition is: </p><pre>http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry</pre><p>URL: [base]/Claim/$submit</p><p>Parameters</p><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</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>1..1</td><td><a href=\"http://hl7.org/fhir/R4/bundle.html\">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>1..1</td><td><a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></td><td/><td><div><p>A Bundle containing a single ClaimInquiryResponse plus referenced resources.</p>\n</div></td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry",
  "version" : "1.0.0",
  "name" : "ClaimInquiry",
  "title" : "Submit a Claim resource for inquiry",
  "status" : "draft",
  "kind" : "operation",
  "date" : "2020-12-20T19:17:24+00:00",
  "publisher" : "HL7 International - Financial Management Work Group",
  "contact" : [
    {
      "name" : "HL7 International - Financial Management Work Group",
      "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"
        }
      ]
    }
  ],
  "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" : [
    {
      "name" : "resource",
      "use" : "in",
      "min" : 1,
      "max" : "1",
      "documentation" : "A Bundle containing a single ClaimInquiry plus referenced resources.",
      "type" : "Bundle"
    },
    {
      "name" : "return",
      "use" : "out",
      "min" : 1,
      "max" : "1",
      "documentation" : "A Bundle containing a single ClaimInquiryResponse plus referenced resources.",
      "type" : "Bundle"
    }
  ]
}