This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
. Page versions: R5 R4B R4
| Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
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-snapshot1",
"name" : "submit",
"title" : "Submit a Claim resource for adjudication",
"status" : "draft",
"kind" : "operation",
"date" : "2021-12-20T14:08:35+11:00",
"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"
}]
}
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.