R4 Ballot #1 #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: (v3.5.0: R4 Ballot 2). #2). 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

Operation-claim-submit.json

Financial Management Work Group Maturity Level : N/A Ballot Status : Informative Compartments : Encounter , Patient , Practitioner , RelatedPerson

Raw JSON ( canonical form + also see JSON Format Specification )

Operation Definition

{
  "resourceType": "OperationDefinition",
  "id": "Claim-submit",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"

  "resourceType" : "OperationDefinition",
  "id" : "Claim-submit",
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"

  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "Trial Use"
    }
  ],
  "url": "http://hl7.org/fhir/OperationDefinition/Claim-submit",
  "name": "Submit a Claim resource for adjudication",
  "status": "draft",
  "kind": "operation",
  "date": "2018-04-03T12:05:46+10:00",
  "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.",
  "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"

  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueString" : "Trial Use"
  }],
  "url" : "http://hl7.org/fhir/OperationDefinition/Claim-submit",
  "name" : "Submit a Claim resource for adjudication",
  "status" : "draft",
  "kind" : "operation",
  "date" : "2018-08-19T21:48:56+10:00",
  "publisher" : "HL7 (FHIR Project)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"

    },
    {
      "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"
    }
  ]

      "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.",
  "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.