Conformance
This
page
is
part
of
the
FHIR
Specification
(v5.0.0:
R5
-
STU
v6.0.0-ballot1:
Release
6
Ballot
(1st
Draft)
(see
Ballot
Notes
).
This
is
the
The
current
published
version
in
it's
permanent
home
(it
will
always
be
available
at
this
URL).
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
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R4B
R4
| Financial Management Work Group | Maturity Level : N/A | Standards Status : Informative |
Raw Turtle (+ also see Turtle/RDF Format Specification )
Operation Definition
@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
# - resource -------------------------------------------------------------------
[] a fhir:OperationDefinition ;
fhir:id [ fhir:v "Claim-submit"] ;
fhir:text [
fhir:status [ fhir:v "extensions" ]
] ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
fhir:value [ fhir:v "2" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
fhir:value [ fhir:v "trial-use" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:value [ fhir:v "fm" ]
] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/OperationDefinition/Claim-submit"], [ fhir:v "http://hl7.org/fhir/OperationDefinition/Claim-submit"] ;
fhir:version [ fhir:v "5.0.0"], [ fhir:v "5.0.0"] ;
fhir:version [ fhir:v "6.0.0-ballot1"], [ fhir:v "6.0.0-ballot1"] ;
fhir:name [ fhir:v "Submit"], [ fhir:v "Submit"] ;
fhir:title [ fhir:v "Submit a Claim resource for adjudication"], [ fhir:v "Submit a Claim resource for adjudication"] ;
fhir:status [ fhir:v "draft"], [ fhir:v "draft"] ;
fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
fhir:date [ fhir:v "2023-03-26T15:21:02+11:00"], [ fhir:v "2023-03-26T15:21:02+11:00"] ;
fhir:publisher [ fhir:v "HL7 (FHIR Project)"], [ fhir:v "HL7 (FHIR Project)"] ;
fhir:date [ fhir:v "2023-12-18T15:12:07+11:00"], [ fhir:v "2023-12-18T15:12:07+11:00"] ;
fhir:publisher [ fhir:v "HL7 International / Financial Management"], [ fhir:v "HL7 International / Financial Management"] ;
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]
] )
] [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ]
] )
] [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]
] )
] [
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 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."], [ fhir:v "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."] ;
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] ) ;
fhir:kind [ fhir:v "operation"] ;
fhir:affectsState [ fhir:v "true"] ;
fhir:code [ fhir:v "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 Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources." ] ;
fhir:type [ fhir:v "Resource" ]
] [
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 ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources." ] ;
fhir:type [ fhir:v "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.
FHIR
®©
HL7.org
2011+.
FHIR
R5
hl7.fhir.core#5.0.0
R6
hl7.fhir.core#6.0.0-ballot1
generated
on
Sun,
Mar
26,
Mon,
Dec
18,
2023
15:24+1100.
15:16+1100.
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