Conformance
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(v4.3.0:
R4B
(v5.0.0:
R5
-
STU
).
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| Financial Management Work Group | Maturity Level : N/A | Standards Status : Informative |
Raw XML ( canonical form + also see XML Format Specification )
Operation Definition
<?xml version="1.0" encoding="UTF-8"?>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. A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.<OperationDefinition xmlns="http://hl7.org/fhir"> <id value="Claim-submit"/> <text> <status value="extensions"/> <div xmlns="http://www.w3.org/1999/xhtml"> <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> 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="resource.html">Resource</a> </td> <td/> <td> <div> <p> A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.</p> </div> </td> </tr> <tr> <td> OUT</td> <td> return</td> <td/> <td> 1..1</td> <td> <a href="resource.html">Resource</a> </td> <td/> <td> <div> <p> A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponseresources or as Bundles each containing a single ClaimResponse plus referenced resources. 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. A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.resources or as Bundles each containing a single ClaimResponse plus referenced resources.</p> </div> </td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="2"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <url value="http://hl7.org/fhir/OperationDefinition/Claim-submit"/> <version value="5.0.0"/> <name value="Submit"/> <title value="Submit a Claim resource for adjudication"/> <status value="draft"/> <kind value="operation"/> <experimental value="false"/> <date value="2023-03-26T15:21:02+11:00"/> <publisher value="HL7 (FHIR Project)"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> <telecom> <system value="email"/> <value value="fhir@lists.hl7.org"/> </telecom> </contact> <description value="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."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <affectsState value="true"/> <code value="submit"/> <resource value="Claim"/> <system value="false"/> <type value="true"/> <instance value="false"/> <parameter> <name value="resource"/> <use value="in"/> <min value="1"/> <max value="1"/> <documentation value="A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources."/> <type value="Resource"/> </parameter> <parameter> <name value="return"/> <use value="out"/> <min value="1"/> <max value="1"/> <documentation value="A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponseresources or as Bundles each containing a single ClaimResponse plus referenced resources.resources or as Bundles each containing a single ClaimResponse plus referenced resources."/> <type value="Resource"/> </parameter> </ OperationDefinition >
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.
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FHIR
Release
4B
(v4.3.0)
hl7.fhir.r4b.core#4.3.0
R5
hl7.fhir.core#5.0.0
generated
on
Sat,
May
28,
2022
12:54+1000.
Sun,
Mar
26,
2023
15:24+1100.
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