| Package | hl7.fhir.us.davinci-pas |
| Resource Type | OperationDefinition |
| Id | Claim-inquiry |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/davinci-pas/https://build.fhir.org/ig/HL7/davinci-pas/OperationDefinition-Claim-inquiry.html |
| URL | http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry |
| Version | 2.2.0-ballot |
| Status | draft |
| Date | 2025-07-29T17:39:14+00:00 |
| Name | ClaimInquiry |
| Title | Search for a Prior Authorization Response by example |
| Realm | us |
| Authority | hl7 |
| Description | This operation is used to make a search for a Prior Authorization Response by example. This Prior Authorization $inquire operation is a query-by-example that follows the X12 278 Inquiry rules. The only input parameter is the single Bundle resource with a PASClaimInquiry instance (along with other referenced resources) and the only output is a single Bundle with zero-to-many PASClaimInquiryResponses (and other referenced resources) or an OperationOutcome resource. |
| Type | true |
| Kind | operation |
| CapabilityStatement | |
| EHRCapabilities | EHR PAS Capabilities |
| IntermediaryCapabilities | Intermediary PAS Capabilities |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: OperationDefinition Claim-inquiry
URL: [base]/Claim/$inquire
| Use | Name | Scope | Cardinality | Type | Binding | Documentation |
| IN | resource | 1..1 | Bundle (PAS Inquiry Request Bundle) | A Bundle containing a single ClaimInquiry plus referenced resources. | ||
| OUT | return | 1..1 | Bundle (PAS Inquiry Response Bundle) | A Bundle containing a single ClaimInquiryResponse plus referenced resources. |
{
"resourceType": "OperationDefinition",
"id": "Claim-inquiry",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 3,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry",
"version": "2.2.0-ballot",
"name": "ClaimInquiry",
"title": "Search for a Prior Authorization Response by example",
"status": "draft",
"kind": "operation",
"date": "2025-07-29T17:39:14+00:00",
"publisher": "HL7 International / Financial Management",
"contact": [
{
"name": "HL7 International / Financial Management",
"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"
}
]
},
{
"name": "HL7 International / Financial Management",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"description": "This operation is used to make a search for a Prior Authorization Response by example. This Prior Authorization $inquire operation is a query-by-example that follows the X12 278 Inquiry rules. The only input parameter is the single Bundle resource with a PASClaimInquiry instance (along with other referenced resources) and the only output is a single Bundle with zero-to-many PASClaimInquiryResponses (and other referenced resources) or an OperationOutcome resource.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US",
"display": "United States of America"
}
]
}
],
"code": "inquire",
"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",
"targetProfile": [
"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-request-bundle"
]
},
{
"name": "return",
"use": "out",
"min": 1,
"max": "1",
"documentation": "A Bundle containing a single ClaimInquiryResponse plus referenced resources.",
"type": "Bundle",
"targetProfile": [
"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-response-bundle"
]
}
]
}