Package | hl7.fhir.us.davinci-pas |
Type | OperationDefinition |
Id | Claim-submit |
FHIR Version | R4 |
Source | http://hl7.org/fhir/us/davinci-pas/https://build.fhir.org/ig/HL7/davinci-pas/OperationDefinition-Claim-submit.html |
URL | http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit |
Version | 2.2.0-ballot |
Status | draft |
Date | 2025-07-22T15:36:40+00:00 |
Name | ClaimSubmit |
Title | Submit a Prior Authorization Request for adjudication |
Realm | us |
Authority | hl7 |
Description | This operation is used to submit a PreAuthorization Claim Request for adjudication as a Bundle containing the PASClaimRequest and other referenced resources for processing. The only input parameter is the single Bundle resource with a PASClaimRequest instance (along with other referenced resources) and the only output is a single Bundle with a PASClaimResponse (and other referenced resources) or an OperationOutcome resource. This is a variant of the FHIR Core Claim $submit operation. |
Type | true |
Kind | operation |
CapabilityStatement | |
EHRCapabilities | EHR PAS Capabilities |
IntermediaryCapabilities | Intermediary PAS Capabilities |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: OperationDefinition Claim-submit
URL: [base]/Claim/$submit
Use | Name | Scope | Cardinality | Type | Binding | Documentation |
IN | resource | 1..1 | Bundle (PAS Request Bundle) | A Bundle containing a single Claim plus referenced resources. | ||
OUT | return | 1..1 | Bundle (PAS Response Bundle) | A Bundle containing a single ClaimResponse plus referenced resources. |
{ "resourceType": "OperationDefinition", "id": "Claim-submit", "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-submit", "version": "2.2.0-ballot", "name": "ClaimSubmit", "title": "Submit a Prior Authorization Request for adjudication", "status": "draft", "kind": "operation", "date": "2025-07-22T15:36:40+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 submit a PreAuthorization Claim Request for adjudication as a Bundle containing the PASClaimRequest and other referenced resources for processing. The only input parameter is the single Bundle resource with a PASClaimRequest instance (along with other referenced resources) and the only output is a single Bundle with a PASClaimResponse (and other referenced resources) or an OperationOutcome resource. This is a variant of the FHIR Core Claim $submit operation.", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US", "display": "United States of America" } ] } ], "code": "submit", "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 Claim plus referenced resources.", "type": "Bundle", "targetProfile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle" ] }, { "name": "return", "use": "out", "min": 1, "max": "1", "documentation": "A Bundle containing a single ClaimResponse plus referenced resources.", "type": "Bundle", "targetProfile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-response-bundle" ] } ] }