FHIR IG Statistics: OperationDefinition/Claim-submit

Resources that use this resource

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Source

{
  "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"
      ]
    }
  ]
}