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Example OperationDefinition/Claim-submit (Turtle)

Financial Management Work GroupMaturity Level: N/AStandards 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 "generated" ]
  ] ;
  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 "6.0.0-ballot2"], [ fhir:v "6.0.0-ballot2"] ;
  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 "2024-11-06T19:10:34+00:00"], [ fhir:v "2024-11-06T19:10:34+00:00"] ;
  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.