{
"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.",
"_filename": "OperationDefinition-Claim-inquiry.json",
"package_name": "hl7.fhir.us.davinci-pas.r4b",
"date": "2024-09-26T18:54:51-04:00",
"system": false,
"publisher": "HL7 International / Financial Management",
"instance": false,
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"name": "ClaimInquiry",
"type": "true",
"experimental": null,
"outputProfile": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-response-bundle",
"resourceType": "OperationDefinition",
"title": "Search for a Prior Authorization Response by example",
"package_version": "2.1.0-preview",
"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"
} ]
}
} ],
"status": "draft",
"id": "7ed5cfac-47f2-46d9-a355-d99f93966490",
"resource": [ "Claim" ],
"kind": "operation",
"url": "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry",
"code": "inquire",
"base": "http://hl7.org/fhir/OperationDefinition/Claim-submit",
"version": "2.1.0-preview",
"contact": [ {
"name": "HL7 International / Financial Management",
"telecom": [ {
"value": "http://hl7.org/Special/committees/fm",
"system": "url"
}, {
"value": "fmlists@lists.hl7.org",
"system": "email"
} ]
}, {
"name": "Jean Duteau",
"telecom": [ {
"value": "mailto:jean@duteaudesign.com",
"system": "email"
} ]
}, {
"name": "HL7 International / Financial Management",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
} ]
} ],
"inputProfile": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-request-bundle",
"parameter": [ {
"max": "1",
"min": 1,
"use": "in",
"name": "resource",
"type": "Bundle",
"documentation": "A Bundle containing a single ClaimInquiry plus referenced resources."
}, {
"max": "1",
"min": 1,
"use": "out",
"name": "return",
"type": "Bundle",
"documentation": "A Bundle containing a single ClaimInquiryResponse plus referenced resources."
} ]
}