{ "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", "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": "eeccd8ba-ba8f-425f-9a5c-b909733289e5", "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." } ] }