Finance and Insurance Service (FAIS)
1.0.0 - trial-use International flag

This page is part of the IHE ITI Finance and Insurance Services (v1.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: FAIS Claim $reprocess - JSON Representation

Draft as of 2024-11-13

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{
  "resourceType" : "OperationDefinition",
  "id" : "IHE.FAIS.Claim.Reprocess",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition IHE.FAIS.Claim.Reprocess</b></p><a name=\"IHE.FAIS.Claim.Reprocess\"> </a><a name=\"hcIHE.FAIS.Claim.Reprocess\"> </a><a name=\"IHE.FAIS.Claim.Reprocess-en-US\"> </a><p>URL: [base]/Claim/[id]/$reprocess</p><h3>Parameters</h3><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>resource</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a> (<a href=\"StructureDefinition-IHE.FAIS.Claim.html\" title=\"https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.Claim\">FAIS Claim Profile</a>, <a href=\"StructureDefinition-IHE.FAIS.Claim.Bundle.html\" title=\"https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.Claim.Bundle\">FAIS Claim Bundle Profile</a>)</td><td/><td><div><p>A Claim resource or a Bundle with a Claim and any referenced resources.</p>\n</div></td></tr><tr><td>OUT</td><td>return</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a> (<a href=\"StructureDefinition-IHE.FAIS.ClaimResponse.html\" title=\"https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.ClaimResponse\">FAIS ClaimResponse Profile</a>, <a href=\"StructureDefinition-IHE.FAIS.ClaimResponse.Bundle.html\" title=\"https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.ClaimResponse.Bundle\">FAIS ClaimResponse Bundle Profile</a>)</td><td/><td><div><p>A ClaimResponse resource, a Bundle with a ClaimResponse and any referenced resources, or an OperationOutcome if there was an error.</p>\n</div></td></tr></table></div>"
  },
  "url" : "https://profiles.ihe.net/ITI/FAIS/OperationDefinition/IHE.FAIS.Claim.Reprocess",
  "version" : "1.0.0",
  "name" : "FAIS_Claim_Reprocess",
  "title" : "FAIS Claim $reprocess",
  "status" : "draft",
  "kind" : "operation",
  "date" : "2024-11-13T10:59:36-06:00",
  "publisher" : "IHE IT Infrastructure Technical Committee",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.ihe.net/ihe_domains/it_infrastructure/"
        }
      ]
    },
    {
      "telecom" : [
        {
          "system" : "email",
          "value" : "iti@ihe.net"
        }
      ]
    },
    {
      "name" : "IHE IT Infrastructure Technical Committee",
      "telecom" : [
        {
          "system" : "email",
          "value" : "iti@ihe.net"
        }
      ]
    }
  ],
  "description" : "The FAIS Claim $reprocess operation to be used on a Claim instance when the Claim should be re-processed.\n\nThis is called from the Claims Requestor to the Claims Manager.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "affectsState" : true,
  "code" : "reprocess",
  "resource" : [
    "Claim"
  ],
  "system" : false,
  "type" : false,
  "instance" : true,
  "parameter" : [
    {
      "name" : "resource",
      "use" : "in",
      "min" : 0,
      "max" : "1",
      "documentation" : "A Claim resource or a Bundle with a Claim and any referenced resources.",
      "type" : "Resource",
      "targetProfile" : [
        🔗 "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.Claim"🔗 ,
        "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.Claim.Bundle"
      ]
    },
    {
      "name" : "return",
      "use" : "out",
      "min" : 1,
      "max" : "1",
      "documentation" : "A ClaimResponse resource, a Bundle with a ClaimResponse and any referenced resources, or an OperationOutcome if there was an error.",
      "type" : "Resource",
      "targetProfile" : [
        🔗 "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.ClaimResponse"🔗 ,
        "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.ClaimResponse.Bundle"
      ]
    }
  ]
}