Claim $export
The $export operation exports a Claim resource as a CMS-1500 PDF document. This is useful for generating standardized claim forms for healthcare billing.
Use Cases
- Insurance Claim Submission: Generate CMS-1500 forms for submission to insurance payers
- Medical Billing Documentation: Create standardized billing documents for patient records
- Claims Reconciliation: Generate PDF copies of claims for auditing and reconciliation
- Patient Billing Records: Provide patients with copies of claims submitted on their behalf
Invocation
Instance Level (GET)
GET [base]/Claim/[id]/$export
Type Level (POST)
POST [base]/Claim/$export
Input Parameters
GET Request
No parameters required - the Claim is identified by the URL path.
POST Request
| Parameter | Cardinality | Type | Description |
|---|---|---|---|
resource | 1..1 | Claim | The Claim resource to export as PDF |
Output
Returns a Media resource containing a reference to the generated PDF document stored as a Binary resource.
| Field | Description |
|---|---|
Media.status | completed |
Media.subject | Reference to the patient from the Claim |
Media.operator | Reference to the provider from the Claim |
Media.issued | Timestamp of PDF generation |
Media.content.contentType | application/pdf |
Media.content.url | Reference to the Binary containing the PDF |
Media.content.title | cms-1500.pdf |
Example
GET Request
GET /fhir/R4/Claim/claim123/$export
POST Request
POST /fhir/R4/Claim/$export
Content-Type: application/fhir+json
{
"resourceType": "Parameters",
"parameter": [
{
"name": "resource",
"resource": {
"resourceType": "Claim",
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
}
]
},
"use": "claim",
"patient": {
"reference": "Patient/patient123"
},
"provider": {
"reference": "Organization/org456"
},
"created": "2026-01-08",
"priority": {
"coding": [
{
"code": "normal"
}
]
}
}
}
]
}
Response
{
"resourceType": "Media",
"status": "completed",
"subject": {
"reference": "Patient/patient123"
},
"operator": {
"reference": "Organization/org456"
},
"issued": "2026-01-08T15:30:00.000Z",
"content": {
"contentType": "application/pdf",
"url": "Binary/binary789",
"title": "cms-1500.pdf"
}
}
Downloading the PDF
To download the actual PDF file, retrieve the Binary resource referenced in the Media:
GET /fhir/R4/Binary/binary789
Accept: application/pdf
Error Responses
| Status Code | Description |
|---|---|
400 Bad Request | Claim ID is required (GET) or resource parameter missing (POST) |
404 Not Found | Claim not found |
403 Forbidden | Insufficient permissions |
Notes
- This operation is marked as experimental
- The generated PDF follows the CMS-1500 form format
- The Binary resource containing the PDF is automatically created during the operation