Package | hl7.fhir.us.davinci-pct |
Type | OperationDefinition |
Id | GFE-submit |
FHIR Version | R4 |
Source | http://hl7.org/fhir/us/davinci-pct/https://build.fhir.org/ig/HL7/davinci-pct/OperationDefinition-GFE-submit.html |
URL | http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit |
Version | 2.0.0-draft |
Status | active |
Date | 2025-06-03T13:32:08+00:00 |
Name | GFESubmit |
Title | Submit a GFE resource for the creation of an AEOB |
Realm | us |
Authority | hl7 |
Description | This operation is used by an entity to submit one or multiple GFEs as a Bundle containing the GFE(s) and other referenced resources for processing. The only input parameter is the single Bundle resource with one or multiple GFE(s) - each of which is based on the Claim resource (along with other referenced resources). The output is a url in the Content-Location header for subsequent polling and optionally an OperationOutcome resource per [async pattern](https://hl7.org/fhir/R5/async-bundle.html). If after polling the response is complete, then the result will either be a single Bundle with the AEOB - which is based on the ExplanationOfBenefit resource, (and other referenced resources) or an OperationOutcome resource indicating the AEOB will be sent directly to the patient. |
Type | true |
Kind | operation |
CapabilityStatement | |
davinci-pct | Patient Cost Transparency Implementation Guide Payer Capability Statement |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: OperationDefinition GFE-submit
URL: [base]/Claim/$gfe-submit
Input parameters Profile:PCT GFE Packet
Use | Name | Scope | Cardinality | Type | Binding | Documentation |
IN | resource | 1..1 | Bundle (PCT GFE Packet) | A Bundle containing a single or multiple GFE resources plus referenced resources. | ||
OUT | return | 0..1 | OperationOutcome | When successful, this will return a Bundle of type batch-submit; When there is an error calling $gfe-submit (4xx, 5xx HTTP code) then an OperationOutcome must be returned per the async pattern. |
{ "resourceType": "OperationDefinition", "id": "GFE-submit", "text": { "status": "generated", "div": "<!-- snip (see above) -->" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fm" }, { "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-pct/ImplementationGuide/hl7.fhir.us.davinci-pct" } ] } } ], "url": "http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit", "version": "2.0.0-draft", "name": "GFESubmit", "title": "Submit a GFE resource for the creation of an AEOB", "status": "active", "kind": "operation", "date": "2025-06-03T13:32:08+00:00", "publisher": "HL7 International / Financial Management", "contact": [ { "name": "HL7 International / Financial Management", "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/fm" }, { "system": "email", "value": "fmlists@lists.hl7.org" } ] } ], "description": "This operation is used by an entity to submit one or multiple GFEs as a Bundle containing the GFE(s) and other referenced resources for processing. The only input parameter is the single Bundle resource with one or multiple GFE(s) - each of which is based on the Claim resource (along with other referenced resources). The output is a url in the Content-Location header for subsequent polling and optionally an OperationOutcome resource per [async pattern](https://hl7.org/fhir/R5/async-bundle.html). If after polling the response is complete, then the result will either be a single Bundle with the AEOB - which is based on the ExplanationOfBenefit resource, (and other referenced resources) or an OperationOutcome resource indicating the AEOB will be sent directly to the patient.", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US" } ] } ], "code": "gfe-submit", "base": "http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit", "resource": [ "Claim" ], "system": false, "type": true, "instance": false, "inputProfile": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-packet", "parameter": [ { "name": "resource", "use": "in", "min": 1, "max": "1", "documentation": "A Bundle containing a single or multiple GFE resources plus referenced resources.", "type": "Bundle", "targetProfile": [ "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-packet" ] }, { "name": "return", "use": "out", "min": 0, "max": "1", "documentation": "When successful, this will return a Bundle of type batch-submit; When there is an error calling $gfe-submit (4xx, 5xx HTTP code) then an OperationOutcome must be returned per the [async pattern](https://hl7.org/fhir/R5/async-bundle.html).", "type": "OperationOutcome" } ] }