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Packagehl7.fhir.us.davinci-pct.r4b
Resource TypeOperationDefinition
IdOperationDefinition-GFE-submit.json
FHIR VersionR4B

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: OperationDefinition GFE-submit

URL: [base]/Claim/$gfe-submit

Parameters

UseNameScopeCardinalityTypeBindingDocumentation
INresource1..1Bundle (PCT GFE Packet)

A Bundle containing a single or multiple GFE resources plus referenced resources.

OUTreturn0..1OperationOutcome

When successful, this will return operationOutcome with the; When there is an error calling $gfe-submit (4xx, 5xx HTTP code) then an OperationOutcome must be returned per the async pattern.


Source1

{
  "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-fmm",
      "valueInteger": 2,
      "_valueInteger": {
        "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/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",
  "name": "GFESubmit",
  "title": "Submit a GFE resource for the creation of an AEOB",
  "status": "active",
  "kind": "operation",
  "date": "2025-10-08T20:40:02+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,
  "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 operationOutcome with the; 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"
    }
  ]
}