This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
: Submit a GFE resource for the creation of an AEOB - JSON Representation
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{
"resourceType" : "OperationDefinition",
"id" : "GFE-submit",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>URL: [base]/Claim/$gfe-submit</p><p>Parameters</p><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>1..1</td><td><a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></td><td/><td><div><p>A Bundle containing a single or multiple GFE resources plus referenced resources.</p>\n</div></td></tr><tr><td>OUT</td><td>return</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/operationoutcome.html\">OperationOutcome</a></td><td/><td><div><p>An optional OperationOutcome per the <a href=\"https://hl7.org/fhir/R5/async-bundle.html\">async pattern</a>.</p>\n</div></td></tr></table></div>"
},
"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" : [
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"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" : "1.1.0",
"name" : "GFESubmit",
"title" : "Submit a GFE resource for the creation of an AEOB",
"status" : "active",
"kind" : "operation",
"date" : "2024-01-03T18:19:28+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](http://build.fhir.org/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"
},
{
"name" : "return",
"use" : "out",
"min" : 0,
"max" : "1",
"documentation" : "An optional OperationOutcome per the [async pattern](https://hl7.org/fhir/R5/async-bundle.html).",
"type" : "OperationOutcome"
}
]
}
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