{
"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.",
"_filename": "OperationDefinition-GFE-submit.json",
"package_name": "hl7.fhir.us.davinci-pct.r4b",
"date": "2024-04-08T16:53:34+00:00",
"system": false,
"publisher": "HL7 International / Financial Management",
"instance": false,
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "GFESubmit",
"type": "true",
"experimental": null,
"resourceType": "OperationDefinition",
"title": "Submit a GFE resource for the creation of an AEOB",
"package_version": "2.0.0-ballot",
"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"
} ]
}
} ],
"status": "active",
"id": "b1f09512-5dce-4250-9e96-92c9bb84ecd8",
"resource": [ "Claim" ],
"kind": "operation",
"url": "http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit",
"code": "gfe-submit",
"base": "http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit",
"version": "2.0.0-ballot",
"contact": [ {
"name": "HL7 International / Financial Management",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
}, {
"value": "fmlists@lists.hl7.org",
"system": "email"
} ]
} ],
"parameter": [ {
"max": "1",
"min": 1,
"use": "in",
"name": "resource",
"type": "Bundle",
"documentation": "A Bundle containing a single or multiple GFE resources plus referenced resources."
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "return",
"type": "OperationOutcome",
"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)."
} ]
}