Patient Cost Transparency Implementation Guide
2.0.0 - STU 2
Patient Cost Transparency Implementation Guide
2.0.0 - STU 2
Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 2 |
<OperationDefinition xmlns="http://hl7.org/fhir">
<id value="GFE-coordination-request"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: OperationDefinition GFE-coordination-request</b></p><a name="GFE-coordination-request"> </a><a name="hcGFE-coordination-request"> </a><p>URL: [base]/$gfe-submit</p><h3>Parameters</h3><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> (<a href="StructureDefinition-davinci-pct-gfe-coordination-bundle.html" title="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-coordination-bundle">PCT GFE Coordination Bundle</a>)</td><td/><td><div><p>A request Bundle that contains necessary resources for GFE to request GFEs from one or multiple GFE contributing providers.</p>
</div></td></tr><tr><td>OUT</td><td>return</td><td/><td>0..1</td><td><a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></td><td/><td><div><p>A batch-response Bundle including OperationOutcome entries each noting the success or failure to process the entry in the input Bundle. OperationOutcomes denoting a failure SHALL list of issues that caused the failure. All entries must be successfully processed for any to be successful. If an input Bundle entry fails, they all fail. Entries that would otherwise be successful will have an operationOutcome indicating the precondition that all of Bundle entries have to be processed was not met.</p>
</div></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-coordination-request"/>
<version value="2.0.0"/>
<name value="GFECoordinationRequest"/>
<title value="Good Faith Estimate Coordination Request"/>
<status value="active"/>
<kind value="operation"/>
<date value="2025-09-09T20:58:22+00:00"/>
<publisher value="HL7 International / Financial Management"/>
<contact>
<name value="HL7 International / Financial Management"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fm"/>
</telecom>
<telecom>
<system value="email"/>
<value value="fmlists@lists.hl7.org"/>
</telecom>
</contact>
<description
value="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 value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<code value="gfe-submit"/>
<base
value="http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-coordination-request"/>
<system value="true"/>
<type value="false"/>
<instance value="false"/>
<parameter>
<name value="resource"/>
<use value="in"/>
<min value="1"/>
<max value="1"/>
<documentation
value="A request Bundle that contains necessary resources for GFE to request GFEs from one or multiple GFE contributing providers."/>
<type value="Bundle"/>
<targetProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-coordination-bundle"/>
</parameter>
<parameter>
<name value="return"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<documentation
value="A batch-response Bundle including OperationOutcome entries each noting the success or failure to process the entry in the input Bundle. OperationOutcomes denoting a failure SHALL list of issues that caused the failure. All entries must be successfully processed for any to be successful. If an input Bundle entry fails, they all fail. Entries that would otherwise be successful will have an operationOutcome indicating the precondition that all of Bundle entries have to be processed was not met."/>
<type value="Bundle"/>
</parameter>
</OperationDefinition>
IG © 2025+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pct#2.0.0 based on FHIR 4.0.1. Generated 2025-09-09
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