US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401 United States of America flag

Publication Build: This will be filled in by the publication tooling

Resource Profile: DebtPortalChargeItemremoved - Mappings

Active as of 2025-03-31

Mappings for the DebtPortalChargeItemremoved resource profile.

Scroll down for the Raw FHIR, CDW & SDA mappings (if any).

Note that the CDW and SDA mappings are derived from a look-up based on the VistA source mappings in CDW and VPR SDA.

Mapping Sources

Use Case: Debt Portal (Source)PATIENT (2)PRESCRIPTION (52)106IB NUMBERAR DEBTOR (340).01DEBTOR.03STATEMENT DAY1.01STREET ADDRESS #11.02STREET ADDRESS #21.03STREET ADDRESS #31.04CITY1.05STATE1.06ZIP CODE1.07PHONE NUMBER1.08FOREIGN COUNTRY CODEINTEGRATED BILLING ACTION (350).02PATIENT.03ACTION TYPE.07TOTAL CHARGE.09PARENT CHARGE.1CANCELLATION REASON.11AR BILL NUMBER.12AR TRANSACTION NUMBER.14DATE BILLED FROM.15DATE BILLED TO12DATE ENTRY ADDEDIB-FB INTERFACE TRACKING (360)1.02BILL/CLAIMSBILL/CLAIMS (399).08PTF ENTRY NUMBER304PROCEDURESACCOUNTS RECEIVABLE (430).01BILL NO.3ORIGINAL AMOUNT7PATIENT8CURRENT STATUS9DEBTOR10DATE BILL PREPARED11CURRENT BALANCE12SITE35AMENDED AMOUNT71PRINCIPAL BALANCE72INTEREST BALANCE73ADMINISTRATIVE COST BALANCE74MARSHAL FEE75COURT COST77TOTAL PAID PRINCIPAL78TOTAL PAID INTEREST79TOTAL PAID ADMINISTRATIVE COST79.1TOTAL PAID MARSHAL FEE79.2TOTAL PAID COURT COSTAR TRANSACTION (433).01TRANSACTION NUMBER.03BILL NUMBER11TRANSACTION DATE12TRANSACTION TYPE13RECEIPT #15TRANS. AMOUNT19DATE ENTERED25MARSHAL FEE26COURT COST27INT.CHARGE28ADM.CHARGE31PRIN.COLLECTED32INTEREST COLLECTED33ADMIN.COLLECTED34MARSHAL FEE COLLECTED35COURT COST COLLECTEDACCOUNTS RECEIVABLE TRANS.TYPE (430.3).01NAMEIB ACTION TYPE (350.1).03CHARGE CATEGORYPROCEDURES (399.0304)20OUTPATIENT ENCOUNTEROUTPATIENT ENCOUNTER (409.68).05VISIT FILE ENTRYIB CHARGE REMOVE REASONS (350.3).01NAME[type is PATIENT (#2)][Outpatient][Outpatient][Outpatient][Inpatient][NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001)][IEN = 12 OR 13][IEN = 34 OR 2]

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
2219 for review V2F INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) reference INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN ChargeItem[removed].partOf ChargeItemcharges http://hl7.org/fhir/StructureDefinition/ChargeItem | 4.0.1
2029 for review V2F INTEGRATED BILLING ACTION - CANCELLATION REASON > IB CHARGE REMOVE REASONS - NAME (350-.1 > 350.3-.01) source value NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) ChargeItem[removed].code .text http://hl7.org/fhir/StructureDefinition/ChargeItem | 4.0.1

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

DebtPortalChargeItemremoved
ChargeItem
   partOf2219: reference based on INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) if INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN
   code
      text2029: source value based on INTEGRATED BILLING ACTION - CANCELLATION REASON > IB CHARGE REMOVE REASONS - NAME (350-.1 > 350.3-.01) if NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001)

Mappings for Clinical Data Warehouse (CDW) ()

DebtPortalChargeItemremoved
ChargeItem
   partOfIB.IBAction.ParentIBActionIEN
   code
      textIB.IBAction.IBChargeRemoveReasonIEN Dim.IBChargeRemoveReason.ChargeRemoveReason

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

DebtPortalChargeItemremoved
ChargeItemEvent
   identifierEvent.identifier
   definitionUriEvent.instantiates
   definitionCanonicalEvent.instantiates
   statusEvent.status
   partOfEvent.partOf
   codeEvent.code
   subjectEvent.subject
   contextEvent.context
   occurrence[x]Event.occurrence[x]
   performerEvent.performer
      functionEvent.performer.function
      actorEvent.performer.actor
   performingOrganizationEvent.performer.actor
   reasonEvent.reasonCode
   serviceEvent.reasonReference
   noteEvent.note
   supportingInformationEvent.supportingInfo

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

DebtPortalChargeItemremoved
ChargeItemFT1
   identifierFT1.2
   definitionUriVaries by domain
   definitionCanonicalVaries by domain
   statusVaries by domain
   partOfVaries by domain
   codeFT1.7
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   subjectPAT in proximity to FT1 segment
   contextPV1 in proximity to FT1 segment
   occurrence[x]Varies by domain
   performerEVN.5 or by domain
      functionVaries by domain
      actorEVN.5 or by domain
   performingOrganizationN/A
   requestingOrganizationN/A
   costCenterFT1.13
   quantityFT1.10
   factorOverrideFT1.26
   priceOverrideFT1.22
   entererEVN.5 or by domain
   reasonEVN.4 or by domain
   serviceEVN.4 or by domain
   noteNTE

Mappings for RIM Mapping (http://hl7.org/v3)

DebtPortalChargeItemremoved
ChargeItemEntity. Role, or Act, Act[moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.identifier
   definitionUri.outboundRelationship[typeCode=DEFN].target
   definitionCanonical.outboundRelationship[typeCode=DEFN].target
   status.status
   partOf.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
   code.code
      idn/a
      extensionn/a
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   subject.participation[typeCode=SBJ].role
   context.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
   occurrence[x].effectiveTime
   performer.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
      idn/a
      extensionn/a
      modifierExtensionN/A
      function.participation.functionCode
      actor.player
   performingOrganization.scoper
   requestingOrganization.scoper
   bodysite.targetBodySiteCode
   enterer.player
   reason.reasonCode
   service.outboundRelationship[typeCode=RSON].target
   product[x].participation[typeCode=CSM].role
   note.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

DebtPortalChargeItemremoved
ChargeItem
   identifierFiveWs.identifier
   statusFiveWs.status
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   contextFiveWs.context
   occurrence[x]FiveWs.done[x]
   performer
      actorFiveWs.actor
   entererFiveWs.actor
   reasonFiveWs.why[x]
   serviceFiveWs.why[x]