US Veterans Health Administration FHIR Map Set Implementation Guide
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US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.9.0 See the Directory of published versions

Resource Profile: DebtPortalInvoice - Mappings

Active as of 2025-09-30

Mappings for the DebtPortalInvoice resource profile.

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

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

Mapping Sources

Use Case: Debt Portal (Source)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).001IEN.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).001TRANSACTION TYPE IEN.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
1818 for review V2F ACCOUNTS RECEIVABLE - DEBTOR > AR DEBTOR - DEBTOR (430-9 > 340-.01) reference type is PATIENT (#2) Invoice.recipient Patient The data in CDW does not support Invoice.recipient and Invoice.subject being different. It is assumed that the recipient will always be the subject and to avoid having duplicate patient references, it is recommended to use Invoice.recipient for the reference to the patient. http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1975 for review V2F ACCOUNTS RECEIVABLE - BILL NO. (430-.01) source value Invoice.identifier http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1843 for review V2F ACCOUNTS RECEIVABLE - CURRENT STATUS > ACCOUNTS RECEIVABLE TRANS.TYPE - NAME (430-8 > 430.3-.01) terminologyMaps Invoice.status VF_ARBillStatus http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
2236 for review V2F ACCOUNTS RECEIVABLE - CURRENT STATUS > ACCOUNTS RECEIVABLE TRANS.TYPE - (430-8 > 430.3-) source value Invoice.status.extension[http://hl7.org/fhir/StructureDefinition/alternate-codes].valueCodeableConcept.coding .code={TRANSACTION TYPE IEN (.001)}
.display={NAME (.01)}
.system=http://va.gov/terminology/vistaDefinedTerms/430.3		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1976 for review V2F ACCOUNTS RECEIVABLE - PATIENT (430-7) reference Invoice.subject /Patient The data in CDW does not support Invoice.recipient and Invoice.subject being different. It is assumed that the recipient will always be the subject and to avoid having duplicate patient references, it is recommended to use Invoice.recipient for the reference to the patient. http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1977 for review V2F ACCOUNTS RECEIVABLE - DATE BILL PREPARED (430-10) source value Invoice.date http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
2007 for review V2F ACCOUNTS RECEIVABLE - SITE (430-12) reference Invoice.issuer /Organization http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
2221 for review V2F reference Invoice.account Account http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1828 for review V2F ACCOUNTS RECEIVABLE - ORIGINAL AMOUNT (430-3) source value Invoice.totalPriceComponent[va-orig-amt] .amount .type=#informational
.code.text="Original Amount"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1829 for review V2F ACCOUNTS RECEIVABLE - CURRENT BALANCE (430-11) source value Invoice.totalPriceComponent[va-curr-bal] .amount .type=#base
.code.text="Current Balance"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1830 for review V2F ACCOUNTS RECEIVABLE - AMENDED AMOUNT (430-35) source value Invoice.totalPriceComponent[va-amend-amt] .amount .type=#base
.code.text="Amended Amount"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1831 for review V2F ACCOUNTS RECEIVABLE - PRINCIPAL BALANCE (430-71) source value Invoice.totalPriceComponent[va-principal-bal] .amount .type=#base
.code.text="Principal Balance"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1832 for review V2F ACCOUNTS RECEIVABLE - INTEREST BALANCE (430-72) source value Invoice.totalPriceComponent[va-interest-bal] .amount .type=#surcharge
.code.text="Interest Balance"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1866 for review V2F ACCOUNTS RECEIVABLE - ADMINISTRATIVE COST BALANCE (430-73) source value Invoice.totalPriceComponent[va-admin-cost-bal] .amount .type=#surcharge
.code.text="Administrative Cost Balance"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1867 for review V2F ACCOUNTS RECEIVABLE - MARSHAL FEE (430-74) source value Invoice.totalPriceComponent[va-marsh-fee] .amount .type=#surcharge
.code.text="Marshal Fee"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1868 for review V2F ACCOUNTS RECEIVABLE - COURT COST (430-75) source value Invoice.totalPriceComponent[va-court-cost] .amount .type=#surcharge
.code.text="Court Cost"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1869 for review V2F ACCOUNTS RECEIVABLE - TOTAL PAID PRINCIPAL (430-77) source value Invoice.totalPriceComponent[va-principal-paid] .amount .type=#base
.code.text="Principal Paid"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1870 for review V2F ACCOUNTS RECEIVABLE - TOTAL PAID INTEREST (430-78) source value Invoice.totalPriceComponent[va-interest-paid] .amount .type=#surcharge
.code.text="Interest Paid"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1871 for review V2F ACCOUNTS RECEIVABLE - TOTAL PAID ADMINISTRATIVE COST (430-79) source value Invoice.totalPriceComponent[va-admin-cost-paid] .amount .type=#surcharge
.code.text="Administrative Cost Paid"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1872 for review V2F ACCOUNTS RECEIVABLE - TOTAL PAID MARSHAL FEE (430-79.1) source value Invoice.totalPriceComponent[va-marsh-fee-paid] .amount .type=#surcharge
.code.text="Marshal Fee Paid"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1873 for review V2F ACCOUNTS RECEIVABLE - TOTAL PAID COURT COST (430-79.2) source value Invoice.totalPriceComponent[va-court-cost-paid] .amount .type=#surcharge
.code.text="Court Cost Paid"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1834 for review V2F reference INTEGRATED BILLING ACTION - PARENT CHARGE = INTEGRATED BILLING ACTION - IEN Invoice.lineItem[va-charges].chargeItemReference ChargeItemcharges INTEGRATED BILLING ACTION - AR BILL NUMBER (350-.11) = Accounts Receivable - Bill Number (430-.01) http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
2220 for review V2F reference INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN Invoice.lineItem[va-charges].chargeItemReference ChargeItemremoved http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1840 for review V2F INTEGRATED BILLING ACTION - TOTAL CHARGE (350-.07) source value Invoice.lineItem[va-charges].priceComponent .amount .type=#base
.code.text="Total Charge"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1991 for review V2F reference Invoice.lineItem[va-interest].chargeItemReference ChargeIteminterest http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
1999 for review V2F AR TRANSACTION - MARSHAL FEE (433-25) source value Invoice.lineItem[va-interest].priceComponent[va-marshal-fee-charged] .amount .type=#surcharge
.code.text="Marshal Fee Charged"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
2000 for review V2F AR TRANSACTION - COURT COST (433-26) source value Invoice.lineItem[va-interest].priceComponent[va-court-cost-charged] .amount .type=#surcharge
.code.text="Court Cost Charged"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
2001 for review V2F AR TRANSACTION - INT.CHARGE (433-27) source value Invoice.lineItem[va-interest].priceComponent[va-interest-charged] .amount .type=#surcharge
.code.text="Interest Charged"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1
2002 for review V2F AR TRANSACTION - ADM.CHARGE (433-28) source value Invoice.lineItem[va-interest].priceComponent[va-admin-charged] .amount .type=#surcharge
.code.text="Administrative Charged"		 http://hl7.org/fhir/StructureDefinition/Invoice | 4.0.1

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameVeterans Health Information Systems Technology and Architecture (VistA)Clinical Data Warehouse (CDW)Workflow Patterndoco
.. Invoice
... id
... meta
... implicitRules
... text
... contained
... extension
... modifierExtension
... identifier
source value based on ACCOUNTS RECEIVABLE - BILL NO. (430-.01)
IB.AccountsReceivable.BillNumber IB.AccountsReceivableTCSP.BillNumber
... status
terminologyMaps using VF_ARBillStatus on ACCOUNTS RECEIVABLE - CURRENT STATUS > ACCOUNTS RECEIVABLE TRANS.TYPE - NAME (430-8 > 430.3-.01)
IB.AccountsReceivable.ARTransactionTypeIEN Dim.ARTransactionType.ARTransactionType
.... id
.... Slices for extension
..... extension:alternate-codes
...... id
...... extension
...... url
...... value[x]
....... id
....... extension
....... coding
source value based on ACCOUNTS RECEIVABLE - CURRENT STATUS > ACCOUNTS RECEIVABLE TRANS.TYPE - (430-8 > 430.3-)
IB.AccountsReceivable.ARTransactionTypeIEN
........ id
........ extension
........ system
fixed value = http://va.gov/terminology/vistaDefinedTerms/430.3
mapParameter line 3
........ version
........ code
source value based on ACCOUNTS RECEIVABLE - CURRENT STATUS > ACCOUNTS RECEIVABLE TRANS.TYPE - TRANSACTION TYPE IEN (430-8 > 430.3-.001)
mapParameter line 1
IB.AccountsReceivable.ARTransactionTypeIEN
........ display
source value based on ACCOUNTS RECEIVABLE - CURRENT STATUS > ACCOUNTS RECEIVABLE TRANS.TYPE - NAME (430-8 > 430.3-.01)
mapParameter line 2
IB.AccountsReceivable.ARTransactionTypeIEN Dim.ARTransactionType.ARTransactionType
........ userSelected
....... text
.... value
... cancelledReason
... type
Event.code
... subject
reference based on ACCOUNTS RECEIVABLE - PATIENT (430-7)
The data in CDW does not support Invoice.recipient and Invoice.subject being different. It is assumed that the recipient will always be the subject and to avoid having duplicate patient references, it is recommended to use Invoice.recipient for the reference to the patient.
IB.AccountsReceivable.PatientIEN IB.AccountsReceivableComment.PatientIEN IB.AccountsReceivableDescription.PatientIEN IB.AccountsReceivableFiscalYear.PatientIEN IB.AccountsReceivableRepayDate.PatientIEN IB.AccountsReceivableTCSP.PatientIEN IB.AccountsReceivableTCSP.PatientSID
Event.subject
... recipient
reference based on ACCOUNTS RECEIVABLE - DEBTOR > AR DEBTOR - DEBTOR (430-9 > 340-.01) if type is PATIENT (#2)
The data in CDW does not support Invoice.recipient and Invoice.subject being different. It is assumed that the recipient will always be the subject and to avoid having duplicate patient references, it is recommended to use Invoice.recipient for the reference to the patient.
IB.AccountsReceivable.ARDebtorIEN Dim.ARDebtor.InstitutionIEN Dim.ARDebtor.InsuranceCompanyIEN Dim.ARDebtor.PatientIEN Dim.ARDebtor.StaffIEN Dim.ARDebtor.VendorIEN
Event.context
... date
source value based on ACCOUNTS RECEIVABLE - DATE BILL PREPARED (430-10)
IB.AccountsReceivable.BillPreparedDateTime IB.AccountsReceivableComment.BillPreparedDateTime IB.AccountsReceivableDescription.BillPreparedDateTime IB.AccountsReceivableFiscalYear.BillPreparedDateTime IB.AccountsReceivableRepayDate.BillPreparedDateTime IB.AccountsReceivableTCSP.BillPreparedDateTime
... participant
.... id
.... extension
.... modifierExtension
.... role
.... actor
... issuer
reference based on ACCOUNTS RECEIVABLE - SITE (430-12)
IB.AccountsReceivable.InstitutionIEN
... account
reference
... Slices for lineItem
.... lineItem:All Slices
..... id
..... extension
..... modifierExtension
..... sequence
..... chargeItem[x]
..... priceComponent
...... id
...... extension
...... modifierExtension
...... type
Event.code
...... code
Event.code
...... factor
...... amount
.... lineItem:va-charges
..... id
..... extension
..... modifierExtension
..... sequence
..... Slices for chargeItem[x]
...... chargeItem[x]:chargeItemReference
reference if INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN
..... priceComponent
...... id
...... extension
...... modifierExtension
...... type
fixed value = #base
mapParameter line 1
Event.code
...... code
Event.code
....... id
....... extension
....... coding
....... text
fixed value = Total Charge
mapParameter line 2
...... factor
...... amount
source value based on INTEGRATED BILLING ACTION - TOTAL CHARGE (350-.07)
IB.IBAction.TotalCharge
.... lineItem:va-interest
..... id
..... extension
..... modifierExtension
..... sequence
..... Slices for chargeItem[x]
...... chargeItem[x]:chargeItemReference
reference
..... Slices for priceComponent
...... priceComponent:All Slices
....... id
....... extension
....... modifierExtension
....... type
Event.code
....... code
Event.code
....... factor
....... amount
...... priceComponent:va-marshal-fee-charged
....... id
....... extension
....... modifierExtension
....... type
fixed value = #surcharge
mapParameter line 1
Event.code
....... code
Event.code
........ id
........ extension
........ coding
........ text
fixed value = Marshal Fee Charged
mapParameter line 2
....... factor
....... amount
source value based on AR TRANSACTION - MARSHAL FEE (433-25)
IB.ARTransaction.MarshalFee
...... priceComponent:va-court-cost-charged
....... id
....... extension
....... modifierExtension
....... type
fixed value = #surcharge
mapParameter line 1
Event.code
....... code
Event.code
........ id
........ extension
........ coding
........ text
fixed value = Court Cost Charged
mapParameter line 2
....... factor
....... amount
source value based on AR TRANSACTION - COURT COST (433-26)
IB.ARTransaction.CourtCost
...... priceComponent:va-interest-charged
....... id
....... extension
....... modifierExtension
....... type
fixed value = #surcharge
mapParameter line 1
Event.code
....... code
Event.code
........ id
........ extension
........ coding
........ text
fixed value = Interest Charged
mapParameter line 2
....... factor
....... amount
source value based on AR TRANSACTION - INT.CHARGE (433-27)
IB.ARTransaction.InterestCharge
...... priceComponent:va-admin-charged
....... id
....... extension
....... modifierExtension
....... type
fixed value = #surcharge
mapParameter line 1
Event.code
....... code
Event.code
........ id
........ extension
........ coding
........ text
fixed value = Administrative Charged
mapParameter line 2
....... factor
....... amount
source value based on AR TRANSACTION - ADM.CHARGE (433-28)
IB.ARTransaction.AdministrativeCharge
... Slices for totalPriceComponent
.... totalPriceComponent:All Slices
..... id
..... extension
..... modifierExtension
..... type
Event.code
..... code
Event.code
..... factor
..... amount
.... totalPriceComponent:va-orig-amt
..... id
..... extension
..... modifierExtension
..... type
fixed value = #informational
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Original Amount
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - ORIGINAL AMOUNT (430-3)
IB.AccountsReceivable.OriginalBillAmount
.... totalPriceComponent:va-curr-bal
..... id
..... extension
..... modifierExtension
..... type
fixed value = #base
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Current Balance
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - CURRENT BALANCE (430-11)
IB.AccountsReceivable.CurrentBalance
.... totalPriceComponent:va-amend-amt
..... id
..... extension
..... modifierExtension
..... type
fixed value = #base
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Amended Amount
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - AMENDED AMOUNT (430-35)
IB.AccountsReceivable.BillAmendAmount
.... totalPriceComponent:va-principal-bal
..... id
..... extension
..... modifierExtension
..... type
fixed value = #base
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Principal Balance
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - PRINCIPAL BALANCE (430-71)
IB.AccountsReceivable.PrincipalBalance
.... totalPriceComponent:va-interest-bal
..... id
..... extension
..... modifierExtension
..... type
fixed value = #surcharge
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Interest Balance
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - INTEREST BALANCE (430-72)
IB.AccountsReceivable.InterestBalance
.... totalPriceComponent:va-admin-cost-bal
..... id
..... extension
..... modifierExtension
..... type
fixed value = #surcharge
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Administrative Cost Balance
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - ADMINISTRATIVE COST BALANCE (430-73)
IB.AccountsReceivable.AdministrativeCostBalance
.... totalPriceComponent:va-marsh-fee
..... id
..... extension
..... modifierExtension
..... type
fixed value = #surcharge
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Marshal Fee
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - MARSHAL FEE (430-74)
IB.AccountsReceivable.MarshalFee
.... totalPriceComponent:va-court-cost
..... id
..... extension
..... modifierExtension
..... type
fixed value = #surcharge
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Court Cost
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - COURT COST (430-75)
IB.AccountsReceivable.CourtCost
.... totalPriceComponent:va-principal-paid
..... id
..... extension
..... modifierExtension
..... type
fixed value = #base
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Principal Paid
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - TOTAL PAID PRINCIPAL (430-77)
IB.AccountsReceivable.TotalPrincipalPaid
.... totalPriceComponent:va-interest-paid
..... id
..... extension
..... modifierExtension
..... type
fixed value = #surcharge
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Interest Paid
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - TOTAL PAID INTEREST (430-78)
IB.AccountsReceivable.TotalInterestPaid
.... totalPriceComponent:va-admin-cost-paid
..... id
..... extension
..... modifierExtension
..... type
fixed value = #surcharge
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Administrative Cost Paid
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - TOTAL PAID ADMINISTRATIVE COST (430-79)
IB.AccountsReceivable.TotalAdministrativeCostPaid
.... totalPriceComponent:va-marsh-fee-paid
..... id
..... extension
..... modifierExtension
..... type
fixed value = #surcharge
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Marshal Fee Paid
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - TOTAL PAID MARSHAL FEE (430-79.1)
IB.AccountsReceivable.TotalMarshalFeePaid
.... totalPriceComponent:va-court-cost-paid
..... id
..... extension
..... modifierExtension
..... type
fixed value = #surcharge
mapParameter line 1
Event.code
..... code
Event.code
...... id
...... extension
...... coding
...... text
fixed value = Court Cost Paid
mapParameter line 2
..... factor
..... amount
source value based on ACCOUNTS RECEIVABLE - TOTAL PAID COURT COST (430-79.2)
IB.AccountsReceivable.TotalCourtCostPaid
... totalNet
... totalGross
... paymentTerms
... note
Event.note

doco Documentation for this format