CCDA document type.

[adria...@gmail.com]

Hello, 

 Starting from the August release I started receiving the following error during CCDA validation for B1, Sample 1. See the error below: 

Result Description: The scenario requires the submitted document type to be either a Continuity of Care Document, or a Referral Note, but the submitted C-CDA does not contain the relevant template Ids.

I checked my CCDA and it does contains the template for Continuity of Care Document (2.16.840.1.113883.10.20.22.1.2). I'm putting below the first 8 lined of my CCDA. Perhaps you can point me to what I'm doing wrong?

<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:sdtc="urn:hl7-org:sdtc" xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd" xmlns="urn:hl7-org:v3">
  <realmCode code="US" />
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040" />
  <templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01" />
  <templateId root="2.16.840.1.113883.10.20.22.1.1" />
  <templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2015-08-01" />
  <templateId root="2.16.840.1.113883.10.20.22.1.2" />

Thank you in advance

Adrian

[Vibin Guevara]

Im also getting this error for the happy kid patient. Not sure why this is coming. Haven't seen it before. 

[Vibin Guevara]

Do we have any update on this issue? - looks like happening to me only from yesterday. Below is my XML code.

I see in the release notes that the US realm header is updated. When I update   <templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.1.1"/> to   <templateId extension="2023-05-01" root="2.16.840.1.113883.10.20.22.1.1"/> I'm still getting the error

<?xml-stylesheet type="text/xsl" href="CDA_EHR.xsl"?><ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 infrastructure/cda/CDA_SDTC.xsd">
    <realmCode code="US"/>
    <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
    <templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.1.1"/>
    <templateId root="2.16.840.1.113883.10.20.22.1.1"/>
    <templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.1.2"/>
    <templateId root="2.16.840.1.113883.10.20.22.1.2"/>

[Nagesh Bashyam]

Both the old one and the new one are expected to be present so that it is backwards compatible.

 

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[Nagesh Bashyam]

For USCDIv3 , you need to also include the updated Template Ids for the US RealmHeader.

 

From: edge-te...@googlegroups.com <edge-te...@googlegroups.com> on behalf of Vibin Guevara <vibi...@gmail.com>
Date: Tuesday, September 2, 2025 at 2:18 PM
To: Edge Test Tool (ETT) <edge-te...@googlegroups.com>
Subject: Re: CCDA document type.

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[Nagesh Bashyam]

For USCDIv3 , you need to also include the updated Template Ids for the US RealmHeader.

 

From: edge-te...@googlegroups.com <edge-te...@googlegroups.com> on behalf of adria...@gmail.com <adria...@gmail.com>
Date: Tuesday, September 2, 2025 at 1:27 

PM

To: Edge Test Tool (ETT) <edge-te...@googlegroups.com>

Subject: CCDA document type.

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[Vibin Guevara]

Thank you for helping me out. I added the 2023-05-01 for US realm template ID 2.16.840.1.113883.10.20.22.1.1 in addition to 2015-08-01 and that worked

[Arpita Patel]

Hello,

I am getting the same error even though both the US Realm and Referral template ids are present.
And this is a very recent error, it was not coming up earlier.

Result Description: The scenario requires the submitted document type to be either a Continuity of Care Document, or a Referral Note, but the submitted C-CDA does not contain the relevant template Ids.

<?xml version="1.0" encoding="UTF-8"?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 infrastructure/cda/CDA_SDTC.xsd">
  <realmCode code="US"/>

  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>

<!-- US Realm Header ID-->

<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1"/>

<!-- Referral Note (V2) template ID -->
<templateId root="2.16.840.1.113883.10.20.22.1.14" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.14"/>
<!-- Globally unique identifier for the document  -->
<id extension="ToC_13" root="2.16.840.1.113883.19.5.99999.1"/>
<code code="57133-1" displayName="Referral Note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
  <title>Referral Note</title>
  <effectiveTime value="20250829173252-0400"/>
  <confidentialityCode codeSystem="2.16.840.1.113883.5.25" codeSystemName="ConfidentialityCode"/>
  <languageCode code="en-US"/>
  <recordTarget>

[Nagesh Bashyam]

For USCDIv3, you have to incldue the US Realm Header template with the right extension and include the older templates that you were including before.

 

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[Arpita Patel]

Thank you!
After adding the template id with a new extension with older templates the issue is resolved.

<realmCode code="US"/>
  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
<!-- US Realm Header ID-->

<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2023-05-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1"/>

<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1"/>
<!-- Referral Note (V2) template ID -->
<templateId root="2.16.840.1.113883.10.20.22.1.14" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.14"/>
<!-- Globally unique identifier for the document  -->
<id extension="ToC_13" root="2.16.840.1.113883.19.5.99999.1"/>
<code code="57133-1" displayName="Referral Note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
  <title>Referral Note</title>

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Arpita Patel, MSHI, CSPO
Technical Product Manager
Office Practicum
602 W Office Center Drive
Fort Washington, PA 19034
800-218-9916 x1424

602 Office Center Drive, Suite 350 | Fort Washington, PA 19034

P: (800) 218-9916 x 1424

[Mat Davis]

Hi Dragon, thanks for the guidance provided above.

Thanks to Arpita and Vibin above as well for following up and posting examples.

Source of Truth For The Template ID Change

• Is there any link at all that I can reference for this change outside of the SITE 4 Release Notes?
• Is there any link at all that I can reference for the expected value?
  
  
• I feel like we're 1 step behind when it comes to these latest changes and exact guidance on how to meet them.
• I think Dragon has been doing great addressing the multiple emails that have been coming in but maybe including links and additional info before hand could help
• The emails that mention a new deployment is planned or currently in progress have been great

Thanks - Mat

[Mat Davis]

Links and Documentation For US Realm Header Extension Validation

https://www.hl7.org/ccdasearch/templates/2.16.840.1.113883.10.20.22.1.1.html